Action	Type	Title	Detail	Linked to	Status	Executed
ACT-019521	Care coordination outreach Next-best-action	Rebecca Austin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-034784	Proposed	—
ACT-019522	Care coordination outreach Next-best-action	Ralph Bell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-034841	Proposed	—
ACT-019523	Care coordination outreach Next-best-action	Aaron Knight: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-034939	Proposed	—
ACT-019524	Care coordination outreach Next-best-action	Janet Harris: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-034963	Proposed	—
ACT-019525	Care coordination outreach Next-best-action	Diane Lewis: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-034970	Proposed	—
ACT-019526	Care coordination outreach Next-best-action	Juan Williams: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035022	Proposed	—
ACT-019527	Care coordination outreach Next-best-action	Sara Welch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035026	Proposed	—
ACT-019528	Care coordination outreach Next-best-action	Priya Griffin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035036	Proposed	—
ACT-019529	Care coordination outreach Next-best-action	Liz Robinson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035134	Proposed	—
ACT-019530	Care coordination outreach Next-best-action	Carlos Young: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035139	Proposed	—
ACT-019531	Care coordination outreach Next-best-action	Noah Torres: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035408	Proposed	—
ACT-019532	Care coordination outreach Next-best-action	Katherine Bryant: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035448	Proposed	—
ACT-019533	Care coordination outreach Next-best-action	Mary Flores: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035459	Proposed	—
ACT-019534	Care coordination outreach Next-best-action	Bradley Santiago: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035531	Proposed	—
ACT-019535	Care coordination outreach Next-best-action	Victoria Franklin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035547	Proposed	—
ACT-019536	Care coordination outreach Next-best-action	Vincent Hayes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035758	Proposed	—
ACT-019537	Care coordination outreach Next-best-action	Andrea Carlson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035946	Proposed	—
ACT-019538	Care coordination outreach Next-best-action	Barbara Garza: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-036006	Proposed	—
ACT-019539	Care coordination outreach Next-best-action	Jose Reyes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-036095	Proposed	—
ACT-019540	Care coordination outreach Next-best-action	Nicholas Clark: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-036184	Proposed	—
ACT-019541	Care coordination outreach Next-best-action	Douglas Harris: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-036271	Proposed	—
ACT-019542	Care coordination outreach Next-best-action	Mei Hudson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-036338	Proposed	—
ACT-019543	Care coordination outreach Next-best-action	Santiago Martinez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-036384	Proposed	—
ACT-019544	Care coordination outreach Next-best-action	Gary Thompson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-036507	Proposed	—
ACT-019545	Care coordination outreach Next-best-action	Andrew Davis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-036518	Proposed	—
ACT-019546	Care coordination outreach Next-best-action	Nicole Hughes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-036719	Proposed	—
ACT-019547	Care coordination outreach Next-best-action	Samantha Fowler: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-036723	Proposed	—
ACT-019548	Care coordination outreach Next-best-action	Steven Carroll: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-036751	Proposed	—
ACT-019549	Care coordination outreach Next-best-action	Kayla Gardner: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-036775	Proposed	—
ACT-019550	Care coordination outreach Next-best-action	Sara Hawkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-036919	Proposed	—
ACT-019551	Care coordination outreach Next-best-action	Jessica Elllis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-036920	Proposed	—
ACT-019552	Care coordination outreach Next-best-action	Wayne Santiago: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-036942	Proposed	—
ACT-019553	Care coordination outreach Next-best-action	Thomas Chavez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-037050	Proposed	—
ACT-019554	Care coordination outreach Next-best-action	Anthony Ross: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-037090	Proposed	—
ACT-019555	Care coordination outreach Next-best-action	Kathleen Fisher: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-037361	Proposed	—
ACT-019556	Care coordination outreach Next-best-action	Ahmed Le: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-037372	Proposed	—
ACT-019557	Care coordination outreach Next-best-action	Kevin Cunningham: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-037379	Proposed	—
ACT-019558	Care coordination outreach Next-best-action	Heather Welch: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-037423	Proposed	—
ACT-019559	Care coordination outreach Next-best-action	Elijah Bishop: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-037465	Proposed	—
ACT-019560	Care coordination outreach Next-best-action	Kevin Mejia: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-037558	Proposed	—
ACT-019561	Care coordination outreach Next-best-action	Amber Contreras: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-037778	Proposed	—
ACT-019562	Care coordination outreach Next-best-action	Jeffrey Fernandez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-037903	Proposed	—
ACT-019563	Care coordination outreach Next-best-action	Henry Ross: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-037949	Proposed	—
ACT-019564	Care coordination outreach Next-best-action	Jacqueline Fowler: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-037989	Proposed	—
ACT-019565	Care coordination outreach Next-best-action	Marcus Munoz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-038227	Proposed	—
ACT-019566	Care coordination outreach Next-best-action	Camila Ortiz: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-038267	Proposed	—
ACT-019567	Care coordination outreach Next-best-action	Amber Walker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-038473	Proposed	—
ACT-019568	Care coordination outreach Next-best-action	Amber Delgado: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-038706	Proposed	—
ACT-019569	Care coordination outreach Next-best-action	Keith Silva: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-038893	Proposed	—
ACT-019570	Care coordination outreach Next-best-action	Bruce Watson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-038986	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.