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-021236 | New member onboarding Next-best-action | Doirs Nichols: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-021237 | New member onboarding Next-best-action | Carlos Mendoza: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021238 | New member onboarding Next-best-action | Rachel Hanson: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-021239 | New member onboarding Next-best-action | Santiago Espinoza: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-021240 | New member onboarding Next-best-action | Gabriel Robinson: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021241 | New member onboarding Next-best-action | Melissa Ross: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021242 | New member onboarding Next-best-action | John Warren: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021243 | New member onboarding Next-best-action | Christine Schmidt: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021244 | New member onboarding Next-best-action | Marilyn Jimenez: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021245 | New member onboarding Next-best-action | Susan Long: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021246 | New member onboarding Next-best-action | Jeremy Sims: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021247 | New member onboarding Next-best-action | Evelyn Weber: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021248 | New member onboarding Next-best-action | Arjun Cox: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021249 | New member onboarding Next-best-action | Teresa Anderson: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021250 | New member onboarding Next-best-action | Diana Crawford: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-021251 | New member onboarding Next-best-action | Peter Hamilton: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021252 | New member onboarding Next-best-action | Andrea Kelly: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021253 | New member onboarding Next-best-action | Carolyn Dominguez: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021254 | New member onboarding Next-best-action | Aaron Moreno: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021255 | New member onboarding Next-best-action | Sara Torres: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021256 | New member onboarding Next-best-action | Jesse Cox: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021257 | New member onboarding Next-best-action | Santiago Cole: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021258 | New member onboarding Next-best-action | Virginia Ferguson: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021259 | New member onboarding Next-best-action | Bruce Carroll: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-021260 | New member onboarding Next-best-action | Kathryn Jimenez: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021261 | New member onboarding Next-best-action | Brittany Powell: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021262 | New member onboarding Next-best-action | Joseph Meyer: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021263 | New member onboarding Next-best-action | Eric Jacobs: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021264 | New member onboarding Next-best-action | Julia Maldonado: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021265 | New member onboarding Next-best-action | Paul Lucas: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021266 | New member onboarding Next-best-action | Mateo Contreras: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021267 | New member onboarding Next-best-action | Steven Fox: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021268 | New member onboarding Next-best-action | Virginia Rose: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021269 | New member onboarding Next-best-action | Noah Herrera: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021270 | New member onboarding Next-best-action | Edward George: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021271 | New member onboarding Next-best-action | Julia Snyder: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021272 | New member onboarding Next-best-action | Lauren Diaz: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021273 | New member onboarding Next-best-action | Ruth Park: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021274 | New member onboarding Next-best-action | Virginia Hll: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021275 | New member onboarding Next-best-action | Susan Berry: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021276 | New member onboarding Next-best-action | Danielle Hayes: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021277 | New member onboarding Next-best-action | Susan Sims: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-021278 | New member onboarding Next-best-action | Laura Cunningham: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021279 | New member onboarding Next-best-action | Lisa Park: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-021280 | New member onboarding Next-best-action | Santiago Edwards: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021281 | New member onboarding Next-best-action | Walter Snyder: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021282 | New member onboarding Next-best-action | Jesse Williams: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021283 | New member onboarding Next-best-action | Abigail Gonzales: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021284 | New member onboarding Next-best-action | Hannah Lopez: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021285 | New member onboarding Next-best-action | Kelly Richardson: enrolled 2026-09-23, 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.