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-019736 | New member onboarding Next-best-action | Priya Burke: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-019737 | New member onboarding Next-best-action | Omar Daniels: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-019738 | New member onboarding Next-best-action | Anna Gordon: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019739 | New member onboarding Next-best-action | Charlie Warren: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-019740 | New member onboarding Next-best-action | Amanda Riley: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-019741 | New member onboarding Next-best-action | Dorothy Hanson: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-019742 | New member onboarding Next-best-action | Fatima Payne: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019743 | New member onboarding Next-best-action | Kevin Hill: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019744 | New member onboarding Next-best-action | Carl Peterson: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019745 | New member onboarding Next-best-action | Frank Wilson: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019746 | New member onboarding Next-best-action | Nicholas Mendez: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019747 | New member onboarding Next-best-action | Nicholas Martin: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-019748 | New member onboarding Next-best-action | Carl Elliott: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-019749 | New member onboarding Next-best-action | Dorothy Mason: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019750 | New member onboarding Next-best-action | Bryan Estrada: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-019751 | New member onboarding Next-best-action | Steven Banks: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-019752 | New member onboarding Next-best-action | Harold Watkins: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-019753 | New member onboarding Next-best-action | Diane Clark: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019754 | New member onboarding Next-best-action | Ruth Grant: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019755 | New member onboarding Next-best-action | Ruth Chapman: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-019756 | New member onboarding Next-best-action | Lisa Stewart: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-019757 | New member onboarding Next-best-action | Mary Marquez: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019758 | New member onboarding Next-best-action | David Sullivan: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019759 | New member onboarding Next-best-action | Randy Sandoval: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-019760 | New member onboarding Next-best-action | Gabriel Snyder: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019761 | New member onboarding Next-best-action | John Bryant: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-019762 | New member onboarding Next-best-action | Diane James: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-019763 | New member onboarding Next-best-action | Amy Palmer: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-019764 | New member onboarding Next-best-action | Madison Martinez: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-019765 | New member onboarding Next-best-action | Beverly Robinson: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-019766 | New member onboarding Next-best-action | Camila Murphy: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-019767 | New member onboarding Next-best-action | Gloria Bryant: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-019768 | New member onboarding Next-best-action | Julia Long: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-019769 | New member onboarding Next-best-action | Jeremy Stevens: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-019770 | New member onboarding Next-best-action | Kayla Wheeler: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-019771 | New member onboarding Next-best-action | Michael White: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019772 | New member onboarding Next-best-action | Marilyn Aguilar: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-019773 | New member onboarding Next-best-action | Juan Owens: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-019774 | New member onboarding Next-best-action | Cheryl Oliver: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019775 | New member onboarding Next-best-action | Peter Sims: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-019776 | New member onboarding Next-best-action | David Murray: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-019777 | New member onboarding Next-best-action | Natlaie Dunn: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-019778 | New member onboarding Next-best-action | Christine Richardson: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-019779 | New member onboarding Next-best-action | Sharon Williamson: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-019780 | New member onboarding Next-best-action | Jeremy Carpenter: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-019781 | New member onboarding Next-best-action | Amber Moreno: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019782 | New member onboarding Next-best-action | Angela Chapmn: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-019783 | New member onboarding Next-best-action | Helen Ross: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-019784 | New member onboarding Next-best-action | Willie Holmes: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019785 | New member onboarding Next-best-action | Ruth Wheeler: enrolled 2026-09-14, 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.