Action	Type	Title	Detail	Linked to	Status	Executed
ACT-000951	Eligibility conflict resolved Eligibility engine	Webb Webb: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed MEDICARE-ADV-B, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-023183	Proposed	—
ACT-000952	Eligibility conflict resolved Eligibility engine	Katherine Daniels: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed CHOICE-PLUS-PPO, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-023240	Proposed	—
ACT-000953	Eligibility conflict resolved Eligibility engine	Virginia Hayes: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed SELECT-EPO, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-023318	Proposed	—
ACT-000954	Eligibility conflict resolved Eligibility engine	Logan Carpenter: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed MEDICARE-ADV-B, CORE-HMO Rule survivorship: ENR plan wins	MBR-023336	Proposed	—
ACT-000955	Eligibility conflict resolved Eligibility engine	Donald Castillo: 3 plan codes across sources → canonical SELECT-EPO	Canonical plan SELECT-EPO Observed SELECT-EPO, CHOICE-PLUS-PPO, CORE-HMO Rule survivorship: ENR plan wins	MBR-023348	Proposed	—
ACT-000956	Eligibility conflict resolved Eligibility engine	Luis Reynolds: 2 plan codes across sources → canonical SELECT-EPO	Canonical plan SELECT-EPO Observed SELECT-EPO, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-023384	Proposed	—
ACT-000957	Eligibility conflict resolved Eligibility engine	Brittany Griffin: 2 plan codes across sources → canonical SELECT-EPO	Canonical plan SELECT-EPO Observed SELECT-EPO, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-023459	Proposed	—
ACT-000958	Eligibility conflict resolved Eligibility engine	Gerald Burns: 2 plan codes across sources → canonical SELECT-EPO	Canonical plan SELECT-EPO Observed OPTIONS-PPO, SELECT-EPO Rule survivorship: ENR plan wins	MBR-023582	Proposed	—
ACT-000959	Eligibility conflict resolved Eligibility engine	Joseph Wang: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed NAVIGATE-HMO, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-023657	Proposed	—
ACT-000960	Eligibility conflict resolved Eligibility engine	Janet Wood: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed NAVIGATE-HMO, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-023659	Proposed	—
ACT-000961	Eligibility conflict resolved Eligibility engine	Sarah Crawford: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed SELECT-EPO, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-023665	Proposed	—
ACT-000962	Eligibility conflict resolved Eligibility engine	Olivia Bradley: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed MEDICARE-ADV-B, SELECT-EPO Rule survivorship: ENR plan wins	MBR-023670	Proposed	—
ACT-000963	Eligibility conflict resolved Eligibility engine	David Henry: 2 plan codes across sources → canonical OPTIONS-PPO	Canonical plan OPTIONS-PPO Observed OPTIONS-PPO, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-023674	Proposed	—
ACT-000964	Eligibility conflict resolved Eligibility engine	Bradley Flores: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed MEDICARE-ADV-A, CORE-HMO Rule survivorship: ENR plan wins	MBR-023691	Proposed	—
ACT-000965	Eligibility conflict resolved Eligibility engine	Heather Moreno: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed SELECT-EPO, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-023766	Proposed	—
ACT-000966	Eligibility conflict resolved Eligibility engine	Ruth Robertson: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed SELECT-EPO, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-023782	Proposed	—
ACT-000967	Eligibility conflict resolved Eligibility engine	Peter Brooks: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed MEDICARE-ADV-B, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-023790	Proposed	—
ACT-000968	Eligibility conflict resolved Eligibility engine	Frank Fernandez: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed CORE-HMO, SELECT-EPO Rule survivorship: ENR plan wins	MBR-023852	Proposed	—
ACT-000969	Eligibility conflict resolved Eligibility engine	Barbara Long: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed MEDICARE-ADV-B, CORE-HMO Rule survivorship: ENR plan wins	MBR-023889	Proposed	—
ACT-000970	Eligibility conflict resolved Eligibility engine	Christian Gibson: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed NAVIGATE-HMO, CORE-HMO Rule survivorship: ENR plan wins	MBR-023919	Proposed	—
ACT-000971	Eligibility conflict resolved Eligibility engine	Brenda Lewis: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed SELECT-EPO, CORE-HMO Rule survivorship: ENR plan wins	MBR-023933	Proposed	—
ACT-000972	Eligibility conflict resolved Eligibility engine	Ann Gonzalez: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed NAVIGATE-HMO, CORE-HMO Rule survivorship: ENR plan wins	MBR-023972	Proposed	—
ACT-000973	Eligibility conflict resolved Eligibility engine	Judith Guzman: 2 plan codes across sources → canonical SELECT-EPO	Canonical plan SELECT-EPO Observed CORE-HMO, SELECT-EPO Rule survivorship: ENR plan wins	MBR-024024	Proposed	—
ACT-000974	Eligibility conflict resolved Eligibility engine	Camila Shaw: 2 plan codes across sources → canonical SELECT-EPO	Canonical plan SELECT-EPO Observed SELECT-EPO, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-024075	Proposed	—
ACT-000975	Eligibility conflict resolved Eligibility engine	Kevin Johnston: 2 plan codes across sources → canonical SELECT-EPO	Canonical plan SELECT-EPO Observed MEDICARE-ADV-B, SELECT-EPO Rule survivorship: ENR plan wins	MBR-024170	Proposed	—
ACT-000976	Eligibility conflict resolved Eligibility engine	Ahmed Hudson: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed NAVIGATE-HMO, SELECT-EPO Rule survivorship: ENR plan wins	MBR-024198	Proposed	—
ACT-000977	Eligibility conflict resolved Eligibility engine	Jacqueline Spencer: 2 plan codes across sources → canonical MEDICARE-ADV-A	Canonical plan MEDICARE-ADV-A Observed MEDICARE-ADV-A, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-024244	Proposed	—
ACT-000978	Eligibility conflict resolved Eligibility engine	Joseph King: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed MEDICARE-ADV-B, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-024267	Proposed	—
ACT-000979	Eligibility conflict resolved Eligibility engine	Cooper Justin: 2 plan codes across sources → canonical SELECT-EPO	Canonical plan SELECT-EPO Observed SELECT-EPO, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-024290	Proposed	—
ACT-000980	Eligibility conflict resolved Eligibility engine	Dennis Salazar: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed NAVIGATE-HMO, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-024294	Proposed	—
ACT-000981	Eligibility conflict resolved Eligibility engine	Shirley Watson: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed MEDICARE-ADV-B, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-024323	Proposed	—
ACT-000982	Eligibility conflict resolved Eligibility engine	Mariana Moreno: 2 plan codes across sources → canonical OPTIONS-PPO	Canonical plan OPTIONS-PPO Observed OPTIONS-PPO, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-024325	Proposed	—
ACT-000983	Eligibility conflict resolved Eligibility engine	Douglas Cruz: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed NAVIGATE-HMO, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-024344	Proposed	—
ACT-000984	Eligibility conflict resolved Eligibility engine	Brian Reed: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed CORE-HMO, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-024392	Proposed	—
ACT-000985	Eligibility conflict resolved Eligibility engine	Zachary Simpson: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed NAVIGATE-HMO, CORE-HMO Rule survivorship: ENR plan wins	MBR-024421	Proposed	—
ACT-000986	Eligibility conflict resolved Eligibility engine	Philip Fergusson: 2 plan codes across sources → canonical SELECT-EPO	Canonical plan SELECT-EPO Observed SELECT-EPO, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-024471	Proposed	—
ACT-000987	Eligibility conflict resolved Eligibility engine	Carl Barnes: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed CHOICE-PLUS-PPO, SELECT-EPO Rule survivorship: ENR plan wins	MBR-024541	Proposed	—
ACT-000988	Eligibility conflict resolved Eligibility engine	Barbara Gibson: 2 plan codes across sources → canonical SELECT-EPO	Canonical plan SELECT-EPO Observed MEDICARE-ADV-A, SELECT-EPO Rule survivorship: ENR plan wins	MBR-024552	Proposed	—
ACT-000989	Eligibility conflict resolved Eligibility engine	Mason Gomez: 2 plan codes across sources → canonical MEDICARE-ADV-A	Canonical plan MEDICARE-ADV-A Observed CORE-HMO, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-024559	Proposed	—
ACT-000990	Eligibility conflict resolved Eligibility engine	Ahmed Patel: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed MEDICARE-ADV-A, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-024580	Proposed	—
ACT-000991	Eligibility conflict resolved Eligibility engine	Terry Cunningham: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed MEDICARE-ADV-B, SELECT-EPO Rule survivorship: ENR plan wins	MBR-024630	Proposed	—
ACT-000992	Eligibility conflict resolved Eligibility engine	Heather Arnold: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed NAVIGATE-HMO, CORE-HMO Rule survivorship: ENR plan wins	MBR-024639	Proposed	—
ACT-000993	Eligibility conflict resolved Eligibility engine	Virginia Bowman: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed OPTIONS-PPO, CORE-HMO Rule survivorship: ENR plan wins	MBR-024672	Proposed	—
ACT-000994	Eligibility conflict resolved Eligibility engine	Walter Andrews: 2 plan codes across sources → canonical MEDICARE-ADV-A	Canonical plan MEDICARE-ADV-A Observed MEDICARE-ADV-B, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-024714	Proposed	—
ACT-000995	Eligibility conflict resolved Eligibility engine	Ann Wilson: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed CORE-HMO, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-024719	Proposed	—
ACT-000996	Eligibility conflict resolved Eligibility engine	Evelyn Johnston: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed MEDICARE-ADV-B, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-024724	Proposed	—
ACT-000997	Eligibility conflict resolved Eligibility engine	Alan Washington: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed OPTIONS-PPO, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-024726	Proposed	—
ACT-000998	Eligibility conflict resolved Eligibility engine	Emma Tucker: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed CHOICE-PLUS-PPO, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-024729	Proposed	—
ACT-000999	Eligibility conflict resolved Eligibility engine	Lisa Morris: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed OPTIONS-PPO, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-024783	Proposed	—
ACT-001000	Eligibility conflict resolved Eligibility engine	Anthony Weber: 2 plan codes across sources → canonical MEDICARE-ADV-A	Canonical plan MEDICARE-ADV-A Observed MEDICARE-ADV-A, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-024784	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.