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-020686 | New member onboarding Next-best-action | Janet Miller: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020687 | New member onboarding Next-best-action | Jose Russsell: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020688 | New member onboarding Next-best-action | Sandra Sims: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-020689 | New member onboarding Next-best-action | Johny Weber: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020690 | New member onboarding Next-best-action | Jeremy Burns: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020691 | New member onboarding Next-best-action | Kathleen Riley: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020692 | New member onboarding Next-best-action | Douglas Cook: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020693 | New member onboarding Next-best-action | Jerry Brooks: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020694 | New member onboarding Next-best-action | Sarah Crawford: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020695 | New member onboarding Next-best-action | Stephen Mason: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020696 | New member onboarding Next-best-action | Mei Reynolds: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020697 | New member onboarding Next-best-action | Timothy McDonald: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020698 | New member onboarding Next-best-action | Henry Banks: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020699 | New member onboarding Next-best-action | Alan Daniels: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020700 | New member onboarding Next-best-action | Adam Fields: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020701 | New member onboarding Next-best-action | Roger Santiago: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020702 | New member onboarding Next-best-action | Janet Phillips: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020703 | New member onboarding Next-best-action | Scot Daniels: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020704 | New member onboarding Next-best-action | Fatima Stewart: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020705 | New member onboarding Next-best-action | Nancy Miller: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020706 | New member onboarding Next-best-action | Jennifer Chavez: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020707 | New member onboarding Next-best-action | Steven Franklin: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020708 | New member onboarding Next-best-action | Joan Price: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020709 | New member onboarding Next-best-action | Scott Collins: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020710 | New member onboarding Next-best-action | Larry Patel: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020711 | New member onboarding Next-best-action | Michelle Gray: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020712 | New member onboarding Next-best-action | Debra Garrett: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020713 | New member onboarding Next-best-action | Joshua Snyder: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020714 | New member onboarding Next-best-action | Peter Hudson: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020715 | New member onboarding Next-best-action | Yuki Soto: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020716 | New member onboarding Next-best-action | Anna Griffin: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020717 | New member onboarding Next-best-action | Kathryn Salazar: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020718 | New member onboarding Next-best-action | Daniel Spencer: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020719 | New member onboarding Next-best-action | Brandon Vgea: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020720 | New member onboarding Next-best-action | Carlos Singh: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020721 | New member onboarding Next-best-action | Ronald Ferguson: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020722 | New member onboarding Next-best-action | Raymond Nguyen: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020723 | New member onboarding Next-best-action | Sara McOnald: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020724 | New member onboarding Next-best-action | Maria Woods: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020725 | New member onboarding Next-best-action | Natalie Day: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020726 | New member onboarding Next-best-action | Bruce Montgomery: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020727 | New member onboarding Next-best-action | Juhn Kim: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020728 | New member onboarding Next-best-action | Cheryl Washington: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020729 | New member onboarding Next-best-action | Donald Reyes: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020730 | New member onboarding Next-best-action | Joan Hudson: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020731 | New member onboarding Next-best-action | Brittany Wood: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020732 | New member onboarding Next-best-action | Wayne Johnston: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020733 | New member onboarding Next-best-action | Ronald Hunt: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020734 | New member onboarding Next-best-action | Christine Young: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020735 | New member onboarding Next-best-action | Scott Roberts: enrolled 2026-09-09, 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.