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-021586 | New member onboarding Next-best-action | Angela Kennedy: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021587 | New member onboarding Next-best-action | Omar Willis: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021588 | New member onboarding Next-best-action | Victoria Ortiz: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021589 | New member onboarding Next-best-action | Richard Thompson: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021590 | New member onboarding Next-best-action | Burke Kevin: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021591 | New member onboarding Next-best-action | Terry Butler: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-021592 | New member onboarding Next-best-action | Jeremy Kelly: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021593 | New member onboarding Next-best-action | Ann Sullivan: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021594 | New member onboarding Next-best-action | Harold Valdez: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021595 | New member onboarding Next-best-action | Roger Simmons: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021596 | New member onboarding Next-best-action | Keith Ward: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-021597 | New member onboarding Next-best-action | Betty Perez: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021598 | New member onboarding Next-best-action | Albert Lewis: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021599 | New member onboarding Next-best-action | Philip Hall: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021600 | New member onboarding Next-best-action | Stephen Hall: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021601 | New member onboarding Next-best-action | Dylan Chavez: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021602 | New member onboarding Next-best-action | Julie Stewart: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021603 | New member onboarding Next-best-action | Ralph Wells: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021604 | New member onboarding Next-best-action | Evelyn Ellis: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021605 | New member onboarding Next-best-action | Brittany Gardner: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021606 | New member onboarding Next-best-action | Stephens Dylan: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021607 | New member onboarding Next-best-action | Sharon Hernandez: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-021608 | New member onboarding Next-best-action | Beverly Singh: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021609 | New member onboarding Next-best-action | Steve Freeman: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021610 | New member onboarding Next-best-action | Jimmy Kim: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021611 | New member onboarding Next-best-action | George Weber: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021612 | New member onboarding Next-best-action | Jim Kelley: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021613 | New member onboarding Next-best-action | Stephanie Hill: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021614 | New member onboarding Next-best-action | Sara Reid: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021615 | New member onboarding Next-best-action | Gabriel Hawkins: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-021616 | New member onboarding Next-best-action | Sharon Andrews: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021617 | New member onboarding Next-best-action | David Graham: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021618 | New member onboarding Next-best-action | Nicole Ryan: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021619 | New member onboarding Next-best-action | Parker Alexis: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021620 | New member onboarding Next-best-action | Judy Vargas: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021621 | New member onboarding Next-best-action | Austin Lee: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021622 | New member onboarding Next-best-action | Rachel Roberts: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021623 | New member onboarding Next-best-action | Christine Porter: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021624 | New member onboarding Next-best-action | Fatiima Hernandez: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021625 | New member onboarding Next-best-action | Walter Shaw: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021626 | New member onboarding Next-best-action | Jeremy Burke: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021627 | New member onboarding Next-best-action | Romero Gregory: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021628 | New member onboarding Next-best-action | Heather Riichardson: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021629 | New member onboarding Next-best-action | Hannah Wech: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021630 | New member onboarding Next-best-action | Joshua Andrews: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021631 | New member onboarding Next-best-action | Diana Morrison: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021632 | New member onboarding Next-best-action | Christina Knight: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021633 | New member onboarding Next-best-action | Santiago Rogers: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021634 | New member onboarding Next-best-action | Betty Wheeler: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021635 | New member onboarding Next-best-action | Sandra Fuller: enrolled 2026-10-02, 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.