Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018671	Care coordination outreach Next-best-action	Olivia Sanchez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-012318	Proposed	—
ACT-018672	Care coordination outreach Next-best-action	Jacqueline Hansen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012321	Proposed	—
ACT-018673	Care coordination outreach Next-best-action	Emma Ortiz: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-012322	Proposed	—
ACT-018674	Care coordination outreach Next-best-action	William Contreras: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012337	Proposed	—
ACT-018675	Care coordination outreach Next-best-action	Carl Cole: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-012346	Proposed	—
ACT-018676	Care coordination outreach Next-best-action	Olivia Espinoza: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012349	Proposed	—
ACT-018677	Care coordination outreach Next-best-action	Virginia Hoffman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012358	Proposed	—
ACT-018678	Care coordination outreach Next-best-action	Kayla Roberts: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012360	Proposed	—
ACT-018679	Care coordination outreach Next-best-action	Shirley Alvarez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012373	Proposed	—
ACT-018680	Care coordination outreach Next-best-action	Carolyn Jackson: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-012381	Proposed	—
ACT-018681	Care coordination outreach Next-best-action	Debra Aguilar: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-012389	Proposed	—
ACT-018682	Care coordination outreach Next-best-action	Walter Flores: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-012400	Proposed	—
ACT-018683	Care coordination outreach Next-best-action	Joshua Burke: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012432	Proposed	—
ACT-018684	Care coordination outreach Next-best-action	Arthur Guzman: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-012434	Proposed	—
ACT-018685	Care coordination outreach Next-best-action	Jerry Dominguez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012504	Proposed	—
ACT-018686	Care coordination outreach Next-best-action	Ruth Mills: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012518	Proposed	—
ACT-018687	Care coordination outreach Next-best-action	Patrick Nichols: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012564	Proposed	—
ACT-018688	Care coordination outreach Next-best-action	Evelyn Gray: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012584	Proposed	—
ACT-018689	Care coordination outreach Next-best-action	Stephen Murray: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-012594	Proposed	—
ACT-018690	Care coordination outreach Next-best-action	Doris Ford: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012620	Proposed	—
ACT-018691	Care coordination outreach Next-best-action	Elijah Boyd: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012653	Proposed	—
ACT-018692	Care coordination outreach Next-best-action	Jose Carpenter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012654	Proposed	—
ACT-018693	Care coordination outreach Next-best-action	Jeffrey Richardson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012660	Proposed	—
ACT-018694	Care coordination outreach Next-best-action	Mei Miller: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012661	Proposed	—
ACT-018695	Care coordination outreach Next-best-action	Teresa Hayes: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-012681	Proposed	—
ACT-018696	Care coordination outreach Next-best-action	Carlos Payne: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-012686	Proposed	—
ACT-018697	Care coordination outreach Next-best-action	Russell Holmes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012692	Proposed	—
ACT-018698	Care coordination outreach Next-best-action	Yuki Vazquez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012713	Proposed	—
ACT-018699	Care coordination outreach Next-best-action	Jonathan Ortega: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012716	Proposed	—
ACT-018700	Care coordination outreach Next-best-action	Hannah Bell: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-012721	Proposed	—
ACT-018701	Care coordination outreach Next-best-action	Austin Harvey: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012722	Proposed	—
ACT-018702	Care coordination outreach Next-best-action	Julie Simmons: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012751	Proposed	—
ACT-018703	Care coordination outreach Next-best-action	George Boyd: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012753	Proposed	—
ACT-018704	Care coordination outreach Next-best-action	Mark Roberts: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012787	Proposed	—
ACT-018705	Care coordination outreach Next-best-action	Gabriel McDonald: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-012826	Proposed	—
ACT-018706	Care coordination outreach Next-best-action	Ralph Larson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012848	Proposed	—
ACT-018707	Care coordination outreach Next-best-action	Wayne Ward: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012868	Proposed	—
ACT-018708	Care coordination outreach Next-best-action	Judith Schultz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012876	Proposed	—
ACT-018709	Care coordination outreach Next-best-action	Maria Dominguez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012901	Proposed	—
ACT-018710	Care coordination outreach Next-best-action	Willie Wang: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012947	Proposed	—
ACT-018711	Care coordination outreach Next-best-action	Tyler Reed: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012953	Proposed	—
ACT-018712	Care coordination outreach Next-best-action	Benjamin Thompson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-012977	Proposed	—
ACT-018713	Care coordination outreach Next-best-action	Jesse Bennett: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-012984	Proposed	—
ACT-018714	Care coordination outreach Next-best-action	Elijah Williams: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013028	Proposed	—
ACT-018715	Care coordination outreach Next-best-action	Donna Myers: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013042	Proposed	—
ACT-018716	Care coordination outreach Next-best-action	Scott Rogers: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013047	Proposed	—
ACT-018717	Care coordination outreach Next-best-action	Diego Nguyen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013057	Proposed	—
ACT-018718	Care coordination outreach Next-best-action	Jordan Meyer: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013086	Proposed	—
ACT-018719	Care coordination outreach Next-best-action	Kimberly Crawford: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013089	Proposed	—
ACT-018720	Care coordination outreach Next-best-action	Amanda Singh: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013105	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.