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-020836 | New member onboarding Next-best-action | Amber Murphy: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020837 | New member onboarding Next-best-action | Hannah Rikhardson: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020838 | New member onboarding Next-best-action | Adams Brenda: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020839 | New member onboarding Next-best-action | Roger Morgan: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020840 | New member onboarding Next-best-action | Kayla Medina: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020841 | New member onboarding Next-best-action | Rachel Knight: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020842 | New member onboarding Next-best-action | Abigail Rivera: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020843 | New member onboarding Next-best-action | Griffin Doris: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020844 | New member onboarding Next-best-action | Noah Brooks: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020845 | New member onboarding Next-best-action | Jordan Le: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020846 | New member onboarding Next-best-action | Janice Kim: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020847 | New member onboarding Next-best-action | Hiroshi Henderson: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020848 | New member onboarding Next-best-action | Grace Yang: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020849 | New member onboarding Next-best-action | Ethan Wright: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020850 | New member onboarding Next-best-action | Emma Nunez: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020851 | New member onboarding Next-best-action | Frank Burns: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020852 | New member onboarding Next-best-action | Marcus Kleley: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020853 | New member onboarding Next-best-action | Charlotte Chapman: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020854 | New member onboarding Next-best-action | Patterson Sharon: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020855 | New member onboarding Next-best-action | Maggei Lopz: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020856 | New member onboarding Next-best-action | Thomas Harvey: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020857 | New member onboarding Next-best-action | Maria Foster: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020858 | New member onboarding Next-best-action | Timothy Watkins: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020859 | New member onboarding Next-best-action | Harold Ryan: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020860 | New member onboarding Next-best-action | Nicholas Sanders: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020861 | New member onboarding Next-best-action | Terry Mendez: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020862 | New member onboarding Next-best-action | Virginia Walace: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020863 | New member onboarding Next-best-action | Sean Daniels: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020864 | New member onboarding Next-best-action | Michael Lynch: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020865 | New member onboarding Next-best-action | Aisha Stone: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020866 | New member onboarding Next-best-action | Jerry Jacobs: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020867 | New member onboarding Next-best-action | George Anderson: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020868 | New member onboarding Next-best-action | Prriya Jenkins: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020869 | New member onboarding Next-best-action | Kathy Bowman: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020870 | New member onboarding Next-best-action | Lawrence Burns: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020871 | New member onboarding Next-best-action | Alan Mendez: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020872 | New member onboarding Next-best-action | Timothy Johnston: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020873 | New member onboarding Next-best-action | Elijah Weaver: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020874 | New member onboarding Next-best-action | Sharon Little: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020875 | New member onboarding Next-best-action | Keith Adams: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020876 | New member onboarding Next-best-action | Virginia Scott: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020877 | New member onboarding Next-best-action | Hannah Pierce: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020878 | New member onboarding Next-best-action | Richard Stevens: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020879 | New member onboarding Next-best-action | Janet Rios: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020880 | New member onboarding Next-best-action | James Yang: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020881 | New member onboarding Next-best-action | Elizabeth Dunn: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020882 | New member onboarding Next-best-action | Wei Kelley: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020883 | New member onboarding Next-best-action | Madison Bowman: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020884 | New member onboarding Next-best-action | Lisa Oliver: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020885 | New member onboarding Next-best-action | Charles Delgado: enrolled 2026-10-08, 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.