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-021289 | New member onboarding Next-best-action | Gary Fisher: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021290 | New member onboarding Next-best-action | Angela Elliott: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021291 | New member onboarding Next-best-action | Sean Grant: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021292 | New member onboarding Next-best-action | Bryan Miller: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021293 | New member onboarding Next-best-action | Shirley Spencer: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021294 | New member onboarding Next-best-action | Victoria Scot: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021295 | New member onboarding Next-best-action | Beverly Henry: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021296 | New member onboarding Next-best-action | Anthony Kig: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021297 | New member onboarding Next-best-action | Ryn Thomas: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021298 | New member onboarding Next-best-action | Benjamin Gomez: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021299 | New member onboarding Next-best-action | Frank Rodriguez: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021300 | New member onboarding Next-best-action | Peters Kevin: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021301 | New member onboarding Next-best-action | Virginia Wheeler: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021302 | New member onboarding Next-best-action | Doris McCoy: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-021303 | New member onboarding Next-best-action | Adam Bowman: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021304 | New member onboarding Next-best-action | Alexander Harvey: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021305 | New member onboarding Next-best-action | Lucia Mitchell: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021306 | New member onboarding Next-best-action | Ralph Montgomery: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021307 | New member onboarding Next-best-action | Jean Brooks: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021308 | New member onboarding Next-best-action | Joe Hudson: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021309 | New member onboarding Next-best-action | Owens Joe: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021310 | New member onboarding Next-best-action | Ralph Wagner: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021311 | New member onboarding Next-best-action | Michelle Wang: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021312 | New member onboarding Next-best-action | Edward Wallace: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021313 | New member onboarding Next-best-action | Jennifer Reyes: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021314 | New member onboarding Next-best-action | Theresa Collins: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021315 | New member onboarding Next-best-action | Scott Reyes: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021316 | New member onboarding Next-best-action | Omar Watkins: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021317 | New member onboarding Next-best-action | Kathleen Ortiz: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021318 | New member onboarding Next-best-action | Sullivan Mariana: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021319 | New member onboarding Next-best-action | Shirley Obriien: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021320 | New member onboarding Next-best-action | Noah Bryant: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021321 | New member onboarding Next-best-action | Julia Alexander: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021322 | New member onboarding Next-best-action | Shirley Ray: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021323 | New member onboarding Next-best-action | Jennifer Bishop: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021324 | New member onboarding Next-best-action | Keith Bailey: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021325 | New member onboarding Next-best-action | Larry Bryant: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021326 | New member onboarding Next-best-action | Alexander Bennett: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021327 | New member onboarding Next-best-action | Evelyn Willis: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021328 | New member onboarding Next-best-action | Maria Jordna: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021329 | New member onboarding Next-best-action | Sean Cooper: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021330 | New member onboarding Next-best-action | Matthew Martin: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021331 | New member onboarding Next-best-action | Marilyn Parker: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021332 | New member onboarding Next-best-action | Janet Sullivan: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021333 | New member onboarding Next-best-action | Deborah Medina: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021334 | New member onboarding Next-best-action | Ronald Traan: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021335 | New member onboarding Next-best-action | Judy Lawrence: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-021336 | New member onboarding Next-best-action | Judy Reid: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021337 | New member onboarding Next-best-action | Elijah Yang: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021338 | New member onboarding Next-best-action | Kimberly Medina: enrolled 2026-09-22, 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.