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-021036 | New member onboarding Next-best-action | Teresa Cole: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021037 | New member onboarding Next-best-action | Scott Powell: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021038 | New member onboarding Next-best-action | Paul Bennett: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021039 | New member onboarding Next-best-action | Cynthia Sandoval: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021040 | New member onboarding Next-best-action | Terry Arnold: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021041 | New member onboarding Next-best-action | Luis Kennedy: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021042 | New member onboarding Next-best-action | Willie Nichols: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021043 | New member onboarding Next-best-action | Carl Allen: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021044 | New member onboarding Next-best-action | Ronald Li: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021045 | New member onboarding Next-best-action | Helen Cox: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021046 | New member onboarding Next-best-action | Mateo Aguilar: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-021047 | New member onboarding Next-best-action | Alexander Ortega: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021048 | New member onboarding Next-best-action | Bruce Knight: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021049 | New member onboarding Next-best-action | Steve Weaver: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021050 | New member onboarding Next-best-action | Dorothy Kennedy: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021051 | New member onboarding Next-best-action | Diana Obrien: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021052 | New member onboarding Next-best-action | Jsaon Hoffman: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021053 | New member onboarding Next-best-action | Janet Adams: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021054 | New member onboarding Next-best-action | Pamela Mills: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021055 | New member onboarding Next-best-action | Ray Guerrero: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021056 | New member onboarding Next-best-action | Yuki Cox: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021057 | New member onboarding Next-best-action | Deborah Pyane: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021058 | New member onboarding Next-best-action | Austin Duncan: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021059 | New member onboarding Next-best-action | Susan Stewat: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021060 | New member onboarding Next-best-action | Alan Hansen: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021061 | New member onboarding Next-best-action | Juan Taylor: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021062 | New member onboarding Next-best-action | Judy West: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021063 | New member onboarding Next-best-action | Linda Stewart: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021064 | New member onboarding Next-best-action | Jesse Crawford: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021065 | New member onboarding Next-best-action | Thomas Young: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021066 | New member onboarding Next-best-action | Adam Guerrero: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021067 | New member onboarding Next-best-action | Richard Berry: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-021068 | New member onboarding Next-best-action | Amed Garcia: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021069 | New member onboarding Next-best-action | Logan Marquez: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021070 | New member onboarding Next-best-action | Nicole Watson: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021071 | New member onboarding Next-best-action | Elijah Chavez: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-021072 | New member onboarding Next-best-action | Carl Carpenter: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021073 | New member onboarding Next-best-action | Hill Mary: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021074 | New member onboarding Next-best-action | Donna Powell: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021075 | New member onboarding Next-best-action | Simpson Aisha: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-021076 | New member onboarding Next-best-action | Elizabeth Foster: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021077 | New member onboarding Next-best-action | Mracus Olson: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021078 | New member onboarding Next-best-action | Alice Carter: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-021079 | New member onboarding Next-best-action | Joyce Rios: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021080 | New member onboarding Next-best-action | Santiago Oliver: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021081 | New member onboarding Next-best-action | Valentina Owens: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-021082 | New member onboarding Next-best-action | Brittany Patterson: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021083 | New member onboarding Next-best-action | Jessica Andrews: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-021084 | New member onboarding Next-best-action | Raymond Contreras: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021085 | New member onboarding Next-best-action | Vicky Fields: enrolled 2026-10-18, 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.