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-020436 | New member onboarding Next-best-action | Deborah Marquez: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020437 | New member onboarding Next-best-action | Christina Dunn: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020438 | New member onboarding Next-best-action | Philip Garrtet: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020439 | New member onboarding Next-best-action | Gary Ramos: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020440 | New member onboarding Next-best-action | Barbara Richards: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020441 | New member onboarding Next-best-action | Michelle Turner: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020442 | New member onboarding Next-best-action | Willie Chen: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020443 | New member onboarding Next-best-action | Barbara Watson: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020444 | New member onboarding Next-best-action | Willie Rojas: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020445 | New member onboarding Next-best-action | Willie Castillo: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020446 | New member onboarding Next-best-action | Lucia Chapman: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020447 | New member onboarding Next-best-action | Ana Williams: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020448 | New member onboarding Next-best-action | Ashley Gardner: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020449 | New member onboarding Next-best-action | Ford Priya: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020450 | New member onboarding Next-best-action | James Foser: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020451 | New member onboarding Next-best-action | Luis Gonzales: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020452 | New member onboarding Next-best-action | Donald Estrada: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020453 | New member onboarding Next-best-action | Betty Luna: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020454 | New member onboarding Next-best-action | Aaron Willis: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020455 | New member onboarding Next-best-action | Maria Ortiz: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020456 | New member onboarding Next-best-action | Philip Sanders: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020457 | New member onboarding Next-best-action | Jason Reyes: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020458 | New member onboarding Next-best-action | Ahmed Mitchell: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020459 | New member onboarding Next-best-action | David Pierce: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020460 | New member onboarding Next-best-action | Nathan Howell: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020461 | New member onboarding Next-best-action | Joe Rivera: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020462 | New member onboarding Next-best-action | Camila Hayes: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020463 | New member onboarding Next-best-action | Laura Cox: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020464 | New member onboarding Next-best-action | Daniel Wallace: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020465 | New member onboarding Next-best-action | Michael Perez: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020466 | New member onboarding Next-best-action | Phiip Hart: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020467 | New member onboarding Next-best-action | Alexander Garrett: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020468 | New member onboarding Next-best-action | Christopher Lopez: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020469 | New member onboarding Next-best-action | Fatima Alexander: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020470 | New member onboarding Next-best-action | Samuel Armstrong: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020471 | New member onboarding Next-best-action | Mari Ortiz: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020472 | New member onboarding Next-best-action | Kyle Grant: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020473 | New member onboarding Next-best-action | Kayla Garrett: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020474 | New member onboarding Next-best-action | Heather Reid: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020475 | New member onboarding Next-best-action | James Wood: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020476 | New member onboarding Next-best-action | Danielle Harris: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020477 | New member onboarding Next-best-action | Sean Coleman: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020478 | New member onboarding Next-best-action | Theresa Webb: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020479 | New member onboarding Next-best-action | Paul Freeman: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020480 | New member onboarding Next-best-action | Amy Mendez: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020481 | New member onboarding Next-best-action | Joshua Cunningham: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020482 | New member onboarding Next-best-action | Kevin Edwards: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020483 | New member onboarding Next-best-action | Beverly Keelley: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020484 | New member onboarding Next-best-action | Shirley Hamilton: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020485 | New member onboarding Next-best-action | Ashley Lawson: enrolled 2026-10-07, 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.