Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018971	Care coordination outreach Next-best-action	Bryan Ray: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017619	Proposed	—
ACT-018972	Care coordination outreach Next-best-action	Angela Espinoza: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-017663	Proposed	—
ACT-018973	Care coordination outreach Next-best-action	Mateo Perez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017686	Proposed	—
ACT-018974	Care coordination outreach Next-best-action	Isabella Torres: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017706	Proposed	—
ACT-018975	Care coordination outreach Next-best-action	Frank Roberts: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017735	Proposed	—
ACT-018976	Care coordination outreach Next-best-action	Kathleen Brown: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017740	Proposed	—
ACT-018977	Care coordination outreach Next-best-action	Judith Gilbert: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-017753	Proposed	—
ACT-018978	Care coordination outreach Next-best-action	Doris Yang: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-017819	Proposed	—
ACT-018979	Care coordination outreach Next-best-action	Lucia Lynch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017911	Proposed	—
ACT-018980	Care coordination outreach Next-best-action	Megan Brown: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017912	Proposed	—
ACT-018981	Care coordination outreach Next-best-action	Jerry Vasquez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017913	Proposed	—
ACT-018982	Care coordination outreach Next-best-action	Luis Vega: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017929	Proposed	—
ACT-018983	Care coordination outreach Next-best-action	Gloria Brooks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017971	Proposed	—
ACT-018984	Care coordination outreach Next-best-action	Emily Sanders: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017977	Proposed	—
ACT-018985	Care coordination outreach Next-best-action	Peter Wong: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018003	Proposed	—
ACT-018986	Care coordination outreach Next-best-action	Carlos Scott: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018012	Proposed	—
ACT-018987	Care coordination outreach Next-best-action	Ashley Park: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018046	Proposed	—
ACT-018988	Care coordination outreach Next-best-action	Cheryl Chavez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018078	Proposed	—
ACT-018989	Care coordination outreach Next-best-action	Dennis Lopez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018091	Proposed	—
ACT-018990	Care coordination outreach Next-best-action	Sophia Pierce: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018120	Proposed	—
ACT-018991	Care coordination outreach Next-best-action	Zachary Shaw: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018131	Proposed	—
ACT-018992	Care coordination outreach Next-best-action	Joan Maldonado: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018192	Proposed	—
ACT-018993	Care coordination outreach Next-best-action	Maria Salazar: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018195	Proposed	—
ACT-018994	Care coordination outreach Next-best-action	Mari Park: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-018206	Proposed	—
ACT-018995	Care coordination outreach Next-best-action	Elijah Allen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018217	Proposed	—
ACT-018996	Care coordination outreach Next-best-action	Raymond Castillo: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018223	Proposed	—
ACT-018997	Care coordination outreach Next-best-action	Raymnd Duncan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018235	Proposed	—
ACT-018998	Care coordination outreach Next-best-action	Ethan Robertson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-018236	Proposed	—
ACT-018999	Care coordination outreach Next-best-action	Juan Banks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018241	Proposed	—
ACT-019000	Care coordination outreach Next-best-action	Ahmed Cooper: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-018264	Proposed	—
ACT-019001	Care coordination outreach Next-best-action	Sara Gordon: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018284	Proposed	—
ACT-019002	Care coordination outreach Next-best-action	Zachary Allen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018288	Proposed	—
ACT-019003	Care coordination outreach Next-best-action	Amber McDonald: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018319	Proposed	—
ACT-019004	Care coordination outreach Next-best-action	David Yang: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-018330	Proposed	—
ACT-019005	Care coordination outreach Next-best-action	Jeffrey Carlson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018380	Proposed	—
ACT-019006	Care coordination outreach Next-best-action	Victoria Hawkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018388	Proposed	—
ACT-019007	Care coordination outreach Next-best-action	Marcus Johnston: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018401	Proposed	—
ACT-019008	Care coordination outreach Next-best-action	Wayne Howard: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018406	Proposed	—
ACT-019009	Care coordination outreach Next-best-action	Diana Dixon: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018415	Proposed	—
ACT-019010	Care coordination outreach Next-best-action	Stephen Weber: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018455	Proposed	—
ACT-019011	Care coordination outreach Next-best-action	Keith Hicks: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-018493	Proposed	—
ACT-019012	Care coordination outreach Next-best-action	Katherine Walker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018498	Proposed	—
ACT-019013	Care coordination outreach Next-best-action	David Coleman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018534	Proposed	—
ACT-019014	Care coordination outreach Next-best-action	Isabella Hart: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018536	Proposed	—
ACT-019015	Care coordination outreach Next-best-action	Carol Fowler: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-018557	Proposed	—
ACT-019016	Care coordination outreach Next-best-action	Victoria Hunt: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018632	Proposed	—
ACT-019017	Care coordination outreach Next-best-action	Maria Singh: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018695	Proposed	—
ACT-019018	Care coordination outreach Next-best-action	Adam Garrett: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018727	Proposed	—
ACT-019019	Care coordination outreach Next-best-action	Jeremy Garrett: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-018729	Proposed	—
ACT-019020	Care coordination outreach Next-best-action	Ralph Price: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018735	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.