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-020986 | New member onboarding Next-best-action | Mei Price: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020987 | New member onboarding Next-best-action | Amber Luna: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020988 | New member onboarding Next-best-action | Betty Jimennez: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020989 | New member onboarding Next-best-action | Matthew Martinez: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020990 | New member onboarding Next-best-action | James Herrera: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020991 | New member onboarding Next-best-action | Alice Medina: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020992 | New member onboarding Next-best-action | Ethan Maldonado: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020993 | New member onboarding Next-best-action | Kayla Alvarado: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020994 | New member onboarding Next-best-action | Roy Stewart: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020995 | New member onboarding Next-best-action | Maria Jimenez: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020996 | New member onboarding Next-best-action | Roger Gardner: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020997 | New member onboarding Next-best-action | Barb Lynch: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020998 | New member onboarding Next-best-action | Brandon Phillips: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020999 | New member onboarding Next-best-action | Judy Russell: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021000 | New member onboarding Next-best-action | David Larson: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021001 | New member onboarding Next-best-action | Daniel Shaw: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021002 | New member onboarding Next-best-action | Pamela Sandoval: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021003 | New member onboarding Next-best-action | Alexis Espinoza: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021004 | New member onboarding Next-best-action | Ethan Guzman: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021005 | New member onboarding Next-best-action | Marilyn Hart: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021006 | New member onboarding Next-best-action | Fatima Boyd: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021007 | New member onboarding Next-best-action | Christopher Jacobs: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021008 | New member onboarding Next-best-action | Brandon Moralles: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-021009 | New member onboarding Next-best-action | Juan Williams: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021010 | New member onboarding Next-best-action | Brittany Robertson: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021011 | New member onboarding Next-best-action | Carr Merilyn: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021012 | New member onboarding Next-best-action | Beverly Maldonado: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021013 | New member onboarding Next-best-action | Alan Campbell: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021014 | New member onboarding Next-best-action | Padilla Carol: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021015 | New member onboarding Next-best-action | Justin Burton: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021016 | New member onboarding Next-best-action | Jonathan Richardson: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021017 | New member onboarding Next-best-action | Bryan Lee: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021018 | New member onboarding Next-best-action | Luis Snydre: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-021019 | New member onboarding Next-best-action | Austin Jordan: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021020 | New member onboarding Next-best-action | Megan Andrews: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021021 | New member onboarding Next-best-action | Terry Nguyen: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021022 | New member onboarding Next-best-action | Raymond Padilla: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021023 | New member onboarding Next-best-action | Brenda Diaz: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021024 | New member onboarding Next-best-action | Margaret Obrien: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021025 | New member onboarding Next-best-action | Scott Patel: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021026 | New member onboarding Next-best-action | Bruce Guzman: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021027 | New member onboarding Next-best-action | Benjamin Chen: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021028 | New member onboarding Next-best-action | John Estrada: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021029 | New member onboarding Next-best-action | Bradley Henry: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021030 | New member onboarding Next-best-action | Sandra Vega: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021031 | New member onboarding Next-best-action | Sofia Boyd: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021032 | New member onboarding Next-best-action | Joseph Payne: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021033 | New member onboarding Next-best-action | Maria Lynch: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021034 | New member onboarding Next-best-action | Alexxander Fisher: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021035 | New member onboarding Next-best-action | Bradley Hart: enrolled 2026-09-13, 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.