Action	Type	Title	Detail	Linked to	Status	Executed
ACT-017971	Care coordination outreach Next-best-action	Stephen King: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-002628	Proposed	—
ACT-017972	Care coordination outreach Next-best-action	William Patterson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002647	Proposed	—
ACT-017973	Care coordination outreach Next-best-action	Sophia Hill: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002649	Proposed	—
ACT-017974	Care coordination outreach Next-best-action	Henry Castillo: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-002652	Proposed	—
ACT-017975	Care coordination outreach Next-best-action	Richard Tucker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002661	Proposed	—
ACT-017976	Care coordination outreach Next-best-action	Christopher Hawkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002685	Proposed	—
ACT-017977	Care coordination outreach Next-best-action	Jordan Burton: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002691	Proposed	—
ACT-017978	Care coordination outreach Next-best-action	Ann Welch: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-002728	Proposed	—
ACT-017979	Care coordination outreach Next-best-action	Logan Luna: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002730	Proposed	—
ACT-017980	Care coordination outreach Next-best-action	Austin Santos: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002733	Proposed	—
ACT-017981	Care coordination outreach Next-best-action	Ethan Lewis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002754	Proposed	—
ACT-017982	Care coordination outreach Next-best-action	Kevin Mills: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002765	Proposed	—
ACT-017983	Care coordination outreach Next-best-action	Elijah Ferguson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002766	Proposed	—
ACT-017984	Care coordination outreach Next-best-action	Helen West: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002772	Proposed	—
ACT-017985	Care coordination outreach Next-best-action	Theresa Torres: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-002788	Proposed	—
ACT-017986	Care coordination outreach Next-best-action	Deborah Obrien: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002791	Proposed	—
ACT-017987	Care coordination outreach Next-best-action	Carlos Chavez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002793	Proposed	—
ACT-017988	Care coordination outreach Next-best-action	Denise Burns: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002800	Proposed	—
ACT-017989	Care coordination outreach Next-best-action	Brian Burke: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-002802	Proposed	—
ACT-017990	Care coordination outreach Next-best-action	Olivia Fox: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-002821	Proposed	—
ACT-017991	Care coordination outreach Next-best-action	Joan Burton: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002825	Proposed	—
ACT-017992	Care coordination outreach Next-best-action	Michael Robinson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-002838	Proposed	—
ACT-017993	Care coordination outreach Next-best-action	Jack Austin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002844	Proposed	—
ACT-017994	Care coordination outreach Next-best-action	Kimberly Gibson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002850	Proposed	—
ACT-017995	Care coordination outreach Next-best-action	Lauren Porter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002866	Proposed	—
ACT-017996	Care coordination outreach Next-best-action	Robert Price: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-002869	Proposed	—
ACT-017997	Care coordination outreach Next-best-action	Bruce Chavez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002881	Proposed	—
ACT-017998	Care coordination outreach Next-best-action	Richard Johnson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002896	Proposed	—
ACT-017999	Care coordination outreach Next-best-action	Madison Allen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002931	Proposed	—
ACT-018000	Care coordination outreach Next-best-action	Steven Gilbert: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-002957	Proposed	—
ACT-018001	Care coordination outreach Next-best-action	Olivia Gonzales: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-002960	Proposed	—
ACT-018002	Care coordination outreach Next-best-action	Alice Knight: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003007	Proposed	—
ACT-018003	Care coordination outreach Next-best-action	Carlos Salazar: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003032	Proposed	—
ACT-018004	Care coordination outreach Next-best-action	Lauuren Johnson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003035	Proposed	—
ACT-018005	Care coordination outreach Next-best-action	Carolyn Harrison: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003058	Proposed	—
ACT-018006	Care coordination outreach Next-best-action	Albert Sandoval: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003069	Proposed	—
ACT-018007	Care coordination outreach Next-best-action	Nathan Peters: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003072	Proposed	—
ACT-018008	Care coordination outreach Next-best-action	Nathan Campbell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003100	Proposed	—
ACT-018009	Care coordination outreach Next-best-action	Sara Robertson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003136	Proposed	—
ACT-018010	Care coordination outreach Next-best-action	Natalie Graham: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003139	Proposed	—
ACT-018011	Care coordination outreach Next-best-action	Priya Ellis: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-003168	Proposed	—
ACT-018012	Care coordination outreach Next-best-action	Henry Graham: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003205	Proposed	—
ACT-018013	Care coordination outreach Next-best-action	Nicole Gonzalez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-003217	Proposed	—
ACT-018014	Care coordination outreach Next-best-action	Justin Le: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003225	Proposed	—
ACT-018015	Care coordination outreach Next-best-action	Alan Aguilar: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003249	Proposed	—
ACT-018016	Care coordination outreach Next-best-action	Amber Bryant: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003257	Proposed	—
ACT-018017	Care coordination outreach Next-best-action	Bryan Stevens: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003269	Proposed	—
ACT-018018	Care coordination outreach Next-best-action	Christopher Cunningham: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-003293	Proposed	—
ACT-018019	Care coordination outreach Next-best-action	Ahmed Moore: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003301	Proposed	—
ACT-018020	Care coordination outreach Next-best-action	David Daniels: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003333	Proposed	—

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Derivation rules

Evaluated after every gold rebuild

1
Eligibility conflict resolved
The records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
2
Orphan claim re-pointed
A 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.
3
Outreach address corrected
The most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
4
Outreach suppressed pending steward
The record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
5
Care coordination outreach
Three or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
6
New member onboarding
A single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
7
Duplicate member record retired
Two or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.