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-020636 | New member onboarding Next-best-action | Brian Webb: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020637 | New member onboarding Next-best-action | Doris Henderson: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020638 | New member onboarding Next-best-action | Theresa Henry: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020639 | New member onboarding Next-best-action | Christina Flores: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020640 | New member onboarding Next-best-action | Beverly Payne: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020641 | New member onboarding Next-best-action | Bradley Bennett: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020642 | New member onboarding Next-best-action | Larry Morgan: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020643 | New member onboarding Next-best-action | James Maldondo: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020644 | New member onboarding Next-best-action | Arjun James: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020645 | New member onboarding Next-best-action | Tyler Holmes: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020646 | New member onboarding Next-best-action | Christopher Hicks: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020647 | New member onboarding Next-best-action | Lauren Tran: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020648 | New member onboarding Next-best-action | Jim Simpson: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020649 | New member onboarding Next-best-action | Jason Foster: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-020650 | New member onboarding Next-best-action | Jackie Carr: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020651 | New member onboarding Next-best-action | Roger McDonald: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020652 | New member onboarding Next-best-action | Patricia Carpenter: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020653 | New member onboarding Next-best-action | Judy Perkins: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020654 | New member onboarding Next-best-action | Ahmed Salazar: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020655 | New member onboarding Next-best-action | Valentina Jordan: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020656 | New member onboarding Next-best-action | Ethan Chen: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020657 | New member onboarding Next-best-action | Denise Bowman: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020658 | New member onboarding Next-best-action | David Woods: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020659 | New member onboarding Next-best-action | Donna Cruz: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020660 | New member onboarding Next-best-action | Billy Torres: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020661 | New member onboarding Next-best-action | Bradley McDonald: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020662 | New member onboarding Next-best-action | Brian Phillips: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020663 | New member onboarding Next-best-action | Michael Munoz: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020664 | New member onboarding Next-best-action | Abigail Murray: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020665 | New member onboarding Next-best-action | Mason Ward: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020666 | New member onboarding Next-best-action | Edward Phillips: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020667 | New member onboarding Next-best-action | Nicole Webb: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020668 | New member onboarding Next-best-action | Kathryn Scott: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020669 | New member onboarding Next-best-action | Sue Harris: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020670 | New member onboarding Next-best-action | Betty Patterson: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020671 | New member onboarding Next-best-action | Emma Delgado: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020672 | New member onboarding Next-best-action | Melissa Gilbert: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020673 | New member onboarding Next-best-action | Larry Ortiz: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020674 | New member onboarding Next-best-action | Karen Fields: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020675 | New member onboarding Next-best-action | Natalie Carr: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020676 | New member onboarding Next-best-action | Judy Alvarez: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020677 | New member onboarding Next-best-action | Timothy Jackson: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020678 | New member onboarding Next-best-action | Teresa Richardson: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020679 | New member onboarding Next-best-action | Sarah Flores: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020680 | New member onboarding Next-best-action | Bradley Burns: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020681 | New member onboarding Next-best-action | Emma Cooper: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020682 | New member onboarding Next-best-action | Bryan Guzman: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020683 | New member onboarding Next-best-action | Stephen Turner: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020684 | New member onboarding Next-best-action | Dylan Alvarez: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020685 | New member onboarding Next-best-action | Christina Wallace: enrolled 2026-09-17, 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.