Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018821	Care coordination outreach Next-best-action	Andrea Howell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014886	Proposed	—
ACT-018822	Care coordination outreach Next-best-action	Pamela Black: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014917	Proposed	—
ACT-018823	Care coordination outreach Next-best-action	Helen Snyder: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014927	Proposed	—
ACT-018824	Care coordination outreach Next-best-action	Kyle Ward: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014934	Proposed	—
ACT-018825	Care coordination outreach Next-best-action	Ryan Diaz: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-014971	Proposed	—
ACT-018826	Care coordination outreach Next-best-action	Fatima Butler: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-014985	Proposed	—
ACT-018827	Care coordination outreach Next-best-action	Raymond Wood: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-014993	Proposed	—
ACT-018828	Care coordination outreach Next-best-action	Lucia Welch: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-015037	Proposed	—
ACT-018829	Care coordination outreach Next-best-action	David Hernandez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015043	Proposed	—
ACT-018830	Care coordination outreach Next-best-action	Marcus Alexander: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015044	Proposed	—
ACT-018831	Care coordination outreach Next-best-action	Donald Fernandez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015075	Proposed	—
ACT-018832	Care coordination outreach Next-best-action	Ruth Webb: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015080	Proposed	—
ACT-018833	Care coordination outreach Next-best-action	Alexis Fox: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015084	Proposed	—
ACT-018834	Care coordination outreach Next-best-action	Wayne Anderson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015088	Proposed	—
ACT-018835	Care coordination outreach Next-best-action	Amanda Guerrero: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015203	Proposed	—
ACT-018836	Care coordination outreach Next-best-action	Alice Hayes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015229	Proposed	—
ACT-018837	Care coordination outreach Next-best-action	Mateo Castro: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015230	Proposed	—
ACT-018838	Care coordination outreach Next-best-action	Lawrence Flores: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015236	Proposed	—
ACT-018839	Care coordination outreach Next-best-action	Virginia Berry: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015241	Proposed	—
ACT-018840	Care coordination outreach Next-best-action	Donald Carr: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015250	Proposed	—
ACT-018841	Care coordination outreach Next-best-action	Joyce Gibson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015264	Proposed	—
ACT-018842	Care coordination outreach Next-best-action	Billy Ramirez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015271	Proposed	—
ACT-018843	Care coordination outreach Next-best-action	Kelly Wallace: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015279	Proposed	—
ACT-018844	Care coordination outreach Next-best-action	Anna Dunn: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015284	Proposed	—
ACT-018845	Care coordination outreach Next-best-action	Teresa Ford: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015307	Proposed	—
ACT-018846	Care coordination outreach Next-best-action	Natalie Thompson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015325	Proposed	—
ACT-018847	Care coordination outreach Next-best-action	Nancy Martin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015331	Proposed	—
ACT-018848	Care coordination outreach Next-best-action	Abigail Rios: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-015346	Proposed	—
ACT-018849	Care coordination outreach Next-best-action	Judith Romero: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015363	Proposed	—
ACT-018850	Care coordination outreach Next-best-action	Michael Hanson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015366	Proposed	—
ACT-018851	Care coordination outreach Next-best-action	Ruth Schultz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015420	Proposed	—
ACT-018852	Care coordination outreach Next-best-action	Kyle Smith: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-015444	Proposed	—
ACT-018853	Care coordination outreach Next-best-action	Judy Oliver: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015475	Proposed	—
ACT-018854	Care coordination outreach Next-best-action	Anna Carr: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015478	Proposed	—
ACT-018855	Care coordination outreach Next-best-action	Amy Sanchez: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-015480	Proposed	—
ACT-018856	Care coordination outreach Next-best-action	Lauren Wagner: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015498	Proposed	—
ACT-018857	Care coordination outreach Next-best-action	Ronald Sanders: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015519	Proposed	—
ACT-018858	Care coordination outreach Next-best-action	Carolyn George: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015520	Proposed	—
ACT-018859	Care coordination outreach Next-best-action	Kayla Mejia: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015524	Proposed	—
ACT-018860	Care coordination outreach Next-best-action	Roger Carroll: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015528	Proposed	—
ACT-018861	Care coordination outreach Next-best-action	Bobby Gutierrez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015564	Proposed	—
ACT-018862	Care coordination outreach Next-best-action	Yuki Stone: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015578	Proposed	—
ACT-018863	Care coordination outreach Next-best-action	John Vasquez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015579	Proposed	—
ACT-018864	Care coordination outreach Next-best-action	Betty Richards: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015609	Proposed	—
ACT-018865	Care coordination outreach Next-best-action	Deborah Harper: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015621	Proposed	—
ACT-018866	Care coordination outreach Next-best-action	Jason Rogers: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015622	Proposed	—
ACT-018867	Care coordination outreach Next-best-action	Eugene Fisher: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015643	Proposed	—
ACT-018868	Care coordination outreach Next-best-action	Beverly Cunningham: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015646	Proposed	—
ACT-018869	Care coordination outreach Next-best-action	Nathan Cole: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015651	Proposed	—
ACT-018870	Care coordination outreach Next-best-action	Albert Lucas: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015661	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.