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-020586 | New member onboarding Next-best-action | Masn Wang: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020587 | New member onboarding Next-best-action | Santiago Riso: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020588 | New member onboarding Next-best-action | Logan Gardner: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020589 | New member onboarding Next-best-action | Sarah Hicks: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020590 | New member onboarding Next-best-action | Laura Rilye: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020591 | New member onboarding Next-best-action | Mateo Johnston: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020592 | New member onboarding Next-best-action | Dyana Bishop: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020593 | New member onboarding Next-best-action | Diane Howell: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020594 | New member onboarding Next-best-action | Madison Hall: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020595 | New member onboarding Next-best-action | Russell Burke: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020596 | New member onboarding Next-best-action | Amber Hill: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020597 | New member onboarding Next-best-action | Lawrence Lynch: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020598 | New member onboarding Next-best-action | Melissa Freeman: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020599 | New member onboarding Next-best-action | Mason Young: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020600 | New member onboarding Next-best-action | Jack Perkins: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020601 | New member onboarding Next-best-action | Kelly King: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020602 | New member onboarding Next-best-action | Patrick Dixon: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020603 | New member onboarding Next-best-action | David Kelly: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020604 | New member onboarding Next-best-action | Christian Montgomery: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020605 | New member onboarding Next-best-action | Cerol Espinoza: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020606 | New member onboarding Next-best-action | Marilyn George: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020607 | New member onboarding Next-best-action | Angela Greene: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020608 | New member onboarding Next-best-action | Peter Wang: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020609 | New member onboarding Next-best-action | Terry Richardson: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020610 | New member onboarding Next-best-action | Sue Jimenez: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020611 | New member onboarding Next-best-action | Maria Guerrero: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020612 | New member onboarding Next-best-action | Sandra Porter: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020613 | New member onboarding Next-best-action | Ethan Davis: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020614 | New member onboarding Next-best-action | Carl Fields: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020615 | New member onboarding Next-best-action | Mason Hanson: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020616 | New member onboarding Next-best-action | Sean Dunn: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020617 | New member onboarding Next-best-action | Patricia Ross: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020618 | New member onboarding Next-best-action | Cheryl Hughes: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020619 | New member onboarding Next-best-action | Heather Bailey: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020620 | New member onboarding Next-best-action | Dorothy Dunn: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020621 | New member onboarding Next-best-action | Ahmed Lynch: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020622 | New member onboarding Next-best-action | Anthony Moreno: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020623 | New member onboarding Next-best-action | Ana Bryant: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020624 | New member onboarding Next-best-action | Kevin Wheeler: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020625 | New member onboarding Next-best-action | Richard Hayes: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020626 | New member onboarding Next-best-action | Kayla Berry: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020627 | New member onboarding Next-best-action | Ethan Williamson: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020628 | New member onboarding Next-best-action | Camila Rice: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020629 | New member onboarding Next-best-action | Alexis Johnson: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020630 | New member onboarding Next-best-action | Barbara Fernandez: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020631 | New member onboarding Next-best-action | Jeremy Kim: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020632 | New member onboarding Next-best-action | Beverly Yaang: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020633 | New member onboarding Next-best-action | Catherine Riley: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020634 | New member onboarding Next-best-action | Robert Dixon: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020635 | New member onboarding Next-best-action | Brandon Coleman: enrolled 2026-09-24, 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.