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-019936 | New member onboarding Next-best-action | Robert Allen: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-019937 | New member onboarding Next-best-action | Jose Bennett: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019938 | New member onboarding Next-best-action | Jose Munoz: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-019939 | New member onboarding Next-best-action | Ruth Foler: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-019940 | New member onboarding Next-best-action | Daniel Diaz: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-019941 | New member onboarding Next-best-action | Evelyn Silva: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-019942 | New member onboarding Next-best-action | Sndra Burtun: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-019943 | New member onboarding Next-best-action | Sophia Herrera: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019944 | New member onboarding Next-best-action | Alexis Bradley: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-019945 | New member onboarding Next-best-action | Frank Lynch: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019946 | New member onboarding Next-best-action | Laura Fox: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019947 | New member onboarding Next-best-action | Paul Carlson: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-019948 | New member onboarding Next-best-action | Eric Garcia: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019949 | New member onboarding Next-best-action | Emily Mejia: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-019950 | New member onboarding Next-best-action | Brittany Oliver: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-019951 | New member onboarding Next-best-action | Roy Rojas: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-019952 | New member onboarding Next-best-action | Wei Cruz: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019953 | New member onboarding Next-best-action | Debra Dixon: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019954 | New member onboarding Next-best-action | Helen Grant: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-019955 | New member onboarding Next-best-action | Ryan Herrera: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019956 | New member onboarding Next-best-action | Luis Herrera: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019957 | New member onboarding Next-best-action | Sandra Jackson: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-019958 | New member onboarding Next-best-action | Diane Obrien: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-019959 | New member onboarding Next-best-action | Billy Chen: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-019960 | New member onboarding Next-best-action | Keyla Coleman: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-019961 | New member onboarding Next-best-action | Victoria Dean: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-019962 | New member onboarding Next-best-action | Nancy Rivera: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019963 | New member onboarding Next-best-action | Deborah Washington: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-019964 | New member onboarding Next-best-action | Christian Carroll: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-019965 | New member onboarding Next-best-action | Thomas Ramirez: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-019966 | New member onboarding Next-best-action | Matthew Aguilar: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-019967 | New member onboarding Next-best-action | Sean Luna: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019968 | New member onboarding Next-best-action | Judy Bryant: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019969 | New member onboarding Next-best-action | Debra Olson: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-019970 | New member onboarding Next-best-action | Alan Richards: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-019971 | New member onboarding Next-best-action | Lori Carr: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019972 | New member onboarding Next-best-action | Sharon Black: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019973 | New member onboarding Next-best-action | Cheryl Rodriguez: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-019974 | New member onboarding Next-best-action | George Porter: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019975 | New member onboarding Next-best-action | Logan Morris: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-019976 | New member onboarding Next-best-action | Joesph Simmons: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019977 | New member onboarding Next-best-action | Kathleen Gutierrez: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019978 | New member onboarding Next-best-action | Zachary Hernandez: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019979 | New member onboarding Next-best-action | Brian Jones: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-019980 | New member onboarding Next-best-action | Grace Ryan: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-019981 | New member onboarding Next-best-action | Daniel Simpson: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019982 | New member onboarding Next-best-action | Jeremy Romero: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-019983 | New member onboarding Next-best-action | Ruth Knight: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-019984 | New member onboarding Next-best-action | Gabriel Long: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019985 | New member onboarding Next-best-action | Kayla Peters: enrolled 2026-09-20, 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.