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-021086 | New member onboarding Next-best-action | Diane Carter: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021087 | New member onboarding Next-best-action | Omar Wheeler: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021088 | New member onboarding Next-best-action | Jacqueline Hayes: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021089 | New member onboarding Next-best-action | Valentina Bishop: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021090 | New member onboarding Next-best-action | Doris Ryan: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-021091 | New member onboarding Next-best-action | Fatima Vargas: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021092 | New member onboarding Next-best-action | Ethan Hernandez: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021093 | New member onboarding Next-best-action | Wayne Kelly: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021094 | New member onboarding Next-best-action | Roger Fields: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021095 | New member onboarding Next-best-action | Wong Maason: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021096 | New member onboarding Next-best-action | Sue Lane: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021097 | New member onboarding Next-best-action | Diego Larson: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021098 | New member onboarding Next-best-action | Janice Brery: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021099 | New member onboarding Next-best-action | Chritsina James: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021100 | New member onboarding Next-best-action | James Lopez: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021101 | New member onboarding Next-best-action | James Perez: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021102 | New member onboarding Next-best-action | Ethan Ramirez: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021103 | New member onboarding Next-best-action | Arjun Estrada: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021104 | New member onboarding Next-best-action | Pamela Lawrence: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-021105 | New member onboarding Next-best-action | Alan Walker: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021106 | New member onboarding Next-best-action | Arjun Harris: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-021107 | New member onboarding Next-best-action | Joshua Shaw: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021108 | New member onboarding Next-best-action | Albert Jenkins: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021109 | New member onboarding Next-best-action | Jonathan Arnold: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021110 | New member onboarding Next-best-action | Kyle Hill: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021111 | New member onboarding Next-best-action | Bryan Coleman: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021112 | New member onboarding Next-best-action | Evelyn Hunter: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021113 | New member onboarding Next-best-action | Mariana Clark: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021114 | New member onboarding Next-best-action | Denise Adams: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021115 | New member onboarding Next-best-action | Patrick Evaans: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021116 | New member onboarding Next-best-action | Brandon Payne: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021117 | New member onboarding Next-best-action | Ahmed Bailey: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021118 | New member onboarding Next-best-action | Benjamin Mills: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-021119 | New member onboarding Next-best-action | Tim Watkins: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021120 | New member onboarding Next-best-action | Megan Shaw: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021121 | New member onboarding Next-best-action | Christian Singh: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021122 | New member onboarding Next-best-action | Joyce Boyd: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021123 | New member onboarding Next-best-action | Daniel Ellis: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021124 | New member onboarding Next-best-action | Elizabeth Andrews: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021125 | New member onboarding Next-best-action | Mariana Luna: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021126 | New member onboarding Next-best-action | Greg Sanders: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021127 | New member onboarding Next-best-action | Joe Perry: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021128 | New member onboarding Next-best-action | Sam Larson: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021129 | New member onboarding Next-best-action | Dot Gonzales: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021130 | New member onboarding Next-best-action | Gloria Gardner: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021131 | New member onboarding Next-best-action | Theresa Porter: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021132 | New member onboarding Next-best-action | Kayla Rojas: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021133 | New member onboarding Next-best-action | Anthony Miller: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021134 | New member onboarding Next-best-action | Jon Alvarado: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021135 | New member onboarding Next-best-action | Walter Andrews: enrolled 2026-09-25, 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.