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-021239 | New member onboarding Next-best-action | Santiago Espinoza: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-021240 | New member onboarding Next-best-action | Gabriel Robinson: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021241 | New member onboarding Next-best-action | Melissa Ross: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021242 | New member onboarding Next-best-action | John Warren: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021243 | New member onboarding Next-best-action | Christine Schmidt: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021244 | New member onboarding Next-best-action | Marilyn Jimenez: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021245 | New member onboarding Next-best-action | Susan Long: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021246 | New member onboarding Next-best-action | Jeremy Sims: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021247 | New member onboarding Next-best-action | Evelyn Weber: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021248 | New member onboarding Next-best-action | Arjun Cox: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021249 | New member onboarding Next-best-action | Teresa Anderson: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021250 | New member onboarding Next-best-action | Diana Crawford: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-021251 | New member onboarding Next-best-action | Peter Hamilton: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021252 | New member onboarding Next-best-action | Andrea Kelly: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021253 | New member onboarding Next-best-action | Carolyn Dominguez: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021254 | New member onboarding Next-best-action | Aaron Moreno: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021255 | New member onboarding Next-best-action | Sara Torres: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021256 | New member onboarding Next-best-action | Jesse Cox: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021257 | New member onboarding Next-best-action | Santiago Cole: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021258 | New member onboarding Next-best-action | Virginia Ferguson: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021259 | New member onboarding Next-best-action | Bruce Carroll: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-021260 | New member onboarding Next-best-action | Kathryn Jimenez: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021261 | New member onboarding Next-best-action | Brittany Powell: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021262 | New member onboarding Next-best-action | Joseph Meyer: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021263 | New member onboarding Next-best-action | Eric Jacobs: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021264 | New member onboarding Next-best-action | Julia Maldonado: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021265 | New member onboarding Next-best-action | Paul Lucas: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021266 | New member onboarding Next-best-action | Mateo Contreras: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021267 | New member onboarding Next-best-action | Steven Fox: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021268 | New member onboarding Next-best-action | Virginia Rose: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021269 | New member onboarding Next-best-action | Noah Herrera: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021270 | New member onboarding Next-best-action | Edward George: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021271 | New member onboarding Next-best-action | Julia Snyder: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021272 | New member onboarding Next-best-action | Lauren Diaz: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021273 | New member onboarding Next-best-action | Ruth Park: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021274 | New member onboarding Next-best-action | Virginia Hll: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021275 | New member onboarding Next-best-action | Susan Berry: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021276 | New member onboarding Next-best-action | Danielle Hayes: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021277 | New member onboarding Next-best-action | Susan Sims: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-021278 | New member onboarding Next-best-action | Laura Cunningham: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021279 | New member onboarding Next-best-action | Lisa Park: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-021280 | New member onboarding Next-best-action | Santiago Edwards: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021281 | New member onboarding Next-best-action | Walter Snyder: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021282 | New member onboarding Next-best-action | Jesse Williams: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021283 | New member onboarding Next-best-action | Abigail Gonzales: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021284 | New member onboarding Next-best-action | Hannah Lopez: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021285 | New member onboarding Next-best-action | Kelly Richardson: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021286 | New member onboarding Next-best-action | Brittany Dunn: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021287 | New member onboarding Next-best-action | John Espinoza: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021288 | New member onboarding Next-best-action | Kimberly Evans: enrolled 2026-09-19, 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.