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-019636 | New member onboarding Next-best-action | Aaron Snigh: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-019637 | New member onboarding Next-best-action | Hamilton Doris: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-019638 | New member onboarding Next-best-action | Sofiia Pena: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-019639 | New member onboarding Next-best-action | Mason Ryan: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-019640 | New member onboarding Next-best-action | Shirley Miller: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-019641 | New member onboarding Next-best-action | Junathan James: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019642 | New member onboarding Next-best-action | Russell Coleman: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019643 | New member onboarding Next-best-action | Ran Diaz: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019644 | New member onboarding Next-best-action | Shirley Hanson: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-019645 | New member onboarding Next-best-action | Donald Harrison: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-019646 | New member onboarding Next-best-action | Jimmy Guerrero: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-019647 | New member onboarding Next-best-action | Jennifer Murphy: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-019648 | New member onboarding Next-best-action | Angela Sanchez: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-019649 | New member onboarding Next-best-action | Peter Peterson: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-019650 | New member onboarding Next-best-action | Tyler Ortega: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-019651 | New member onboarding Next-best-action | Christine Wilson: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-019652 | New member onboarding Next-best-action | Patrick Perry: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-019653 | New member onboarding Next-best-action | Jacob Richards: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-019654 | New member onboarding Next-best-action | Mary Romero: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-019655 | New member onboarding Next-best-action | Christina Jensen: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-019656 | New member onboarding Next-best-action | Mdaison Padilla: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-019657 | New member onboarding Next-best-action | Willie Greene: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019658 | New member onboarding Next-best-action | Dylan Howard: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019659 | New member onboarding Next-best-action | Patrick Jones: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-019660 | New member onboarding Next-best-action | Anthony Patterson: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-019661 | New member onboarding Next-best-action | Olivia Dunn: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019662 | New member onboarding Next-best-action | Grace Chavez: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-019663 | New member onboarding Next-best-action | Jacqueline Willis: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-019664 | New member onboarding Next-best-action | Helen Gordon: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-019665 | New member onboarding Next-best-action | Billy Nunez: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019666 | New member onboarding Next-best-action | Ralph Nguyen: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019667 | New member onboarding Next-best-action | Hannah Vega: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019668 | New member onboarding Next-best-action | Edward Lawrence: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-019669 | New member onboarding Next-best-action | Amber Davis: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-019670 | New member onboarding Next-best-action | Ortiz Stephanie: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019671 | New member onboarding Next-best-action | Anna Bell: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-019672 | New member onboarding Next-best-action | Margaret Reed: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019673 | New member onboarding Next-best-action | Omar Cruz: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-019674 | New member onboarding Next-best-action | Dot Bowman: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-019675 | New member onboarding Next-best-action | Deborah Chapman: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019676 | New member onboarding Next-best-action | Jordan George: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-019677 | New member onboarding Next-best-action | Henry Nguyen: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019678 | New member onboarding Next-best-action | Amy Thompson: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-019679 | New member onboarding Next-best-action | Beverly Jackson: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-019680 | New member onboarding Next-best-action | Diego Montgomery: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019681 | New member onboarding Next-best-action | Kayla Kelley: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-019682 | New member onboarding Next-best-action | Kathryn Miller: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019683 | New member onboarding Next-best-action | Theresa Wood: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019684 | New member onboarding Next-best-action | Jean Sims: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019685 | New member onboarding Next-best-action | Austin Aguilar: enrolled 2026-10-09, 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.