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-021336 | New member onboarding Next-best-action | Judy Reid: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021337 | New member onboarding Next-best-action | Elijah Yang: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021338 | New member onboarding Next-best-action | Kimberly Medina: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021339 | New member onboarding Next-best-action | Marilyn Salazar: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021340 | New member onboarding Next-best-action | Peter Robinson: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021341 | New member onboarding Next-best-action | Brandon Martin: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021342 | New member onboarding Next-best-action | Angela Clark: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021343 | New member onboarding Next-best-action | Karen Brooks: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021344 | New member onboarding Next-best-action | Valentina Burton: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-021345 | New member onboarding Next-best-action | Megan Berry: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021346 | New member onboarding Next-best-action | Ommar Larson: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021347 | New member onboarding Next-best-action | Dennis Stewart: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021348 | New member onboarding Next-best-action | Charlotte Bowman: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-021349 | New member onboarding Next-best-action | Martha Romero: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021350 | New member onboarding Next-best-action | Carlos Hudson: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021351 | New member onboarding Next-best-action | Theresa Ramos: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021352 | New member onboarding Next-best-action | Alexis West: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-021353 | New member onboarding Next-best-action | Melissa Welch: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021354 | New member onboarding Next-best-action | William Vega: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021355 | New member onboarding Next-best-action | Paul Luna: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021356 | New member onboarding Next-best-action | Gabriel Lawson: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021357 | New member onboarding Next-best-action | Nancy Harper: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021358 | New member onboarding Next-best-action | Linda Ellis: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021359 | New member onboarding Next-best-action | Brandon Ryan: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021360 | New member onboarding Next-best-action | Teresa Schmidt: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021361 | New member onboarding Next-best-action | Carl Guzman: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021362 | New member onboarding Next-best-action | Anthony Nunze: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021363 | New member onboarding Next-best-action | Diego Richards: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021364 | New member onboarding Next-best-action | Ronald Parker: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021365 | New member onboarding Next-best-action | Patrick Hunter: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021366 | New member onboarding Next-best-action | Abby Owens: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021367 | New member onboarding Next-best-action | Janet Kim: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021368 | New member onboarding Next-best-action | Philip Cook: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021369 | New member onboarding Next-best-action | Herrera Charles: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021370 | New member onboarding Next-best-action | Nathan Dean: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021371 | New member onboarding Next-best-action | Natalie Rivera: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021372 | New member onboarding Next-best-action | Janet Johnson: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021373 | New member onboarding Next-best-action | Benjamin Delgado: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021374 | New member onboarding Next-best-action | Camila Taylor: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021375 | New member onboarding Next-best-action | Jason Mejia: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021376 | New member onboarding Next-best-action | Teresa Simpson: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021377 | New member onboarding Next-best-action | Dylan Davis: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021378 | New member onboarding Next-best-action | Lori Tucker: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021379 | New member onboarding Next-best-action | Tony Gilbert: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021380 | New member onboarding Next-best-action | Albert Sanders: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021381 | New member onboarding Next-best-action | Virginia Hall: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021382 | New member onboarding Next-best-action | Roger Wallace: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021383 | New member onboarding Next-best-action | Roger Castillo: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021384 | New member onboarding Next-best-action | Pamela Gordon: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021385 | New member onboarding Next-best-action | Valentina Green: enrolled 2026-10-01, 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.