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-019786 | New member onboarding Next-best-action | Megan Cook: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-019787 | New member onboarding Next-best-action | Arjnu Palmer: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019788 | New member onboarding Next-best-action | Patricia Bowman: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-019789 | New member onboarding Next-best-action | Emma Robertson: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019790 | New member onboarding Next-best-action | Emma Jackson: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019791 | New member onboarding Next-best-action | Logan Carr: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-019792 | New member onboarding Next-best-action | Aisha Patel: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-019793 | New member onboarding Next-best-action | Nancy Sims: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-019794 | New member onboarding Next-best-action | Marcus Burns: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-019795 | New member onboarding Next-best-action | Jesse Matthews: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-019796 | New member onboarding Next-best-action | Maria Hughes: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019797 | New member onboarding Next-best-action | Gabriel Turner: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019798 | New member onboarding Next-best-action | Aaron Freeman: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-019799 | New member onboarding Next-best-action | Stephen Rojas: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-019800 | New member onboarding Next-best-action | Samuel Watkins: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019801 | New member onboarding Next-best-action | Gary Oliver: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-019802 | New member onboarding Next-best-action | Abigail Jacobs: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019803 | New member onboarding Next-best-action | Victoria Harvey: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-019804 | New member onboarding Next-best-action | Eric Davis: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019805 | New member onboarding Next-best-action | Henry Sean: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-019806 | New member onboarding Next-best-action | George Crewford: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-019807 | New member onboarding Next-best-action | Jacob Sotne: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019808 | New member onboarding Next-best-action | Christine Griffin: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-019809 | New member onboarding Next-best-action | Lawrence Le: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-019810 | New member onboarding Next-best-action | Katherine Robertson: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-019811 | New member onboarding Next-best-action | Philiip Ward: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019812 | New member onboarding Next-best-action | Ethan Watson: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019813 | New member onboarding Next-best-action | Jordan Jones: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-019814 | New member onboarding Next-best-action | Anthony Jackson: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-019815 | New member onboarding Next-best-action | Patrick Fowler: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-019816 | New member onboarding Next-best-action | Dennis Marquez: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-019817 | New member onboarding Next-best-action | Kevin Patel: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-019818 | New member onboarding Next-best-action | Henry Green: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-019819 | New member onboarding Next-best-action | Bradley Bowman: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-019820 | New member onboarding Next-best-action | Angela Walsh: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-019821 | New member onboarding Next-best-action | Donna Hudson: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-019822 | New member onboarding Next-best-action | Olivia Rojas: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-019823 | New member onboarding Next-best-action | Wei Vega: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-019824 | New member onboarding Next-best-action | Roert Hanson: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019825 | New member onboarding Next-best-action | Dennis Gordon: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-019826 | New member onboarding Next-best-action | Linda Marshall: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-019827 | New member onboarding Next-best-action | Rnoald Bowman: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019828 | New member onboarding Next-best-action | Bryan Rojas: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-019829 | New member onboarding Next-best-action | Julia Bennett: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-019830 | New member onboarding Next-best-action | Tommy Ray: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019831 | New member onboarding Next-best-action | Cheryl Lawrence: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-019832 | New member onboarding Next-best-action | Diego Obrien: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-019833 | New member onboarding Next-best-action | John Shaw: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019834 | New member onboarding Next-best-action | Linda Tucker: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-019835 | New member onboarding Next-best-action | Gabriel Roberts: enrolled 2026-10-03, 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.