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-021489 | New member onboarding Next-best-action | Sophia Pena: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021490 | New member onboarding Next-best-action | Arthur Reed: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021491 | New member onboarding Next-best-action | Matthew Ferandez: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021492 | New member onboarding Next-best-action | Brandon Ward: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021493 | New member onboarding Next-best-action | Sean Ford: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021494 | New member onboarding Next-best-action | Samantha Freeman: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021495 | New member onboarding Next-best-action | Sharon Chen: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021496 | New member onboarding Next-best-action | Santiago Jimenez: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021497 | New member onboarding Next-best-action | Harold Rios: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021498 | New member onboarding Next-best-action | Patricia Pena: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021499 | New member onboarding Next-best-action | Emma Carroll: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021500 | New member onboarding Next-best-action | Philip Butler: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021501 | New member onboarding Next-best-action | Christina Hunter: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021502 | New member onboarding Next-best-action | Sofia Perez: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021503 | New member onboarding Next-best-action | Betty Rmirez: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021504 | New member onboarding Next-best-action | Joe Graham: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021505 | New member onboarding Next-best-action | Douglas George: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021506 | New member onboarding Next-best-action | Mason Garrett: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021507 | New member onboarding Next-best-action | Diego Ramos: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021508 | New member onboarding Next-best-action | Bobby Scott: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021509 | New member onboarding Next-best-action | Helen Jackson: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021510 | New member onboarding Next-best-action | Beverly Cooper: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021511 | New member onboarding Next-best-action | Amy James: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-021512 | New member onboarding Next-best-action | Charles Wagner: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021513 | New member onboarding Next-best-action | Jacob Kennedy: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021514 | New member onboarding Next-best-action | Camila Coleman: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021515 | New member onboarding Next-best-action | Jakke Harvey: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021516 | New member onboarding Next-best-action | Rachel Pierce: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021517 | New member onboarding Next-best-action | Austni Lucas: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021518 | New member onboarding Next-best-action | Timothy Daniels: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021519 | New member onboarding Next-best-action | Christian Kelley: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021520 | New member onboarding Next-best-action | Ana Welch: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021521 | New member onboarding Next-best-action | Sentiago Thompson: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021522 | New member onboarding Next-best-action | Kyle Allen: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021523 | New member onboarding Next-best-action | Eugene Stewart: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021524 | New member onboarding Next-best-action | Billy James: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021525 | New member onboarding Next-best-action | Diego Sanchez: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021526 | New member onboarding Next-best-action | Lucia Franklin: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021527 | New member onboarding Next-best-action | Grace Ortiz: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-021528 | New member onboarding Next-best-action | Rachel Guerrero: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021529 | New member onboarding Next-best-action | Christine Ford: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021530 | New member onboarding Next-best-action | Kelly Chavez: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-021531 | New member onboarding Next-best-action | Willie Austin: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021532 | New member onboarding Next-best-action | Joyce Lee: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021533 | New member onboarding Next-best-action | Keith Soto: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021534 | New member onboarding Next-best-action | Laura Bell: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021535 | New member onboarding Next-best-action | Anthony Sandoval: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021536 | New member onboarding Next-best-action | Alan Fox: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021537 | New member onboarding Next-best-action | Kevin Guerrero: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021538 | New member onboarding Next-best-action | Frank Richards: enrolled 2026-09-20, 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.