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-020786 | New member onboarding Next-best-action | Albert Barnes: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020787 | New member onboarding Next-best-action | Maria Williamson: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020788 | New member onboarding Next-best-action | Danielle Diaz: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020789 | New member onboarding Next-best-action | Ronald Hall: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020790 | New member onboarding Next-best-action | Carolyn Garrett: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020791 | New member onboarding Next-best-action | Samantha Jordan: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020792 | New member onboarding Next-best-action | Scott Snyder: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020793 | New member onboarding Next-best-action | Pamela Vega: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020794 | New member onboarding Next-best-action | Fatima Hill: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020795 | New member onboarding Next-best-action | Michelle Harvey: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020796 | New member onboarding Next-best-action | Nicole Hansen: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020797 | New member onboarding Next-best-action | Luis Price: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020798 | New member onboarding Next-best-action | Susan Jackson: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020799 | New member onboarding Next-best-action | Albert Chavez: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020800 | New member onboarding Next-best-action | Judith Hall: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020801 | New member onboarding Next-best-action | Elijah Wood: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020802 | New member onboarding Next-best-action | Marilyn Burton: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020803 | New member onboarding Next-best-action | Logan Singh: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020804 | New member onboarding Next-best-action | Theresa Torres: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020805 | New member onboarding Next-best-action | Arjun Griffin: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020806 | New member onboarding Next-best-action | Laura Jackson: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020807 | New member onboarding Next-best-action | Philip Cole: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020808 | New member onboarding Next-best-action | Paul Perez: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020809 | New member onboarding Next-best-action | Bryant Sandra: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020810 | New member onboarding Next-best-action | Rachel Fields: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020811 | New member onboarding Next-best-action | Daniel Larson: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020812 | New member onboarding Next-best-action | Jesse Phillips: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020813 | New member onboarding Next-best-action | Deborah Morales: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020814 | New member onboarding Next-best-action | Samantha Harrison: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020815 | New member onboarding Next-best-action | Hannah Bowman: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020816 | New member onboarding Next-best-action | Benjamin Johnston: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020817 | New member onboarding Next-best-action | Donald Nelson: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020818 | New member onboarding Next-best-action | Janet Rivera: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020819 | New member onboarding Next-best-action | Ronald Allen: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020820 | New member onboarding Next-best-action | Amber Hamilton: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020821 | New member onboarding Next-best-action | Jacqueline Gonzales: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020822 | New member onboarding Next-best-action | Steven Palmer: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020823 | New member onboarding Next-best-action | Marcus Chapman: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020824 | New member onboarding Next-best-action | Linda Guzman: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020825 | New member onboarding Next-best-action | Amber Owens: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020826 | New member onboarding Next-best-action | Kelly Little: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020827 | New member onboarding Next-best-action | Charles Morrison: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020828 | New member onboarding Next-best-action | Theresa Ortiz: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-020829 | New member onboarding Next-best-action | Wayne Lynch: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020830 | New member onboarding Next-best-action | Brandon Park: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020831 | New member onboarding Next-best-action | Jordan Smith: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020832 | New member onboarding Next-best-action | Ana Fernandez: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020833 | New member onboarding Next-best-action | Michael Oliver: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020834 | New member onboarding Next-best-action | Laura Carroll: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020835 | New member onboarding Next-best-action | Noah Hanson: enrolled 2026-09-10, 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.