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
New member onboarding, Next-best-action, 2,081 proposed
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-020386 | New member onboarding Next-best-action | Andrea Woods: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020387 | New member onboarding Next-best-action | Samantha Jimenez: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020388 | New member onboarding Next-best-action | Brenda Singh: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020389 | New member onboarding Next-best-action | Sean Wright: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020390 | New member onboarding Next-best-action | Helen Mason: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020391 | New member onboarding Next-best-action | Helen Lucas: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020392 | New member onboarding Next-best-action | Ryan Oliver: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020393 | New member onboarding Next-best-action | Joseph Greene: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020394 | New member onboarding Next-best-action | Henry Clark: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020395 | New member onboarding Next-best-action | Jack Nunez: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020396 | New member onboarding Next-best-action | Terry Morales: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020397 | New member onboarding Next-best-action | Isabella Wong: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020398 | New member onboarding Next-best-action | Nathan Setwart: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020399 | New member onboarding Next-best-action | Christian Lopez: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020400 | New member onboarding Next-best-action | Nicholas Jacobs: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020401 | New member onboarding Next-best-action | Meria Fowler: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020402 | New member onboarding Next-best-action | Bobby Ward: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020403 | New member onboarding Next-best-action | Gabriel Ford: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020404 | New member onboarding Next-best-action | James Wagner: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020405 | New member onboarding Next-best-action | Frank Watkins: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020406 | New member onboarding Next-best-action | Samuel Menedz: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020407 | New member onboarding Next-best-action | Betty Baker: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020408 | New member onboarding Next-best-action | Bryn Kelly: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020409 | New member onboarding Next-best-action | Richard Vega: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020410 | New member onboarding Next-best-action | Mary Walsh: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020411 | New member onboarding Next-best-action | Joshua Kennedy: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020412 | New member onboarding Next-best-action | Stephanie Mitchell: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020413 | New member onboarding Next-best-action | Doris Thomas: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020414 | New member onboarding Next-best-action | Mari Wood: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020415 | New member onboarding Next-best-action | Camila Davis: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020416 | New member onboarding Next-best-action | Joyce Ferguson: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020417 | New member onboarding Next-best-action | Yuki Burns: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020418 | New member onboarding Next-best-action | Eward Mejia: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020419 | New member onboarding Next-best-action | Wei Bryant: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020420 | New member onboarding Next-best-action | Aaorn Burke: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020421 | New member onboarding Next-best-action | Kathy Perry: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020422 | New member onboarding Next-best-action | John Luna: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020423 | New member onboarding Next-best-action | Rachel Russell: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020424 | New member onboarding Next-best-action | Douglas Roberts: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020425 | New member onboarding Next-best-action | Tyler Perkins: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020426 | New member onboarding Next-best-action | Kevin Wang: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020427 | New member onboarding Next-best-action | Emily Johnston: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020428 | New member onboarding Next-best-action | Nicole Richardson: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020429 | New member onboarding Next-best-action | Rachel Aguilar: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020430 | New member onboarding Next-best-action | Adam Santos: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020431 | New member onboarding Next-best-action | Billy Simpson: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020432 | New member onboarding Next-best-action | Diego Burke: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020433 | New member onboarding Next-best-action | Nathan Ross: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020434 | New member onboarding Next-best-action | Barbara Mendoza: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020435 | New member onboarding Next-best-action | Lori Griffin: 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.