Action	Type	Title	Detail	Linked to	Status	Executed
ACT-019021	Care coordination outreach Next-best-action	Andrew Little: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018752	Proposed	—
ACT-019022	Care coordination outreach Next-best-action	Mariana Nguyen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018754	Proposed	—
ACT-019023	Care coordination outreach Next-best-action	Peter Patterson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018758	Proposed	—
ACT-019024	Care coordination outreach Next-best-action	Kimberly Bell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018763	Proposed	—
ACT-019025	Care coordination outreach Next-best-action	Priya Welch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018793	Proposed	—
ACT-019026	Care coordination outreach Next-best-action	Judy Robinson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018838	Proposed	—
ACT-019027	Care coordination outreach Next-best-action	Andrea Anderson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018844	Proposed	—
ACT-019028	Care coordination outreach Next-best-action	Diego Ramirez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018861	Proposed	—
ACT-019029	Care coordination outreach Next-best-action	Logan Davis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018885	Proposed	—
ACT-019030	Care coordination outreach Next-best-action	Karen Thomas: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018889	Proposed	—
ACT-019031	Care coordination outreach Next-best-action	Stephen Gibson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018936	Proposed	—
ACT-019032	Care coordination outreach Next-best-action	Ana Fuller: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018940	Proposed	—
ACT-019033	Care coordination outreach Next-best-action	Judy Williams: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018945	Proposed	—
ACT-019034	Care coordination outreach Next-best-action	Ryan Mendez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-018960	Proposed	—
ACT-019035	Care coordination outreach Next-best-action	Nancy Delgado: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018973	Proposed	—
ACT-019036	Care coordination outreach Next-best-action	Judy Watkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018988	Proposed	—
ACT-019037	Care coordination outreach Next-best-action	Alice Austin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018994	Proposed	—
ACT-019038	Care coordination outreach Next-best-action	Lori Campbell: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-018997	Proposed	—
ACT-019039	Care coordination outreach Next-best-action	Sofia Wallace: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-019011	Proposed	—
ACT-019040	Care coordination outreach Next-best-action	Alexander Thompson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019013	Proposed	—
ACT-019041	Care coordination outreach Next-best-action	Evelyn Nguyen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019061	Proposed	—
ACT-019042	Care coordination outreach Next-best-action	Carolyn King: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019086	Proposed	—
ACT-019043	Care coordination outreach Next-best-action	Gloria Gilbert: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019087	Proposed	—
ACT-019044	Care coordination outreach Next-best-action	Kathryn Holmes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019097	Proposed	—
ACT-019045	Care coordination outreach Next-best-action	Sharon Welch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019156	Proposed	—
ACT-019046	Care coordination outreach Next-best-action	Scott Bryant: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019178	Proposed	—
ACT-019047	Care coordination outreach Next-best-action	Noah Cooper: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019191	Proposed	—
ACT-019048	Care coordination outreach Next-best-action	Mei Vega: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019204	Proposed	—
ACT-019049	Care coordination outreach Next-best-action	Juan Carpenter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019209	Proposed	—
ACT-019050	Care coordination outreach Next-best-action	Juan Williams: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019216	Proposed	—
ACT-019051	Care coordination outreach Next-best-action	Catherine Simpson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019272	Proposed	—
ACT-019052	Care coordination outreach Next-best-action	Lucia Holmes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019290	Proposed	—
ACT-019053	Care coordination outreach Next-best-action	John Burke: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019321	Proposed	—
ACT-019054	Care coordination outreach Next-best-action	Kelly Ellis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019341	Proposed	—
ACT-019055	Care coordination outreach Next-best-action	Joe Matthews: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019349	Proposed	—
ACT-019056	Care coordination outreach Next-best-action	Christina Castro: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019379	Proposed	—
ACT-019057	Care coordination outreach Next-best-action	Maria Palmer: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019408	Proposed	—
ACT-019058	Care coordination outreach Next-best-action	Margaret Chavez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-019454	Proposed	—
ACT-019059	Care coordination outreach Next-best-action	Evelyn Hawkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019493	Proposed	—
ACT-019060	Care coordination outreach Next-best-action	Heather Porter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019502	Proposed	—
ACT-019061	Care coordination outreach Next-best-action	Thomas Matthews: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019511	Proposed	—
ACT-019062	Care coordination outreach Next-best-action	Christina Harrison: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019566	Proposed	—
ACT-019063	Care coordination outreach Next-best-action	Peter Hart: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019595	Proposed	—
ACT-019064	Care coordination outreach Next-best-action	Teresa Dixon: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019635	Proposed	—
ACT-019065	Care coordination outreach Next-best-action	Wei Garza: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019651	Proposed	—
ACT-019066	Care coordination outreach Next-best-action	Philip Olson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019656	Proposed	—
ACT-019067	Care coordination outreach Next-best-action	Randy Dixon: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-019683	Proposed	—
ACT-019068	Care coordination outreach Next-best-action	Samantha Morris: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019686	Proposed	—
ACT-019069	Care coordination outreach Next-best-action	Keith Thompson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019688	Proposed	—
ACT-019070	Care coordination outreach Next-best-action	Arthur Torres: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019719	Proposed	—

1,815 rows, page 26 of 37Previous Next

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.