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-021536 | New member onboarding Next-best-action | Alan Fox: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021537 | New member onboarding Next-best-action | Kevin Guerrero: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021538 | New member onboarding Next-best-action | Frank Richards: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021539 | New member onboarding Next-best-action | Mark Castillo: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021540 | New member onboarding Next-best-action | Kathleen Martinez: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021541 | New member onboarding Next-best-action | Alexander Olson: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021542 | New member onboarding Next-best-action | Shirley Trn: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021543 | New member onboarding Next-best-action | Eric Martin: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-021544 | New member onboarding Next-best-action | Patricia Stephens: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021545 | New member onboarding Next-best-action | Jerry Gibson: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021546 | New member onboarding Next-best-action | Isabella Perkins: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021547 | New member onboarding Next-best-action | Naoh Moore: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021548 | New member onboarding Next-best-action | Kelly Allen: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021549 | New member onboarding Next-best-action | Richard Moreno: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021550 | New member onboarding Next-best-action | Hannah Vega: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021551 | New member onboarding Next-best-action | Carolyn Peters: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021552 | New member onboarding Next-best-action | Keith McDonald: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021553 | New member onboarding Next-best-action | Alice Fostr: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021554 | New member onboarding Next-best-action | Dorothy Vasquez: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021555 | New member onboarding Next-best-action | Linda Torres: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021556 | New member onboarding Next-best-action | Ruth Hudson: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021557 | New member onboarding Next-best-action | Sara Gonzzales: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021558 | New member onboarding Next-best-action | Stephanie Hunt: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021559 | New member onboarding Next-best-action | Isabella Kim: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021560 | New member onboarding Next-best-action | Billy Scott: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021561 | New member onboarding Next-best-action | Brandon Walsh: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021562 | New member onboarding Next-best-action | Barbara Miller: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021563 | New member onboarding Next-best-action | Christian Grant: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021564 | New member onboarding Next-best-action | Helen Jimenez: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021565 | New member onboarding Next-best-action | Jean Nichols: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021566 | New member onboarding Next-best-action | Jeremy Castillo: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021567 | New member onboarding Next-best-action | Catherine Bennett: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021568 | New member onboarding Next-best-action | Wayne Woods: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021569 | New member onboarding Next-best-action | Madison Myers: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021570 | New member onboarding Next-best-action | Jake Padilla: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-021571 | New member onboarding Next-best-action | Denny Sullivan: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021572 | New member onboarding Next-best-action | Charles Russell: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021573 | New member onboarding Next-best-action | Anthony Contreras: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021574 | New member onboarding Next-best-action | Vincent Griffin: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021575 | New member onboarding Next-best-action | Kevin Fisher: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021576 | New member onboarding Next-best-action | Laura Chapman: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021577 | New member onboarding Next-best-action | Dnenis Sanders: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021578 | New member onboarding Next-best-action | Marcus McDonald: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021579 | New member onboarding Next-best-action | Aaron Loez: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021580 | New member onboarding Next-best-action | Omar Garrett: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021581 | New member onboarding Next-best-action | Emma Nelson: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-021582 | New member onboarding Next-best-action | Maria Coleman: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021583 | New member onboarding Next-best-action | Aaron Johnston: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021584 | New member onboarding Next-best-action | Carlos Ross: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021585 | New member onboarding Next-best-action | Mary Schulttz: enrolled 2026-09-17, 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.