Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018089	Care coordination outreach Next-best-action	Justin Snyder: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004064	Proposed	—
ACT-018090	Care coordination outreach Next-best-action	Walter Rice: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004065	Proposed	—
ACT-018091	Care coordination outreach Next-best-action	Frank Richards: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004071	Proposed	—
ACT-018092	Care coordination outreach Next-best-action	Isabella Griffin: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004074	Proposed	—
ACT-018093	Care coordination outreach Next-best-action	Charlotte Burns: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004075	Proposed	—
ACT-018094	Care coordination outreach Next-best-action	Lori Luna: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004081	Proposed	—
ACT-018095	Care coordination outreach Next-best-action	Ralph Nichols: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004093	Proposed	—
ACT-018096	Care coordination outreach Next-best-action	Albert Larson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004099	Proposed	—
ACT-018097	Care coordination outreach Next-best-action	Michael Holmes: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004101	Proposed	—
ACT-018098	Care coordination outreach Next-best-action	Mark Washington: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004115	Proposed	—
ACT-018099	Care coordination outreach Next-best-action	Gerald Ramirez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004120	Proposed	—
ACT-018100	Care coordination outreach Next-best-action	Carol Peterson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004128	Proposed	—
ACT-018101	Care coordination outreach Next-best-action	Zachary Mitchell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004142	Proposed	—
ACT-018102	Care coordination outreach Next-best-action	Michael Flores: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004183	Proposed	—
ACT-018103	Care coordination outreach Next-best-action	Alexis Elliott: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004191	Proposed	—
ACT-018104	Care coordination outreach Next-best-action	Wei Garza: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004192	Proposed	—
ACT-018105	Care coordination outreach Next-best-action	Abigail Scott: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004202	Proposed	—
ACT-018106	Care coordination outreach Next-best-action	Anna Scott: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004216	Proposed	—
ACT-018107	Care coordination outreach Next-best-action	Maria Warren: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004228	Proposed	—
ACT-018108	Care coordination outreach Next-best-action	Sandra Banks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004231	Proposed	—
ACT-018109	Care coordination outreach Next-best-action	Martha Harvey: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004236	Proposed	—
ACT-018110	Care coordination outreach Next-best-action	Helen Patel: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004263	Proposed	—
ACT-018111	Care coordination outreach Next-best-action	Eric Castro: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004267	Proposed	—
ACT-018112	Care coordination outreach Next-best-action	Amy Lawrence: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004287	Proposed	—
ACT-018113	Care coordination outreach Next-best-action	Mason Jacobs: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004319	Proposed	—
ACT-018114	Care coordination outreach Next-best-action	Mary Maldonado: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004321	Proposed	—
ACT-018115	Care coordination outreach Next-best-action	Marilyn Dominguez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004346	Proposed	—
ACT-018116	Care coordination outreach Next-best-action	Austin Johnson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004367	Proposed	—
ACT-018117	Care coordination outreach Next-best-action	Joshua Campbell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004368	Proposed	—
ACT-018118	Care coordination outreach Next-best-action	Mei Hart: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004394	Proposed	—
ACT-018119	Care coordination outreach Next-best-action	Mary Patel: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004396	Proposed	—
ACT-018120	Care coordination outreach Next-best-action	Andrew Fields: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004401	Proposed	—
ACT-018121	Care coordination outreach Next-best-action	Judith Murray: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004402	Proposed	—
ACT-018122	Care coordination outreach Next-best-action	Elizabeth Rose: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004408	Proposed	—
ACT-018123	Care coordination outreach Next-best-action	Scott Evans: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004413	Proposed	—
ACT-018124	Care coordination outreach Next-best-action	Harold Matthews: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004436	Proposed	—
ACT-018125	Care coordination outreach Next-best-action	Amanda Aguilar: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004462	Proposed	—
ACT-018126	Care coordination outreach Next-best-action	Melissa Medina: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004470	Proposed	—
ACT-018127	Care coordination outreach Next-best-action	Richard Boyd: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004511	Proposed	—
ACT-018128	Care coordination outreach Next-best-action	Susan Burke: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004512	Proposed	—
ACT-018129	Care coordination outreach Next-best-action	Megan Allen: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004533	Proposed	—
ACT-018130	Care coordination outreach Next-best-action	Mason Maldonado: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004536	Proposed	—
ACT-018131	Care coordination outreach Next-best-action	Jesse Kim: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004548	Proposed	—
ACT-018132	Care coordination outreach Next-best-action	Kayla Valdez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004577	Proposed	—
ACT-018133	Care coordination outreach Next-best-action	George Murphy: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004583	Proposed	—
ACT-018134	Care coordination outreach Next-best-action	Keith Cunningham: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004610	Proposed	—
ACT-018135	Care coordination outreach Next-best-action	Doris Murphy: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004612	Proposed	—
ACT-018136	Care coordination outreach Next-best-action	Cheryl Welch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004616	Proposed	—
ACT-018137	Care coordination outreach Next-best-action	Emma Mitchell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004633	Proposed	—
ACT-018138	Care coordination outreach Next-best-action	Denise Ortega: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004647	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.