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-020486 | New member onboarding Next-best-action | Jack Guerrero: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020487 | New member onboarding Next-best-action | Marilyn Austin: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020488 | New member onboarding Next-best-action | Diane Thompson: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020489 | New member onboarding Next-best-action | Wayne Sullivan: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020490 | New member onboarding Next-best-action | Bobby Gray: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020491 | New member onboarding Next-best-action | Sam Martin: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020492 | New member onboarding Next-best-action | Daid Hawkins: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020493 | New member onboarding Next-best-action | Luis Hoffman: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020494 | New member onboarding Next-best-action | Michael Walkr: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020495 | New member onboarding Next-best-action | Marcus Edwards: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020496 | New member onboarding Next-best-action | Susan Lewis: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020497 | New member onboarding Next-best-action | Willie Alvarado: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020498 | New member onboarding Next-best-action | Wei Ramirez: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020499 | New member onboarding Next-best-action | Jacqueline Elliott: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020500 | New member onboarding Next-best-action | Carol Thompson: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020501 | New member onboarding Next-best-action | Walter Gardner: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020502 | New member onboarding Next-best-action | Janike Butler: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020503 | New member onboarding Next-best-action | Christine Hudson: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020504 | New member onboarding Next-best-action | Thomas Taylor: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020505 | New member onboarding Next-best-action | Judy Kennedy: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020506 | New member onboarding Next-best-action | Gabrel Delgado: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020507 | New member onboarding Next-best-action | Keith Johnston: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020508 | New member onboarding Next-best-action | Natlaie Moore: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020509 | New member onboarding Next-best-action | Jack Vazquez: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020510 | New member onboarding Next-best-action | Kayla Kelly: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020511 | New member onboarding Next-best-action | Mateo Robinson: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020512 | New member onboarding Next-best-action | Diego Murphy: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020513 | New member onboarding Next-best-action | Priya McDonald: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020514 | New member onboarding Next-best-action | Lucia Reid: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020515 | New member onboarding Next-best-action | Gabriel Estrada: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020516 | New member onboarding Next-best-action | Carol Arnold: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020517 | New member onboarding Next-best-action | Arjun Hernandez: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020518 | New member onboarding Next-best-action | Michelle Fowler: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020519 | New member onboarding Next-best-action | Mari Wilson: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020520 | New member onboarding Next-best-action | Gary Castro: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020521 | New member onboarding Next-best-action | Vincent McDonald: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020522 | New member onboarding Next-best-action | Mason Garett: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020523 | New member onboarding Next-best-action | Scutt Lawrence: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020524 | New member onboarding Next-best-action | Terry Wong: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020525 | New member onboarding Next-best-action | Alan Dixon: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020526 | New member onboarding Next-best-action | Richard Stevens: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020527 | New member onboarding Next-best-action | Aaron Cox: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020528 | New member onboarding Next-best-action | Sophia Wright: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020529 | New member onboarding Next-best-action | Bobby Sandoval: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020530 | New member onboarding Next-best-action | Barbara Maquez: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020531 | New member onboarding Next-best-action | Nicholas Cunningham: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020532 | New member onboarding Next-best-action | Valentina Adams: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020533 | New member onboarding Next-best-action | John Weaver: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020534 | New member onboarding Next-best-action | Kevin Howard: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020535 | New member onboarding Next-best-action | Lara Cooper: enrolled 2026-10-08, 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.