Action	Type	Title	Detail	Linked to	Status	Executed
ACT-017871	Care coordination outreach Next-best-action	Vincent George: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001280	Proposed	—
ACT-017872	Care coordination outreach Next-best-action	Diana Chen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001286	Proposed	—
ACT-017873	Care coordination outreach Next-best-action	Eric Morgan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001287	Proposed	—
ACT-017874	Care coordination outreach Next-best-action	Alexander Rose: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001320	Proposed	—
ACT-017875	Care coordination outreach Next-best-action	Ralph Phillips: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001340	Proposed	—
ACT-017876	Care coordination outreach Next-best-action	Betty Oliver: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001348	Proposed	—
ACT-017877	Care coordination outreach Next-best-action	Sofia Lewis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001353	Proposed	—
ACT-017878	Care coordination outreach Next-best-action	Charlotte Ortiz: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-001356	Proposed	—
ACT-017879	Care coordination outreach Next-best-action	Douglas Henderson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001358	Proposed	—
ACT-017880	Care coordination outreach Next-best-action	Evelyn Ramos: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-001377	Proposed	—
ACT-017881	Care coordination outreach Next-best-action	Ralph Andrews: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001382	Proposed	—
ACT-017882	Care coordination outreach Next-best-action	Natalie McCoy: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-001407	Proposed	—
ACT-017883	Care coordination outreach Next-best-action	Saamntha Cox: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001409	Proposed	—
ACT-017884	Care coordination outreach Next-best-action	Henry Little: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-001424	Proposed	—
ACT-017885	Care coordination outreach Next-best-action	Sofia Gonzalez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001440	Proposed	—
ACT-017886	Care coordination outreach Next-best-action	Mason Porter: 6 claims, no attributed provider	Claims 6 Recommendation assign PCP and schedule care-coordination call	MBR-001447	Proposed	—
ACT-017887	Care coordination outreach Next-best-action	Becky Williams: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001471	Proposed	—
ACT-017888	Care coordination outreach Next-best-action	Gary Burton: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-001487	Proposed	—
ACT-017889	Care coordination outreach Next-best-action	Lauren Johnson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001513	Proposed	—
ACT-017890	Care coordination outreach Next-best-action	Nathan Lawrence: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001517	Proposed	—
ACT-017891	Care coordination outreach Next-best-action	Maria Meyer: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001540	Proposed	—
ACT-017892	Care coordination outreach Next-best-action	Sean Castro: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001542	Proposed	—
ACT-017893	Care coordination outreach Next-best-action	Wayne Santos: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001573	Proposed	—
ACT-017894	Care coordination outreach Next-best-action	William Freeman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001574	Proposed	—
ACT-017895	Care coordination outreach Next-best-action	Ralph Knight: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-001575	Proposed	—
ACT-017896	Care coordination outreach Next-best-action	Jonathan Murphy: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001582	Proposed	—
ACT-017897	Care coordination outreach Next-best-action	Kyle Salazar: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001595	Proposed	—
ACT-017898	Care coordination outreach Next-best-action	Matthew Day: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-001601	Proposed	—
ACT-017899	Care coordination outreach Next-best-action	Sarah Scott: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001603	Proposed	—
ACT-017900	Care coordination outreach Next-best-action	Sara Hicks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001634	Proposed	—
ACT-017901	Care coordination outreach Next-best-action	Gary Weber: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001713	Proposed	—
ACT-017902	Care coordination outreach Next-best-action	Samantha Walker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001714	Proposed	—
ACT-017903	Care coordination outreach Next-best-action	Philip Tucker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001743	Proposed	—
ACT-017904	Care coordination outreach Next-best-action	Peter Gilbert: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001750	Proposed	—
ACT-017905	Care coordination outreach Next-best-action	Gabriel Robertson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-001760	Proposed	—
ACT-017906	Care coordination outreach Next-best-action	Marilyn Miller: 6 claims, no attributed provider	Claims 6 Recommendation assign PCP and schedule care-coordination call	MBR-001763	Proposed	—
ACT-017907	Care coordination outreach Next-best-action	Gregory Reid: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001792	Proposed	—
ACT-017908	Care coordination outreach Next-best-action	Alexis Ramirez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001796	Proposed	—
ACT-017909	Care coordination outreach Next-best-action	Henry Hunter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001798	Proposed	—
ACT-017910	Care coordination outreach Next-best-action	Nicole Richardson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-001810	Proposed	—
ACT-017911	Care coordination outreach Next-best-action	Priya Tucker: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-001814	Proposed	—
ACT-017912	Care coordination outreach Next-best-action	Charlotte Bryant: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-001818	Proposed	—
ACT-017913	Care coordination outreach Next-best-action	Virginia Weber: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001838	Proposed	—
ACT-017914	Care coordination outreach Next-best-action	Sophia Fox: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-001845	Proposed	—
ACT-017915	Care coordination outreach Next-best-action	Dorothy Bradley: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-001864	Proposed	—
ACT-017916	Care coordination outreach Next-best-action	Linda Garrett: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-001868	Proposed	—
ACT-017917	Care coordination outreach Next-best-action	Sean Wright: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001876	Proposed	—
ACT-017918	Care coordination outreach Next-best-action	Lawrence Hoffman: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-001881	Proposed	—
ACT-017919	Care coordination outreach Next-best-action	Noah Le: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001891	Proposed	—
ACT-017920	Care coordination outreach Next-best-action	John Ramos: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001898	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.