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-020536 | New member onboarding Next-best-action | John Lopez: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020537 | New member onboarding Next-best-action | Austin Owens: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020538 | New member onboarding Next-best-action | George Ellis: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020539 | New member onboarding Next-best-action | Marcus Nelson: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020540 | New member onboarding Next-best-action | Keenneth Watkins: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020541 | New member onboarding Next-best-action | George Bishop: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020542 | New member onboarding Next-best-action | Albert Phillips: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020543 | New member onboarding Next-best-action | Melissa Vega: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020544 | New member onboarding Next-best-action | Ethan Gilbert: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020545 | New member onboarding Next-best-action | Nicholas Russell: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020546 | New member onboarding Next-best-action | Charles Hart: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020547 | New member onboarding Next-best-action | Kathleen Laen: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020548 | New member onboarding Next-best-action | Juan Rios: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020549 | New member onboarding Next-best-action | Margaret Russell: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020550 | New member onboarding Next-best-action | Jeffrey Lucas: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020551 | New member onboarding Next-best-action | Valentina Gordon: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020552 | New member onboarding Next-best-action | Elijah Freeman: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020553 | New member onboarding Next-best-action | Joan Jacobs: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020554 | New member onboarding Next-best-action | Jack Robinson: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020555 | New member onboarding Next-best-action | Kelly Hunt: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020556 | New member onboarding Next-best-action | Stephanie Mitchell: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020557 | New member onboarding Next-best-action | Bradley Bailey: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020558 | New member onboarding Next-best-action | Willie Wells: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020559 | New member onboarding Next-best-action | Carolyn Tucker: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020560 | New member onboarding Next-best-action | Heather Ford: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020561 | New member onboarding Next-best-action | Debra Watkins: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020562 | New member onboarding Next-best-action | Matt Jones: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020563 | New member onboarding Next-best-action | Rebecca Graham: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020564 | New member onboarding Next-best-action | Mari Lane: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020565 | New member onboarding Next-best-action | Shirley Fox: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020566 | New member onboarding Next-best-action | Zachary Alvarez: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020567 | New member onboarding Next-best-action | Alice Banks: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020568 | New member onboarding Next-best-action | Wayne Hansen: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020569 | New member onboarding Next-best-action | Michelle Day: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020570 | New member onboarding Next-best-action | Rachel Long: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020571 | New member onboarding Next-best-action | Jerry Jensen: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020572 | New member onboarding Next-best-action | Sandra Burke: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020573 | New member onboarding Next-best-action | Ronald King: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020574 | New member onboarding Next-best-action | Gordon Natalie: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020575 | New member onboarding Next-best-action | Carl Wilson: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020576 | New member onboarding Next-best-action | Mason Diaaz: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020577 | New member onboarding Next-best-action | Carlos Riivera: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020578 | New member onboarding Next-best-action | Amy Kim: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020579 | New member onboarding Next-best-action | Jennifer Matthews: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-020580 | New member onboarding Next-best-action | Joyyce Snyder: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020581 | New member onboarding Next-best-action | Justin Gray: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020582 | New member onboarding Next-best-action | John Green: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020583 | New member onboarding Next-best-action | Kelly Harvey: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020584 | New member onboarding Next-best-action | Aisha Roberts: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020585 | New member onboarding Next-best-action | Daniels Douglas: enrolled 2026-09-20, 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.