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-020936 | New member onboarding Next-best-action | Barbara Griffin: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020937 | New member onboarding Next-best-action | Tim Ellis: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020938 | New member onboarding Next-best-action | Karen Brown: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020939 | New member onboarding Next-best-action | Anna Moore: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020940 | New member onboarding Next-best-action | Justin Crawford: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020941 | New member onboarding Next-best-action | Michelle Bell: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020942 | New member onboarding Next-best-action | Eric Clark: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020943 | New member onboarding Next-best-action | Patricia Lane: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020944 | New member onboarding Next-best-action | Donna Walker: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020945 | New member onboarding Next-best-action | Ronald Ortiz: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020946 | New member onboarding Next-best-action | Catherine Greene: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020947 | New member onboarding Next-best-action | Walter Estrada: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020948 | New member onboarding Next-best-action | Henry Johnston: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020949 | New member onboarding Next-best-action | Ryan Thompson: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020950 | New member onboarding Next-best-action | Joyce Vazquez: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020951 | New member onboarding Next-best-action | Amber Andrews: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020952 | New member onboarding Next-best-action | Rebecca Foster: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020953 | New member onboarding Next-best-action | Betty Rodriguez: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020954 | New member onboarding Next-best-action | Isabella Lynch: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020955 | New member onboarding Next-best-action | Deborah Carroll: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020956 | New member onboarding Next-best-action | Harold Medina: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020957 | New member onboarding Next-best-action | Kenneth Hunter: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020958 | New member onboarding Next-best-action | Cheryl Guerrero: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020959 | New member onboarding Next-best-action | Wei Burton: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020960 | New member onboarding Next-best-action | Christine Johnson: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020961 | New member onboarding Next-best-action | Sharoon Walker: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020962 | New member onboarding Next-best-action | Jordan Lucas: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020963 | New member onboarding Next-best-action | Teresa Adams: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020964 | New member onboarding Next-best-action | Ethan Palmer: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020965 | New member onboarding Next-best-action | Wei Brrooks: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020966 | New member onboarding Next-best-action | Ashley Burke: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020967 | New member onboarding Next-best-action | Ruth Miller: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020968 | New member onboarding Next-best-action | Patricia Bennet: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020969 | New member onboarding Next-best-action | Patrick McCoy: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020970 | New member onboarding Next-best-action | Willie Rogers: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020971 | New member onboarding Next-best-action | Fatima Butler: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020972 | New member onboarding Next-best-action | Nancy Eans: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020973 | New member onboarding Next-best-action | Melissa Schmidt: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020974 | New member onboarding Next-best-action | Kenneth Kim: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020975 | New member onboarding Next-best-action | Gerald Taylor: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020976 | New member onboarding Next-best-action | Ruth Harrison: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020977 | New member onboarding Next-best-action | Theresa Tran: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020978 | New member onboarding Next-best-action | Kathleen Nguyen: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020979 | New member onboarding Next-best-action | Diana Ruiz: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020980 | New member onboarding Next-best-action | Marilyn Scott: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020981 | New member onboarding Next-best-action | Richard Taylor: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020982 | New member onboarding Next-best-action | Santiago Robertson: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020983 | New member onboarding Next-best-action | Richard Wang: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020984 | New member onboarding Next-best-action | Elijah Wilson: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020985 | New member onboarding Next-best-action | Michelle Austin: enrolled 2026-10-17, 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.