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-021436 | New member onboarding Next-best-action | Nancy Wheeler: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021437 | New member onboarding Next-best-action | Timothy Vasquez: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021438 | New member onboarding Next-best-action | Mary Park: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021439 | New member onboarding Next-best-action | Gloria Jimenez: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021440 | New member onboarding Next-best-action | Patrick Padilla: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021441 | New member onboarding Next-best-action | Dylan Warren: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-021442 | New member onboarding Next-best-action | Danielle Ross: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021443 | New member onboarding Next-best-action | Albert Wong: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021444 | New member onboarding Next-best-action | Bobby Harris: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021445 | New member onboarding Next-best-action | Paatrick Harrison: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021446 | New member onboarding Next-best-action | Sarah Cruz: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021447 | New member onboarding Next-best-action | Emily King: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021448 | New member onboarding Next-best-action | Bryan Holmes: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021449 | New member onboarding Next-best-action | Donald Welch: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021450 | New member onboarding Next-best-action | Maria Rivera: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021451 | New member onboarding Next-best-action | Cook Judith: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021452 | New member onboarding Next-best-action | Christina Armsstrong: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021453 | New member onboarding Next-best-action | Chirstina Fisher: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021454 | New member onboarding Next-best-action | Susan Watson: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021455 | New member onboarding Next-best-action | Patrick Wang: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021456 | New member onboarding Next-best-action | Kelly Howard: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021457 | New member onboarding Next-best-action | Gerald Obrien: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021458 | New member onboarding Next-best-action | Aisha Aguilar: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021459 | New member onboarding Next-best-action | Vincent Stevens: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021460 | New member onboarding Next-best-action | Harold Daniels: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021461 | New member onboarding Next-best-action | Jason Scott: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021462 | New member onboarding Next-best-action | Billy Obrien: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021463 | New member onboarding Next-best-action | Justin Adams: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021464 | New member onboarding Next-best-action | Gerald Davis: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021465 | New member onboarding Next-best-action | Jennifer Dixon: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021466 | New member onboarding Next-best-action | Samantha Warren: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-021467 | New member onboarding Next-best-action | Janice Arnold: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021468 | New member onboarding Next-best-action | Walter Schultz: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021469 | New member onboarding Next-best-action | Terry Ellis: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021470 | New member onboarding Next-best-action | Anna Henry: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021471 | New member onboarding Next-best-action | Vincent Martin: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021472 | New member onboarding Next-best-action | Adam Perry: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021473 | New member onboarding Next-best-action | Benjamin Anderson: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021474 | New member onboarding Next-best-action | Joan Hoffman: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021475 | New member onboarding Next-best-action | Anthony Hayes: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021476 | New member onboarding Next-best-action | Evelyn Phillips: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021477 | New member onboarding Next-best-action | Maria Singh: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021478 | New member onboarding Next-best-action | Mei Hill: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021479 | New member onboarding Next-best-action | Helen Tran: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021480 | New member onboarding Next-best-action | Julie Wilson: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021481 | New member onboarding Next-best-action | Amber Burton: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021482 | New member onboarding Next-best-action | Mason Myers: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021483 | New member onboarding Next-best-action | Martha Elliott: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-021484 | New member onboarding Next-best-action | Edwrd Lopez: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021485 | New member onboarding Next-best-action | Alexis Litttle: enrolled 2026-10-04, 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.