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-020886 | New member onboarding Next-best-action | Anna Grant: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020887 | New member onboarding Next-best-action | Jessica Rodriguez: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020888 | New member onboarding Next-best-action | Paul Peterson: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020889 | New member onboarding Next-best-action | Diane Soto: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020890 | New member onboarding Next-best-action | Ethan Hanson: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020891 | New member onboarding Next-best-action | Gabriel Bowman: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020892 | New member onboarding Next-best-action | Carol Freeman: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020893 | New member onboarding Next-best-action | Lucia Walace: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020894 | New member onboarding Next-best-action | Sharon Patterson: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020895 | New member onboarding Next-best-action | Saan Kelley: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020896 | New member onboarding Next-best-action | Terry Gray: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020897 | New member onboarding Next-best-action | Lawrencce Mendez: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020898 | New member onboarding Next-best-action | Denise Hamilton: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020899 | New member onboarding Next-best-action | Ethan Simmoons: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020900 | New member onboarding Next-best-action | Christian Duncan: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020901 | New member onboarding Next-best-action | Russell Lawrence: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020902 | New member onboarding Next-best-action | Donna Delgado: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020903 | New member onboarding Next-best-action | Doris Fox: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020904 | New member onboarding Next-best-action | Jacqueline Cole: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020905 | New member onboarding Next-best-action | Pamela Tran: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020906 | New member onboarding Next-best-action | Jef Montgomery: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020907 | New member onboarding Next-best-action | Isabella Guzman: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020908 | New member onboarding Next-best-action | Kathleen Marquez: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020909 | New member onboarding Next-best-action | Kyle Butler: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020910 | New member onboarding Next-best-action | Martha Stone: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020911 | New member onboarding Next-best-action | Diana Fowler: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020912 | New member onboarding Next-best-action | Sara Gibson: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020913 | New member onboarding Next-best-action | Gabriel Howard: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020914 | New member onboarding Next-best-action | Pamela Gonzales: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020915 | New member onboarding Next-best-action | Roy Flores: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020916 | New member onboarding Next-best-action | Brrittany Roberrtson: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020917 | New member onboarding Next-best-action | Howell Bobby: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020918 | New member onboarding Next-best-action | Christina Castillo: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020919 | New member onboarding Next-best-action | Keith Pierce: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020920 | New member onboarding Next-best-action | Arjun Dean: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020921 | New member onboarding Next-best-action | Henry Walker: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020922 | New member onboarding Next-best-action | Eugene Contreras: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020923 | New member onboarding Next-best-action | Grace Freeman: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020924 | New member onboarding Next-best-action | Lucia Fowler: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020925 | New member onboarding Next-best-action | Judy Garza: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020926 | New member onboarding Next-best-action | Chris Weaver: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020927 | New member onboarding Next-best-action | Ralph Bowman: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020928 | New member onboarding Next-best-action | Gregory Haarvey: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020929 | New member onboarding Next-best-action | Terry Tran: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020930 | New member onboarding Next-best-action | Megan Gibson: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020931 | New member onboarding Next-best-action | Stephanie Cooper: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020932 | New member onboarding Next-best-action | Amber Lawrence: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020933 | New member onboarding Next-best-action | Paul Jones: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020934 | New member onboarding Next-best-action | Amber Owens: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020935 | New member onboarding Next-best-action | Fatima Yang: enrolled 2026-09-06, 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.