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-021386 | New member onboarding Next-best-action | Grace Robinson: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021387 | New member onboarding Next-best-action | Maria Reynolds: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021388 | New member onboarding Next-best-action | Elizabeth Mitchell: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021389 | New member onboarding Next-best-action | Karen Webb: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021390 | New member onboarding Next-best-action | Diego Willis: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021391 | New member onboarding Next-best-action | Matthew Banks: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021392 | New member onboarding Next-best-action | Katherine Burns: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021393 | New member onboarding Next-best-action | Roy Carroll: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021394 | New member onboarding Next-best-action | Kelly Dixon: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021395 | New member onboarding Next-best-action | Juan Collins: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021396 | New member onboarding Next-best-action | Teresa Jacobs: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021397 | New member onboarding Next-best-action | Jeremy Fisher: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021398 | New member onboarding Next-best-action | Anthony Martin: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021399 | New member onboarding Next-best-action | Sussan Ford: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021400 | New member onboarding Next-best-action | Joe Bowan: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021401 | New member onboarding Next-best-action | Madyson Jensen: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021402 | New member onboarding Next-best-action | Katherine McDonald: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021403 | New member onboarding Next-best-action | Michael Aguilar: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021404 | New member onboarding Next-best-action | Heather Alvarado: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021405 | New member onboarding Next-best-action | Kathleen Scott: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021406 | New member onboarding Next-best-action | Jacqueline Mejia: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021407 | New member onboarding Next-best-action | Dennis Woods: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021408 | New member onboarding Next-best-action | Catherine Knight: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021409 | New member onboarding Next-best-action | Vincent Roberts: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021410 | New member onboarding Next-best-action | Debra Burke: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021411 | New member onboarding Next-best-action | Linda Lawrence: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021412 | New member onboarding Next-best-action | Daniel Watkins: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021413 | New member onboarding Next-best-action | Andrew Den: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021414 | New member onboarding Next-best-action | Aisha Perkins: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021415 | New member onboarding Next-best-action | Nicole Rojas: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-021416 | New member onboarding Next-best-action | Nicole Garrett: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021417 | New member onboarding Next-best-action | Dorothy Graham: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021418 | New member onboarding Next-best-action | Mason Thomas: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021419 | New member onboarding Next-best-action | Keith Boyd: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021420 | New member onboarding Next-best-action | Emma Hunt: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021421 | New member onboarding Next-best-action | Amy Matthews: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021422 | New member onboarding Next-best-action | Jason Banks: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021423 | New member onboarding Next-best-action | Christina Garza: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021424 | New member onboarding Next-best-action | Mateo Chen: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021425 | New member onboarding Next-best-action | Mei Garza: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021426 | New member onboarding Next-best-action | Charles Watson: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021427 | New member onboarding Next-best-action | Carlos Pierce: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021428 | New member onboarding Next-best-action | Dennis Lopez: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021429 | New member onboarding Next-best-action | Richard Carpenter: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021430 | New member onboarding Next-best-action | Matthew Franklin: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021431 | New member onboarding Next-best-action | Terry Tucker: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021432 | New member onboarding Next-best-action | Kathy Duncan: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021433 | New member onboarding Next-best-action | Bobby Nunez: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-021434 | New member onboarding Next-best-action | Natalie Mason: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-021435 | New member onboarding Next-best-action | Grace Burns: enrolled 2026-09-22, 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.