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-019986 | New member onboarding Next-best-action | Judy Young: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-019987 | New member onboarding Next-best-action | Barbara Augilar: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019988 | New member onboarding Next-best-action | Marcus Estrada: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019989 | New member onboarding Next-best-action | Nicole Payne: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019990 | New member onboarding Next-best-action | Bruce Hill: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-019991 | New member onboarding Next-best-action | Judith Rojas: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019992 | New member onboarding Next-best-action | Amber Woud: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019993 | New member onboarding Next-best-action | Janet Delgado: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-019994 | New member onboarding Next-best-action | Radny Hernandez: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-019995 | New member onboarding Next-best-action | Alan Murphy: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-019996 | New member onboarding Next-best-action | Joseph Washington: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-019997 | New member onboarding Next-best-action | Elizabeth Diaz: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-019998 | New member onboarding Next-best-action | Joan Carroll: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019999 | New member onboarding Next-best-action | Charles Howard: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020000 | New member onboarding Next-best-action | Jesse Nuunez: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020001 | New member onboarding Next-best-action | Barbara Morrison: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020002 | New member onboarding Next-best-action | Ashley Lucas: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020003 | New member onboarding Next-best-action | Abigail Brooks: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020004 | New member onboarding Next-best-action | Gloria Banks: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020005 | New member onboarding Next-best-action | Martha Guerrero: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020006 | New member onboarding Next-best-action | Morrison Lucia: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020007 | New member onboarding Next-best-action | Sandra Ellis: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020008 | New member onboarding Next-best-action | Danielle Robertson: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020009 | New member onboarding Next-best-action | Jean Castro: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020010 | New member onboarding Next-best-action | Diane Stephens: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020011 | New member onboarding Next-best-action | Raymond Marshall: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020012 | New member onboarding Next-best-action | Melissa Gutierrez: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020013 | New member onboarding Next-best-action | Zachary Crawford: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020014 | New member onboarding Next-best-action | Amy Parker: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020015 | New member onboarding Next-best-action | Alexis Hunter: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020016 | New member onboarding Next-best-action | Juan Weaver: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020017 | New member onboarding Next-best-action | Maria Wang: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020018 | New member onboarding Next-best-action | Lucia Reyes: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020019 | New member onboarding Next-best-action | Anna Knight: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020020 | New member onboarding Next-best-action | Rachel Morrison: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020021 | New member onboarding Next-best-action | Kalya Harrison: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020022 | New member onboarding Next-best-action | Amanda Russell: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020023 | New member onboarding Next-best-action | Grace Day: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020024 | New member onboarding Next-best-action | Samuel Santiago: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020025 | New member onboarding Next-best-action | Aisha Auilar: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020026 | New member onboarding Next-best-action | Brandon Walker: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020027 | New member onboarding Next-best-action | Ana Watkins: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020028 | New member onboarding Next-best-action | Priya King: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020029 | New member onboarding Next-best-action | Walter Harvey: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020030 | New member onboarding Next-best-action | Wayne Payne: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020031 | New member onboarding Next-best-action | Debar Henry: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020032 | New member onboarding Next-best-action | Melissa Fields: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020033 | New member onboarding Next-best-action | Brandon Tucker: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020034 | New member onboarding Next-best-action | Joan Chen: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020035 | New member onboarding Next-best-action | Jessica Wood: enrolled 2026-09-15, 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.