Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018621	Care coordination outreach Next-best-action	Bruce Stephens: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011551	Proposed	—
ACT-018622	Care coordination outreach Next-best-action	Mark Reyes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011567	Proposed	—
ACT-018623	Care coordination outreach Next-best-action	Joseph Carroll: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011577	Proposed	—
ACT-018624	Care coordination outreach Next-best-action	Lucia Vega: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-011580	Proposed	—
ACT-018625	Care coordination outreach Next-best-action	Hannah Silva: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011594	Proposed	—
ACT-018626	Care coordination outreach Next-best-action	Jacob Russell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011600	Proposed	—
ACT-018627	Care coordination outreach Next-best-action	Laura Murray: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011613	Proposed	—
ACT-018628	Care coordination outreach Next-best-action	Margaret Smith: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011620	Proposed	—
ACT-018629	Care coordination outreach Next-best-action	Kyle Vega: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011634	Proposed	—
ACT-018630	Care coordination outreach Next-best-action	Cynthia Gray: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011635	Proposed	—
ACT-018631	Care coordination outreach Next-best-action	Harold Pena: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011646	Proposed	—
ACT-018632	Care coordination outreach Next-best-action	Gary Jimenez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011649	Proposed	—
ACT-018633	Care coordination outreach Next-best-action	Brenda Garrett: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011683	Proposed	—
ACT-018634	Care coordination outreach Next-best-action	Lisa Hicks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011691	Proposed	—
ACT-018635	Care coordination outreach Next-best-action	Gerald Carpenter: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011696	Proposed	—
ACT-018636	Care coordination outreach Next-best-action	Mark Valdez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011706	Proposed	—
ACT-018637	Care coordination outreach Next-best-action	Albert Salazar: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011721	Proposed	—
ACT-018638	Care coordination outreach Next-best-action	Vicky Cook: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011740	Proposed	—
ACT-018639	Care coordination outreach Next-best-action	Sean Evans: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011750	Proposed	—
ACT-018640	Care coordination outreach Next-best-action	Ashley Perry: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011769	Proposed	—
ACT-018641	Care coordination outreach Next-best-action	Amber Guerrero: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011772	Proposed	—
ACT-018642	Care coordination outreach Next-best-action	Diana Bailey: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011801	Proposed	—
ACT-018643	Care coordination outreach Next-best-action	Dennis Bradley: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011914	Proposed	—
ACT-018644	Care coordination outreach Next-best-action	Abigail Reynolds: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011939	Proposed	—
ACT-018645	Care coordination outreach Next-best-action	Jordan Munoz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011944	Proposed	—
ACT-018646	Care coordination outreach Next-best-action	Shirley Mitchell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011949	Proposed	—
ACT-018647	Care coordination outreach Next-best-action	Judith Gonzales: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011958	Proposed	—
ACT-018648	Care coordination outreach Next-best-action	Gabriel Chen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011969	Proposed	—
ACT-018649	Care coordination outreach Next-best-action	Carol Kelly: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011970	Proposed	—
ACT-018650	Care coordination outreach Next-best-action	Amy Myers: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011973	Proposed	—
ACT-018651	Care coordination outreach Next-best-action	Mariana Obrien: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011982	Proposed	—
ACT-018652	Care coordination outreach Next-best-action	Valentina White: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012009	Proposed	—
ACT-018653	Care coordination outreach Next-best-action	Bryan Walsh: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012027	Proposed	—
ACT-018654	Care coordination outreach Next-best-action	Judith West: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012031	Proposed	—
ACT-018655	Care coordination outreach Next-best-action	Lisa Silva: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012074	Proposed	—
ACT-018656	Care coordination outreach Next-best-action	Vincent Day: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012077	Proposed	—
ACT-018657	Care coordination outreach Next-best-action	Alexis Harper: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012080	Proposed	—
ACT-018658	Care coordination outreach Next-best-action	Shirley Sanchez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012117	Proposed	—
ACT-018659	Care coordination outreach Next-best-action	Lawrence Mitchell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012147	Proposed	—
ACT-018660	Care coordination outreach Next-best-action	Timothy Rios: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012153	Proposed	—
ACT-018661	Care coordination outreach Next-best-action	Denise Obrien: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-012155	Proposed	—
ACT-018662	Care coordination outreach Next-best-action	Margaret Franklin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012163	Proposed	—
ACT-018663	Care coordination outreach Next-best-action	Lori Campbell: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-012210	Proposed	—
ACT-018664	Care coordination outreach Next-best-action	Jordan Wheeler: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012236	Proposed	—
ACT-018665	Care coordination outreach Next-best-action	Arjun Burton: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-012250	Proposed	—
ACT-018666	Care coordination outreach Next-best-action	Wei Fields: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-012283	Proposed	—
ACT-018667	Care coordination outreach Next-best-action	Barbara Cooper: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-012284	Proposed	—
ACT-018668	Care coordination outreach Next-best-action	Ray Scott: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012286	Proposed	—
ACT-018669	Care coordination outreach Next-best-action	Judith Castillo: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012296	Proposed	—
ACT-018670	Care coordination outreach Next-best-action	Ryan Evans: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012300	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.