Operate, actions
Actions
Downstream actions derived from the resolved identities. Proposed actions wait for an operator; suppressed actions wait for a steward decision.
Eligibility engine
1,339
Eligibility conflict resolved
1,339 proposed
Claims processor
9,112
Orphan claim re-pointed
9,112 executed
Outreach
7,319
Outreach address corrected, Outreach suppressed pending steward
2,993 proposed4,326 held
Next-best-action
3,896
Care coordination outreach, New member onboarding
3,896 proposed
Member services
4,974
Duplicate member record retired
4,974 executed
Actions
26,640 derived from the last resolution run
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-021139 | New member onboarding Next-best-action | Emily Rose: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021140 | New member onboarding Next-best-action | Jerry Ortiz: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021141 | New member onboarding Next-best-action | Sophia Garrett: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021142 | New member onboarding Next-best-action | Roy Crawford: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021143 | New member onboarding Next-best-action | Charles Banks: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021144 | New member onboarding Next-best-action | Brittany Dean: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021145 | New member onboarding Next-best-action | Emma Flores: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021146 | New member onboarding Next-best-action | Wei Payne: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021147 | New member onboarding Next-best-action | Amy Olson: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021148 | New member onboarding Next-best-action | Joyce Ray: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021149 | New member onboarding Next-best-action | Olivia Morales: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021150 | New member onboarding Next-best-action | Cheryl Wallace: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021151 | New member onboarding Next-best-action | Karen Hoffman: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021152 | New member onboarding Next-best-action | Gibson Edward: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021153 | New member onboarding Next-best-action | Philip Armstrong: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021154 | New member onboarding Next-best-action | Mateo Yang: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021155 | New member onboarding Next-best-action | Julie Oliver: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021156 | New member onboarding Next-best-action | Albert Fisher: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021157 | New member onboarding Next-best-action | Marilyn Burke: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-021158 | New member onboarding Next-best-action | Mary Griffin: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021159 | New member onboarding Next-best-action | Jacob Hanson: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-021160 | New member onboarding Next-best-action | Fatima Sandoval: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021161 | New member onboarding Next-best-action | Evelyn Estrada: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021162 | New member onboarding Next-best-action | Peters Viictoria: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021163 | New member onboarding Next-best-action | Christian Roberts: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021164 | New member onboarding Next-best-action | Ahmed Johnson: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021165 | New member onboarding Next-best-action | Henry Parker: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021166 | New member onboarding Next-best-action | Gloria Wells: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021167 | New member onboarding Next-best-action | Jennifer Castro: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021168 | New member onboarding Next-best-action | Victoria Elliott: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-021169 | New member onboarding Next-best-action | Jordan Austin: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021170 | New member onboarding Next-best-action | George Rice: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-021171 | New member onboarding Next-best-action | Mark Garrett: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021172 | New member onboarding Next-best-action | Santiago Johnson: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021173 | New member onboarding Next-best-action | Charlotte Dunn: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021174 | New member onboarding Next-best-action | Helen Smth: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021175 | New member onboarding Next-best-action | Carolyn Fullar: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021176 | New member onboarding Next-best-action | Bryan Rice: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021177 | New member onboarding Next-best-action | Nicole Duncan: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021178 | New member onboarding Next-best-action | Dot Morales: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021179 | New member onboarding Next-best-action | Steve Aguilar: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021180 | New member onboarding Next-best-action | Harold Gibson: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021181 | New member onboarding Next-best-action | Kayla Maldondao: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021182 | New member onboarding Next-best-action | Stephanie Munzo: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021183 | New member onboarding Next-best-action | Jack Marquez: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021184 | New member onboarding Next-best-action | Ronald Wright: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021185 | New member onboarding Next-best-action | Deborah Campbell: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021186 | New member onboarding Next-best-action | Omar Johnson: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021187 | New member onboarding Next-best-action | Mei Weber: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021188 | New member onboarding Next-best-action | Benjamin Smith: enrolled 2026-10-09, no activity yet |
| Proposed | — |
Derivation rules
Evaluated after every gold rebuild
- 1Eligibility conflict resolvedThe records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
- 2Orphan claim re-pointedA claim arrived without a member ID. Resolution attached it to an identity that has one, so the claims processor can now pay it against the right member.
- 3Outreach address correctedThe most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
- 4Outreach suppressed pending stewardThe record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
- 5Care coordination outreachThree or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
- 6New member onboardingA single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
- 7Duplicate member record retiredTwo or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.