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-021486 | New member onboarding Next-best-action | Lawrencce Andrews: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021487 | New member onboarding Next-best-action | Harold Richardson: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021488 | New member onboarding Next-best-action | Jerry Rosss: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021489 | New member onboarding Next-best-action | Sophia Pena: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021490 | New member onboarding Next-best-action | Arthur Reed: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021491 | New member onboarding Next-best-action | Matthew Ferandez: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021492 | New member onboarding Next-best-action | Brandon Ward: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021493 | New member onboarding Next-best-action | Sean Ford: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021494 | New member onboarding Next-best-action | Samantha Freeman: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021495 | New member onboarding Next-best-action | Sharon Chen: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021496 | New member onboarding Next-best-action | Santiago Jimenez: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021497 | New member onboarding Next-best-action | Harold Rios: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021498 | New member onboarding Next-best-action | Patricia Pena: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021499 | New member onboarding Next-best-action | Emma Carroll: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021500 | New member onboarding Next-best-action | Philip Butler: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021501 | New member onboarding Next-best-action | Christina Hunter: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021502 | New member onboarding Next-best-action | Sofia Perez: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021503 | New member onboarding Next-best-action | Betty Rmirez: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021504 | New member onboarding Next-best-action | Joe Graham: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021505 | New member onboarding Next-best-action | Douglas George: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021506 | New member onboarding Next-best-action | Mason Garrett: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021507 | New member onboarding Next-best-action | Diego Ramos: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021508 | New member onboarding Next-best-action | Bobby Scott: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021509 | New member onboarding Next-best-action | Helen Jackson: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021510 | New member onboarding Next-best-action | Beverly Cooper: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021511 | New member onboarding Next-best-action | Amy James: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-021512 | New member onboarding Next-best-action | Charles Wagner: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021513 | New member onboarding Next-best-action | Jacob Kennedy: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021514 | New member onboarding Next-best-action | Camila Coleman: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021515 | New member onboarding Next-best-action | Jakke Harvey: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021516 | New member onboarding Next-best-action | Rachel Pierce: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021517 | New member onboarding Next-best-action | Austni Lucas: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021518 | New member onboarding Next-best-action | Timothy Daniels: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021519 | New member onboarding Next-best-action | Christian Kelley: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021520 | New member onboarding Next-best-action | Ana Welch: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021521 | New member onboarding Next-best-action | Sentiago Thompson: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021522 | New member onboarding Next-best-action | Kyle Allen: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021523 | New member onboarding Next-best-action | Eugene Stewart: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021524 | New member onboarding Next-best-action | Billy James: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021525 | New member onboarding Next-best-action | Diego Sanchez: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021526 | New member onboarding Next-best-action | Lucia Franklin: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021527 | New member onboarding Next-best-action | Grace Ortiz: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-021528 | New member onboarding Next-best-action | Rachel Guerrero: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021529 | New member onboarding Next-best-action | Christine Ford: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021530 | New member onboarding Next-best-action | Kelly Chavez: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-021531 | New member onboarding Next-best-action | Willie Austin: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021532 | New member onboarding Next-best-action | Joyce Lee: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021533 | New member onboarding Next-best-action | Keith Soto: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021534 | New member onboarding Next-best-action | Laura Bell: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021535 | New member onboarding Next-best-action | Anthony Sandoval: enrolled 2026-09-27, 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.