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-021286 | New member onboarding Next-best-action | Brittany Dunn: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021287 | New member onboarding Next-best-action | John Espinoza: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021288 | New member onboarding Next-best-action | Kimberly Evans: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021289 | New member onboarding Next-best-action | Gary Fisher: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021290 | New member onboarding Next-best-action | Angela Elliott: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021291 | New member onboarding Next-best-action | Sean Grant: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021292 | New member onboarding Next-best-action | Bryan Miller: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021293 | New member onboarding Next-best-action | Shirley Spencer: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021294 | New member onboarding Next-best-action | Victoria Scot: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021295 | New member onboarding Next-best-action | Beverly Henry: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021296 | New member onboarding Next-best-action | Anthony Kig: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021297 | New member onboarding Next-best-action | Ryn Thomas: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021298 | New member onboarding Next-best-action | Benjamin Gomez: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021299 | New member onboarding Next-best-action | Frank Rodriguez: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021300 | New member onboarding Next-best-action | Peters Kevin: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021301 | New member onboarding Next-best-action | Virginia Wheeler: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021302 | New member onboarding Next-best-action | Doris McCoy: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-021303 | New member onboarding Next-best-action | Adam Bowman: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021304 | New member onboarding Next-best-action | Alexander Harvey: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021305 | New member onboarding Next-best-action | Lucia Mitchell: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021306 | New member onboarding Next-best-action | Ralph Montgomery: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021307 | New member onboarding Next-best-action | Jean Brooks: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021308 | New member onboarding Next-best-action | Joe Hudson: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021309 | New member onboarding Next-best-action | Owens Joe: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021310 | New member onboarding Next-best-action | Ralph Wagner: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021311 | New member onboarding Next-best-action | Michelle Wang: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021312 | New member onboarding Next-best-action | Edward Wallace: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021313 | New member onboarding Next-best-action | Jennifer Reyes: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021314 | New member onboarding Next-best-action | Theresa Collins: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021315 | New member onboarding Next-best-action | Scott Reyes: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021316 | New member onboarding Next-best-action | Omar Watkins: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021317 | New member onboarding Next-best-action | Kathleen Ortiz: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021318 | New member onboarding Next-best-action | Sullivan Mariana: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021319 | New member onboarding Next-best-action | Shirley Obriien: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021320 | New member onboarding Next-best-action | Noah Bryant: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021321 | New member onboarding Next-best-action | Julia Alexander: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021322 | New member onboarding Next-best-action | Shirley Ray: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021323 | New member onboarding Next-best-action | Jennifer Bishop: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021324 | New member onboarding Next-best-action | Keith Bailey: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021325 | New member onboarding Next-best-action | Larry Bryant: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021326 | New member onboarding Next-best-action | Alexander Bennett: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021327 | New member onboarding Next-best-action | Evelyn Willis: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021328 | New member onboarding Next-best-action | Maria Jordna: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021329 | New member onboarding Next-best-action | Sean Cooper: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021330 | New member onboarding Next-best-action | Matthew Martin: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021331 | New member onboarding Next-best-action | Marilyn Parker: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021332 | New member onboarding Next-best-action | Janet Sullivan: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021333 | New member onboarding Next-best-action | Deborah Medina: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021334 | New member onboarding Next-best-action | Ronald Traan: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021335 | New member onboarding Next-best-action | Judy Lawrence: 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.