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-019836 | New member onboarding Next-best-action | Keith Sanchez: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-019837 | New member onboarding Next-best-action | Paul Castillo: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-019838 | New member onboarding Next-best-action | Robert Torres: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-019839 | New member onboarding Next-best-action | Henry Payne: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-019840 | New member onboarding Next-best-action | Marilyn Baker: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019841 | New member onboarding Next-best-action | Lauren Vasquez: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-019842 | New member onboarding Next-best-action | Omar Li: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-019843 | New member onboarding Next-best-action | Charlotte Larson: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-019844 | New member onboarding Next-best-action | Katherine Hudson: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-019845 | New member onboarding Next-best-action | Kathryn Robinson: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-019846 | New member onboarding Next-best-action | Yuki Harris: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-019847 | New member onboarding Next-best-action | Vicotria Morales: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-019848 | New member onboarding Next-best-action | Charles Fernandez: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019849 | New member onboarding Next-best-action | Virginia Jordan: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-019850 | New member onboarding Next-best-action | Willie Espinoza: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-019851 | New member onboarding Next-best-action | Christina Carr: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-019852 | New member onboarding Next-best-action | Lucia Reyes: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-019853 | New member onboarding Next-best-action | Aaron Santos: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-019854 | New member onboarding Next-best-action | Patrick Henderson: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019855 | New member onboarding Next-best-action | Janet Owens: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-019856 | New member onboarding Next-best-action | Janet Roberts: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-019857 | New member onboarding Next-best-action | Juan Thompson: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-019858 | New member onboarding Next-best-action | Bryan Ferguson: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-019859 | New member onboarding Next-best-action | Amber Coleman: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-019860 | New member onboarding Next-best-action | Ryan Black: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-019861 | New member onboarding Next-best-action | Zachary Reyes: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019862 | New member onboarding Next-best-action | Brittany Richardson: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-019863 | New member onboarding Next-best-action | Theresa Reyes: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-019864 | New member onboarding Next-best-action | Cynthia Harper: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-019865 | New member onboarding Next-best-action | Debra Coleman: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019866 | New member onboarding Next-best-action | Shirley Maldonado: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-019867 | New member onboarding Next-best-action | Lisa Hayes: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019868 | New member onboarding Next-best-action | Amy Hawkins: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-019869 | New member onboarding Next-best-action | Amber Vazquez: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-019870 | New member onboarding Next-best-action | Catherine Jensen: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019871 | New member onboarding Next-best-action | Lori Hansen: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019872 | New member onboarding Next-best-action | Luis Perry: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019873 | New member onboarding Next-best-action | Shirley Peters: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-019874 | New member onboarding Next-best-action | Donna Scott: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-019875 | New member onboarding Next-best-action | Ann Rodriguez: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019876 | New member onboarding Next-best-action | Sophia Cooper: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-019877 | New member onboarding Next-best-action | Janet Bishop: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-019878 | New member onboarding Next-best-action | Adma Webb: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019879 | New member onboarding Next-best-action | Kevin Le: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019880 | New member onboarding Next-best-action | Debra Duncan: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-019881 | New member onboarding Next-best-action | Grace Stephens: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-019882 | New member onboarding Next-best-action | Madison Nguyen: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-019883 | New member onboarding Next-best-action | Theresa Foser: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-019884 | New member onboarding Next-best-action | Carlos Greene: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-019885 | New member onboarding Next-best-action | Harold Lna: enrolled 2026-09-07, 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.