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-021136 | New member onboarding Next-best-action | Pamela Ortiz: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021137 | New member onboarding Next-best-action | Gloria Campbell: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021138 | New member onboarding Next-best-action | Sam Duncan: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-021139 | New member onboarding Next-best-action | Emily Rose: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021140 | New member onboarding Next-best-action | Jerry Ortiz: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021141 | New member onboarding Next-best-action | Sophia Garrett: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021142 | New member onboarding Next-best-action | Roy Crawford: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021143 | New member onboarding Next-best-action | Charles Banks: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021144 | New member onboarding Next-best-action | Brittany Dean: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021145 | New member onboarding Next-best-action | Emma Flores: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021146 | New member onboarding Next-best-action | Wei Payne: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021147 | New member onboarding Next-best-action | Amy Olson: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021148 | New member onboarding Next-best-action | Joyce Ray: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021149 | New member onboarding Next-best-action | Olivia Morales: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021150 | New member onboarding Next-best-action | Cheryl Wallace: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021151 | New member onboarding Next-best-action | Karen Hoffman: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021152 | New member onboarding Next-best-action | Gibson Edward: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021153 | New member onboarding Next-best-action | Philip Armstrong: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021154 | New member onboarding Next-best-action | Mateo Yang: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021155 | New member onboarding Next-best-action | Julie Oliver: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021156 | New member onboarding Next-best-action | Albert Fisher: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021157 | New member onboarding Next-best-action | Marilyn Burke: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-021158 | New member onboarding Next-best-action | Mary Griffin: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021159 | New member onboarding Next-best-action | Jacob Hanson: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-021160 | New member onboarding Next-best-action | Fatima Sandoval: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021161 | New member onboarding Next-best-action | Evelyn Estrada: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021162 | New member onboarding Next-best-action | Peters Viictoria: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021163 | New member onboarding Next-best-action | Christian Roberts: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021164 | New member onboarding Next-best-action | Ahmed Johnson: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021165 | New member onboarding Next-best-action | Henry Parker: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021166 | New member onboarding Next-best-action | Gloria Wells: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021167 | New member onboarding Next-best-action | Jennifer Castro: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021168 | New member onboarding Next-best-action | Victoria Elliott: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-021169 | New member onboarding Next-best-action | Jordan Austin: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021170 | New member onboarding Next-best-action | George Rice: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-021171 | New member onboarding Next-best-action | Mark Garrett: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021172 | New member onboarding Next-best-action | Santiago Johnson: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021173 | New member onboarding Next-best-action | Charlotte Dunn: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021174 | New member onboarding Next-best-action | Helen Smth: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021175 | New member onboarding Next-best-action | Carolyn Fullar: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021176 | New member onboarding Next-best-action | Bryan Rice: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021177 | New member onboarding Next-best-action | Nicole Duncan: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021178 | New member onboarding Next-best-action | Dot Morales: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021179 | New member onboarding Next-best-action | Steve Aguilar: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021180 | New member onboarding Next-best-action | Harold Gibson: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021181 | New member onboarding Next-best-action | Kayla Maldondao: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021182 | New member onboarding Next-best-action | Stephanie Munzo: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021183 | New member onboarding Next-best-action | Jack Marquez: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021184 | New member onboarding Next-best-action | Ronald Wright: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021185 | New member onboarding Next-best-action | Deborah Campbell: enrolled 2026-09-28, 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.