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-021589 | New member onboarding Next-best-action | Richard Thompson: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021590 | New member onboarding Next-best-action | Burke Kevin: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021591 | New member onboarding Next-best-action | Terry Butler: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-021592 | New member onboarding Next-best-action | Jeremy Kelly: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021593 | New member onboarding Next-best-action | Ann Sullivan: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021594 | New member onboarding Next-best-action | Harold Valdez: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021595 | New member onboarding Next-best-action | Roger Simmons: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021596 | New member onboarding Next-best-action | Keith Ward: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-021597 | New member onboarding Next-best-action | Betty Perez: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021598 | New member onboarding Next-best-action | Albert Lewis: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021599 | New member onboarding Next-best-action | Philip Hall: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021600 | New member onboarding Next-best-action | Stephen Hall: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021601 | New member onboarding Next-best-action | Dylan Chavez: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021602 | New member onboarding Next-best-action | Julie Stewart: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021603 | New member onboarding Next-best-action | Ralph Wells: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021604 | New member onboarding Next-best-action | Evelyn Ellis: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021605 | New member onboarding Next-best-action | Brittany Gardner: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021606 | New member onboarding Next-best-action | Stephens Dylan: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021607 | New member onboarding Next-best-action | Sharon Hernandez: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-021608 | New member onboarding Next-best-action | Beverly Singh: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021609 | New member onboarding Next-best-action | Steve Freeman: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021610 | New member onboarding Next-best-action | Jimmy Kim: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021611 | New member onboarding Next-best-action | George Weber: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021612 | New member onboarding Next-best-action | Jim Kelley: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021613 | New member onboarding Next-best-action | Stephanie Hill: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021614 | New member onboarding Next-best-action | Sara Reid: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021615 | New member onboarding Next-best-action | Gabriel Hawkins: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-021616 | New member onboarding Next-best-action | Sharon Andrews: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021617 | New member onboarding Next-best-action | David Graham: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021618 | New member onboarding Next-best-action | Nicole Ryan: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021619 | New member onboarding Next-best-action | Parker Alexis: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021620 | New member onboarding Next-best-action | Judy Vargas: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021621 | New member onboarding Next-best-action | Austin Lee: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021622 | New member onboarding Next-best-action | Rachel Roberts: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021623 | New member onboarding Next-best-action | Christine Porter: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021624 | New member onboarding Next-best-action | Fatiima Hernandez: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021625 | New member onboarding Next-best-action | Walter Shaw: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021626 | New member onboarding Next-best-action | Jeremy Burke: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021627 | New member onboarding Next-best-action | Romero Gregory: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021628 | New member onboarding Next-best-action | Heather Riichardson: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021629 | New member onboarding Next-best-action | Hannah Wech: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021630 | New member onboarding Next-best-action | Joshua Andrews: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021631 | New member onboarding Next-best-action | Diana Morrison: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021632 | New member onboarding Next-best-action | Christina Knight: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021633 | New member onboarding Next-best-action | Santiago Rogers: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021634 | New member onboarding Next-best-action | Betty Wheeler: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021635 | New member onboarding Next-best-action | Sandra Fuller: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021636 | New member onboarding Next-best-action | Jose Hoffman: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021637 | New member onboarding Next-best-action | Douglas Johnson: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021638 | New member onboarding Next-best-action | Rick Larson: enrolled 2026-10-05, 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.