Action	Type	Title	Detail	Linked to	Status	Executed
ACT-019171	Care coordination outreach Next-best-action	Kelly Jensen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022052	Proposed	—
ACT-019172	Care coordination outreach Next-best-action	Julie Garrett: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022053	Proposed	—
ACT-019173	Care coordination outreach Next-best-action	Douglas Pierce: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-022078	Proposed	—
ACT-019174	Care coordination outreach Next-best-action	Alexander Marquez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022090	Proposed	—
ACT-019175	Care coordination outreach Next-best-action	Sandra Brown: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022095	Proposed	—
ACT-019176	Care coordination outreach Next-best-action	Alexis Reynolds: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022108	Proposed	—
ACT-019177	Care coordination outreach Next-best-action	Evelyn Wilson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022146	Proposed	—
ACT-019178	Care coordination outreach Next-best-action	Wei Fuller: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022180	Proposed	—
ACT-019179	Care coordination outreach Next-best-action	Evelyn Brooks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022201	Proposed	—
ACT-019180	Care coordination outreach Next-best-action	Judy Wells: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022239	Proposed	—
ACT-019181	Care coordination outreach Next-best-action	Joshua Park: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022251	Proposed	—
ACT-019182	Care coordination outreach Next-best-action	Maria Stewart: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-022261	Proposed	—
ACT-019183	Care coordination outreach Next-best-action	Doris Bradley: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022268	Proposed	—
ACT-019184	Care coordination outreach Next-best-action	Kimberly Robinson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022303	Proposed	—
ACT-019185	Care coordination outreach Next-best-action	Tyler Taylor: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-022322	Proposed	—
ACT-019186	Care coordination outreach Next-best-action	Madison McCoy: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022389	Proposed	—
ACT-019187	Care coordination outreach Next-best-action	Jerry Montgomery: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022402	Proposed	—
ACT-019188	Care coordination outreach Next-best-action	Eugene Riley: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022408	Proposed	—
ACT-019189	Care coordination outreach Next-best-action	David Hansen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022426	Proposed	—
ACT-019190	Care coordination outreach Next-best-action	Diego Bishop: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-022430	Proposed	—
ACT-019191	Care coordination outreach Next-best-action	Fatima Thomas: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022437	Proposed	—
ACT-019192	Care coordination outreach Next-best-action	Maria Jenkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022457	Proposed	—
ACT-019193	Care coordination outreach Next-best-action	Sarah Mitchell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022481	Proposed	—
ACT-019194	Care coordination outreach Next-best-action	Charlotte Weber: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-022511	Proposed	—
ACT-019195	Care coordination outreach Next-best-action	Peter Baker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022514	Proposed	—
ACT-019196	Care coordination outreach Next-best-action	Dennis Perez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022525	Proposed	—
ACT-019197	Care coordination outreach Next-best-action	Albert Olson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022569	Proposed	—
ACT-019198	Care coordination outreach Next-best-action	Gary Kelly: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022582	Proposed	—
ACT-019199	Care coordination outreach Next-best-action	Kenneth Ray: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-022609	Proposed	—
ACT-019200	Care coordination outreach Next-best-action	Jackie Diaz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022650	Proposed	—
ACT-019201	Care coordination outreach Next-best-action	Douglas Lewis: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-022670	Proposed	—
ACT-019202	Care coordination outreach Next-best-action	Martha Rogers: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022671	Proposed	—
ACT-019203	Care coordination outreach Next-best-action	Noah Lawrence: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022720	Proposed	—
ACT-019204	Care coordination outreach Next-best-action	Olivia Peterson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022723	Proposed	—
ACT-019205	Care coordination outreach Next-best-action	Thomas Campbell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022728	Proposed	—
ACT-019206	Care coordination outreach Next-best-action	Douglas Jensen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022792	Proposed	—
ACT-019207	Care coordination outreach Next-best-action	Donald Luna: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022798	Proposed	—
ACT-019208	Care coordination outreach Next-best-action	Isabella Vargas: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022820	Proposed	—
ACT-019209	Care coordination outreach Next-best-action	Doris Ryan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022875	Proposed	—
ACT-019210	Care coordination outreach Next-best-action	Maria Snyder: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022885	Proposed	—
ACT-019211	Care coordination outreach Next-best-action	Timothy Jacobs: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022887	Proposed	—
ACT-019212	Care coordination outreach Next-best-action	Isabella Walsh: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-022899	Proposed	—
ACT-019213	Care coordination outreach Next-best-action	Heather Singh: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022902	Proposed	—
ACT-019214	Care coordination outreach Next-best-action	Mason Garcia: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022933	Proposed	—
ACT-019215	Care coordination outreach Next-best-action	Isabella Bowman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022935	Proposed	—
ACT-019216	Care coordination outreach Next-best-action	Danielle Ramirez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022951	Proposed	—
ACT-019217	Care coordination outreach Next-best-action	Santiago Peterson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-022962	Proposed	—
ACT-019218	Care coordination outreach Next-best-action	Jack Jack: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023050	Proposed	—
ACT-019219	Care coordination outreach Next-best-action	Amanda Campbell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023054	Proposed	—
ACT-019220	Care coordination outreach Next-best-action	Jerry Romero: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-023099	Proposed	—

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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.