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-021186 | New member onboarding Next-best-action | Omar Johnson: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021187 | New member onboarding Next-best-action | Mei Weber: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021188 | New member onboarding Next-best-action | Benjamin Smith: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021189 | New member onboarding Next-best-action | Marc Wagner: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021190 | New member onboarding Next-best-action | Terry Little: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021191 | New member onboarding Next-best-action | Arthur Wagner: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021192 | New member onboarding Next-best-action | Olivia Maldonado: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021193 | New member onboarding Next-best-action | Carolyn Clark: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021194 | New member onboarding Next-best-action | Raymond Guerrero: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021195 | New member onboarding Next-best-action | Logan Burns: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021196 | New member onboarding Next-best-action | Melissa West: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-021197 | New member onboarding Next-best-action | Denny Morgan: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021198 | New member onboarding Next-best-action | Robert Silva: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021199 | New member onboarding Next-best-action | Isabella Simmons: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021200 | New member onboarding Next-best-action | Danieelle Mendez: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021201 | New member onboarding Next-best-action | Gabriel Long: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021202 | New member onboarding Next-best-action | Gabriel Tran: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021203 | New member onboarding Next-best-action | Lucia Ramirez: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021204 | New member onboarding Next-best-action | Katherine King: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-021205 | New member onboarding Next-best-action | Michael Martinez: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021206 | New member onboarding Next-best-action | Zachary Martin: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021207 | New member onboarding Next-best-action | Christopher Palmer: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021208 | New member onboarding Next-best-action | Anna Sanchez: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021209 | New member onboarding Next-best-action | Terry Austin: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021210 | New member onboarding Next-best-action | Jacqueline Mills: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021211 | New member onboarding Next-best-action | Carol Morrison: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021212 | New member onboarding Next-best-action | Nicholas Daniels: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021213 | New member onboarding Next-best-action | Hart Emily: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021214 | New member onboarding Next-best-action | Josseph Nguyen: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021215 | New member onboarding Next-best-action | Juan Medina: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021216 | New member onboarding Next-best-action | Jacob Foster: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021217 | New member onboarding Next-best-action | Ryan Davis: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021218 | New member onboarding Next-best-action | Bruce Chavez: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021219 | New member onboarding Next-best-action | Emily Smith: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021220 | New member onboarding Next-best-action | Jessica Wagner: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021221 | New member onboarding Next-best-action | Lawrence Fisher: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021222 | New member onboarding Next-best-action | Gabriel Peterson: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021223 | New member onboarding Next-best-action | Emily Howell: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021224 | New member onboarding Next-best-action | Thomas Chen: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021225 | New member onboarding Next-best-action | Janice Stone: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021226 | New member onboarding Next-best-action | Martha Hamilton: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021227 | New member onboarding Next-best-action | Randy Garrett: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021228 | New member onboarding Next-best-action | Kenneth Valdez: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021229 | New member onboarding Next-best-action | Nancy Santiago: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021230 | New member onboarding Next-best-action | Hannah Little: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021231 | New member onboarding Next-best-action | Donna Hughes: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021232 | New member onboarding Next-best-action | Teresa Hawkins: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021233 | New member onboarding Next-best-action | Billly Hall: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021234 | New member onboarding Next-best-action | Lisa Robinson: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021235 | New member onboarding Next-best-action | Beverly Silva: enrolled 2026-09-17, 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.