Action	Type	Title	Detail	Linked to	Status	Executed
ACT-019321	Care coordination outreach Next-best-action	Wei Willis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026117	Proposed	—
ACT-019322	Care coordination outreach Next-best-action	Fatima Carlson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026199	Proposed	—
ACT-019323	Care coordination outreach Next-best-action	Martha Romero: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026232	Proposed	—
ACT-019324	Care coordination outreach Next-best-action	Betty Stephens: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026253	Proposed	—
ACT-019325	Care coordination outreach Next-best-action	Ruth Dunn: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-026258	Proposed	—
ACT-019326	Care coordination outreach Next-best-action	Yuki Park: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026286	Proposed	—
ACT-019327	Care coordination outreach Next-best-action	Stephen Carter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026324	Proposed	—
ACT-019328	Care coordination outreach Next-best-action	Amy Rice: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026347	Proposed	—
ACT-019329	Care coordination outreach Next-best-action	Keith Ramirez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026354	Proposed	—
ACT-019330	Care coordination outreach Next-best-action	Dylan Burns: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026363	Proposed	—
ACT-019331	Care coordination outreach Next-best-action	Douglas Harris: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026377	Proposed	—
ACT-019332	Care coordination outreach Next-best-action	Kathleen Graham: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-026388	Proposed	—
ACT-019333	Care coordination outreach Next-best-action	Sean Sean: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026455	Proposed	—
ACT-019334	Care coordination outreach Next-best-action	James Wilson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026460	Proposed	—
ACT-019335	Care coordination outreach Next-best-action	Katherine Bell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026521	Proposed	—
ACT-019336	Care coordination outreach Next-best-action	William Kim: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026527	Proposed	—
ACT-019337	Care coordination outreach Next-best-action	Joe Thomas: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026554	Proposed	—
ACT-019338	Care coordination outreach Next-best-action	Denise Williams: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026559	Proposed	—
ACT-019339	Care coordination outreach Next-best-action	Aisha Long: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026565	Proposed	—
ACT-019340	Care coordination outreach Next-best-action	Alexis Gonzalez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026576	Proposed	—
ACT-019341	Care coordination outreach Next-best-action	Ahmed Vega: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026655	Proposed	—
ACT-019342	Care coordination outreach Next-best-action	Abigail Lawrence: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026744	Proposed	—
ACT-019343	Care coordination outreach Next-best-action	Noah Burton: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026770	Proposed	—
ACT-019344	Care coordination outreach Next-best-action	Carol Davis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026802	Proposed	—
ACT-019345	Care coordination outreach Next-best-action	Joan Medina: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026812	Proposed	—
ACT-019346	Care coordination outreach Next-best-action	Noah West: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026836	Proposed	—
ACT-019347	Care coordination outreach Next-best-action	Joseph Contreras: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026915	Proposed	—
ACT-019348	Care coordination outreach Next-best-action	Noah Welch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026939	Proposed	—
ACT-019349	Care coordination outreach Next-best-action	Joshua Payne: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-026952	Proposed	—
ACT-019350	Care coordination outreach Next-best-action	Natalie Chavez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026955	Proposed	—
ACT-019351	Care coordination outreach Next-best-action	Thomas Welch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026980	Proposed	—
ACT-019352	Care coordination outreach Next-best-action	Willie Chavez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-027005	Proposed	—
ACT-019353	Care coordination outreach Next-best-action	Emily Martin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027030	Proposed	—
ACT-019354	Care coordination outreach Next-best-action	Bruce Vega: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027039	Proposed	—
ACT-019355	Care coordination outreach Next-best-action	Madison Lawson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027050	Proposed	—
ACT-019356	Care coordination outreach Next-best-action	Doris Rogers: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027057	Proposed	—
ACT-019357	Care coordination outreach Next-best-action	Camila Jensen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027078	Proposed	—
ACT-019358	Care coordination outreach Next-best-action	Thomas Kelly: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027083	Proposed	—
ACT-019359	Care coordination outreach Next-best-action	Susan Vazquez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-027115	Proposed	—
ACT-019360	Care coordination outreach Next-best-action	Kyle Rogers: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027165	Proposed	—
ACT-019361	Care coordination outreach Next-best-action	Ralph Mejia: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-027172	Proposed	—
ACT-019362	Care coordination outreach Next-best-action	Jacqueline Mendoza: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-027188	Proposed	—
ACT-019363	Care coordination outreach Next-best-action	Cheryl Bryant: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027193	Proposed	—
ACT-019364	Care coordination outreach Next-best-action	Wayne Roberts: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027235	Proposed	—
ACT-019365	Care coordination outreach Next-best-action	Arjun Larson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-027261	Proposed	—
ACT-019366	Care coordination outreach Next-best-action	Brian Roberts: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027269	Proposed	—
ACT-019367	Care coordination outreach Next-best-action	Rebecca Payne: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-027275	Proposed	—
ACT-019368	Care coordination outreach Next-best-action	Shirley Hunt: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027339	Proposed	—
ACT-019369	Care coordination outreach Next-best-action	Bradley Rice: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027357	Proposed	—
ACT-019370	Care coordination outreach Next-best-action	Beverly Clark: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027358	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.