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-019686 | New member onboarding Next-best-action | Deborah Little: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-019687 | New member onboarding Next-best-action | Aaron Vazquez: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-019688 | New member onboarding Next-best-action | Benjamin Webb: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-019689 | New member onboarding Next-best-action | Mateo Cruz: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019690 | New member onboarding Next-best-action | Barbara Kennedy: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019691 | New member onboarding Next-best-action | Lawrence Li: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-019692 | New member onboarding Next-best-action | Philip Harvey: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-019693 | New member onboarding Next-best-action | Samuel Bailey: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-019694 | New member onboarding Next-best-action | Doris Jackson: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019695 | New member onboarding Next-best-action | Debra Weaver: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019696 | New member onboarding Next-best-action | Danielle Banks: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-019697 | New member onboarding Next-best-action | Anna Scott: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-019698 | New member onboarding Next-best-action | Alexis Burke: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-019699 | New member onboarding Next-best-action | Daniel Hansen: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-019700 | New member onboarding Next-best-action | Priya Harvey: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-019701 | New member onboarding Next-best-action | Zachay Palmer: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-019702 | New member onboarding Next-best-action | Sean Howell: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-019703 | New member onboarding Next-best-action | Kyle Vega: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019704 | New member onboarding Next-best-action | Diana Lane: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019705 | New member onboarding Next-best-action | Rebecca Tucker: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-019706 | New member onboarding Next-best-action | Sean Fields: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-019707 | New member onboarding Next-best-action | Samuel Walker: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-019708 | New member onboarding Next-best-action | David Burns: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-019709 | New member onboarding Next-best-action | Linda Berry: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019710 | New member onboarding Next-best-action | David Perry: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019711 | New member onboarding Next-best-action | Diane Aguilar: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-019712 | New member onboarding Next-best-action | Stephen Rose: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-019713 | New member onboarding Next-best-action | Amber Weaver: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-019714 | New member onboarding Next-best-action | Michelle Valdez: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019715 | New member onboarding Next-best-action | Russell Holmes: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-019716 | New member onboarding Next-best-action | Jeesse Hart: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019717 | New member onboarding Next-best-action | Wei Robinson: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-019718 | New member onboarding Next-best-action | Tyler Bryant: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019719 | New member onboarding Next-best-action | Grace Peterson: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019720 | New member onboarding Next-best-action | Noah Harper: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019721 | New member onboarding Next-best-action | Billy Salazar: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019722 | New member onboarding Next-best-action | Ruth Burns: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019723 | New member onboarding Next-best-action | Donna Soto: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-019724 | New member onboarding Next-best-action | Shirley Simpson: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-019725 | New member onboarding Next-best-action | Nicole Spencer: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-019726 | New member onboarding Next-best-action | Adam Knight: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019727 | New member onboarding Next-best-action | Russell Murray: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-019728 | New member onboarding Next-best-action | Sean Guzman: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019729 | New member onboarding Next-best-action | Jeffrey Pena: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019730 | New member onboarding Next-best-action | Camila Beell: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-019731 | New member onboarding Next-best-action | Omar Fields: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019732 | New member onboarding Next-best-action | Virginia Cooper: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019733 | New member onboarding Next-best-action | Camila Hayes: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-019734 | New member onboarding Next-best-action | Alexis Howell: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-019735 | New member onboarding Next-best-action | Stephanie Reed: enrolled 2026-09-12, 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.