Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018571	Care coordination outreach Next-best-action	Jonathan Kelly: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010588	Proposed	—
ACT-018572	Care coordination outreach Next-best-action	Donald Fowler: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010634	Proposed	—
ACT-018573	Care coordination outreach Next-best-action	Theresa Ruiz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010658	Proposed	—
ACT-018574	Care coordination outreach Next-best-action	Elizabeth Baker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010660	Proposed	—
ACT-018575	Care coordination outreach Next-best-action	Julia Lucas: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010678	Proposed	—
ACT-018576	Care coordination outreach Next-best-action	Billy Anderson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010692	Proposed	—
ACT-018577	Care coordination outreach Next-best-action	Janice Henry: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010709	Proposed	—
ACT-018578	Care coordination outreach Next-best-action	James Rodriguez: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-010720	Proposed	—
ACT-018579	Care coordination outreach Next-best-action	Victoria Peterson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-010781	Proposed	—
ACT-018580	Care coordination outreach Next-best-action	Joshua Jenkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010789	Proposed	—
ACT-018581	Care coordination outreach Next-best-action	Philip Watson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010799	Proposed	—
ACT-018582	Care coordination outreach Next-best-action	Lisa Castro: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-010821	Proposed	—
ACT-018583	Care coordination outreach Next-best-action	Vincent Jordan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010833	Proposed	—
ACT-018584	Care coordination outreach Next-best-action	Andrew Foster: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010862	Proposed	—
ACT-018585	Care coordination outreach Next-best-action	Eric Sullivan: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-010955	Proposed	—
ACT-018586	Care coordination outreach Next-best-action	Betty Rojas: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-010963	Proposed	—
ACT-018587	Care coordination outreach Next-best-action	Randy Austin: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-010979	Proposed	—
ACT-018588	Care coordination outreach Next-best-action	Sara Willis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010981	Proposed	—
ACT-018589	Care coordination outreach Next-best-action	Isabella Gomez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-010990	Proposed	—
ACT-018590	Care coordination outreach Next-best-action	Kevin Nelson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011002	Proposed	—
ACT-018591	Care coordination outreach Next-best-action	Nancy Marshall: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011003	Proposed	—
ACT-018592	Care coordination outreach Next-best-action	Janet Brown: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011031	Proposed	—
ACT-018593	Care coordination outreach Next-best-action	Marilyn Bradley: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011055	Proposed	—
ACT-018594	Care coordination outreach Next-best-action	Steven Price: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011065	Proposed	—
ACT-018595	Care coordination outreach Next-best-action	Brenda Stephens: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011066	Proposed	—
ACT-018596	Care coordination outreach Next-best-action	Brenda Green: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011069	Proposed	—
ACT-018597	Care coordination outreach Next-best-action	Theresa Parker: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011124	Proposed	—
ACT-018598	Care coordination outreach Next-best-action	Abigail Armstrong: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011143	Proposed	—
ACT-018599	Care coordination outreach Next-best-action	Gloria Perez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011144	Proposed	—
ACT-018600	Care coordination outreach Next-best-action	Rachel Walker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011146	Proposed	—
ACT-018601	Care coordination outreach Next-best-action	Emily Montgomery: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011148	Proposed	—
ACT-018602	Care coordination outreach Next-best-action	Kyle Delgado: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011157	Proposed	—
ACT-018603	Care coordination outreach Next-best-action	Jennifer Riley: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011198	Proposed	—
ACT-018604	Care coordination outreach Next-best-action	Roger Gordon: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011208	Proposed	—
ACT-018605	Care coordination outreach Next-best-action	Nancy Carr: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011214	Proposed	—
ACT-018606	Care coordination outreach Next-best-action	Abigail Hicks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011217	Proposed	—
ACT-018607	Care coordination outreach Next-best-action	Roger Lewis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011247	Proposed	—
ACT-018608	Care coordination outreach Next-best-action	Jacob Patterson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011261	Proposed	—
ACT-018609	Care coordination outreach Next-best-action	Brenda Tran: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011300	Proposed	—
ACT-018610	Care coordination outreach Next-best-action	Megan Castillo: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011315	Proposed	—
ACT-018611	Care coordination outreach Next-best-action	Tyler Moore: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011325	Proposed	—
ACT-018612	Care coordination outreach Next-best-action	Stephen Montgomery: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011326	Proposed	—
ACT-018613	Care coordination outreach Next-best-action	Christina Singh: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011333	Proposed	—
ACT-018614	Care coordination outreach Next-best-action	Jacqueline Williams: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-011346	Proposed	—
ACT-018615	Care coordination outreach Next-best-action	Cynthia Green: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011352	Proposed	—
ACT-018616	Care coordination outreach Next-best-action	Walter Reyes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011372	Proposed	—
ACT-018617	Care coordination outreach Next-best-action	Ralph Howell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011402	Proposed	—
ACT-018618	Care coordination outreach Next-best-action	Alice Robinson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011432	Proposed	—
ACT-018619	Care coordination outreach Next-best-action	Abby Vazquez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011460	Proposed	—
ACT-018620	Care coordination outreach Next-best-action	Richard Hansen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011482	Proposed	—

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Derivation rules

Evaluated after every gold rebuild

1
Eligibility conflict resolved
The records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
2
Orphan claim re-pointed
A 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.
3
Outreach address corrected
The most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
4
Outreach suppressed pending steward
The record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
5
Care coordination outreach
Three or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
6
New member onboarding
A single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
7
Duplicate member record retired
Two or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.