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-020736 | New member onboarding Next-best-action | Martha Chen: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020737 | New member onboarding Next-best-action | David Georgge: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020738 | New member onboarding Next-best-action | Charles Holmes: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020739 | New member onboarding Next-best-action | Steven Tucker: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020740 | New member onboarding Next-best-action | Anthony Duncan: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020741 | New member onboarding Next-best-action | Jack Valdez: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020742 | New member onboarding Next-best-action | Suusan Li: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020743 | New member onboarding Next-best-action | Olivia Thomas: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020744 | New member onboarding Next-best-action | Bobby Alvarez: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020745 | New member onboarding Next-best-action | Hannah Perry: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-020746 | New member onboarding Next-best-action | Philip Montgomery: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-020747 | New member onboarding Next-best-action | Laura Green: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020748 | New member onboarding Next-best-action | Fatima Dean: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020749 | New member onboarding Next-best-action | Sofia Castillo: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020750 | New member onboarding Next-best-action | Laura Vasquez: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020751 | New member onboarding Next-best-action | Arrjun Ellis: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020752 | New member onboarding Next-best-action | Julie Mason: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020753 | New member onboarding Next-best-action | Wei Chavez: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020754 | New member onboarding Next-best-action | Joan Jimeenz: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020755 | New member onboarding Next-best-action | Keith Bennett: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020756 | New member onboarding Next-best-action | Pamela Hanson: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020757 | New member onboarding Next-best-action | Sara Hicks: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020758 | New member onboarding Next-best-action | Ruth Lewis: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020759 | New member onboarding Next-best-action | Lucia Lynch: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020760 | New member onboarding Next-best-action | Abigail Miller: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020761 | New member onboarding Next-best-action | Eugene Adams: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020762 | New member onboarding Next-best-action | Sopia Spencer: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020763 | New member onboarding Next-best-action | Sofia Evans: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020764 | New member onboarding Next-best-action | Billy Lynch: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020765 | New member onboarding Next-best-action | Carlos Garcia: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020766 | New member onboarding Next-best-action | Gloria Bell: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020767 | New member onboarding Next-best-action | Angela Wheeler: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020768 | New member onboarding Next-best-action | Sean Vasquez: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020769 | New member onboarding Next-best-action | Mary Baker: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020770 | New member onboarding Next-best-action | Donna Vasquez: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020771 | New member onboarding Next-best-action | Mason Thmas: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020772 | New member onboarding Next-best-action | Christina Olson: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020773 | New member onboarding Next-best-action | Richard Wheeler: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020774 | New member onboarding Next-best-action | Carlos Fields: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020775 | New member onboarding Next-best-action | Alexander Fields: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020776 | New member onboarding Next-best-action | Nathan Matthews: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020777 | New member onboarding Next-best-action | Martha Willis: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020778 | New member onboarding Next-best-action | Fatima Kim: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020779 | New member onboarding Next-best-action | Richard Crawford: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020780 | New member onboarding Next-best-action | Susan Johnston: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020781 | New member onboarding Next-best-action | Roger Montgomery: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020782 | New member onboarding Next-best-action | Stephanie Singh: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020783 | New member onboarding Next-best-action | Deborah Turner: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020784 | New member onboarding Next-best-action | Linda Nguyen: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020785 | New member onboarding Next-best-action | Heather Ray: enrolled 2026-09-16, 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.