Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018139	Care coordination outreach Next-best-action	Heather Ramirez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004659	Proposed	—
ACT-018140	Care coordination outreach Next-best-action	Adam Williamson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004673	Proposed	—
ACT-018141	Care coordination outreach Next-best-action	Thomas Lawrence: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004682	Proposed	—
ACT-018142	Care coordination outreach Next-best-action	Omar Weaver: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004693	Proposed	—
ACT-018143	Care coordination outreach Next-best-action	Edward Peterson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004725	Proposed	—
ACT-018144	Care coordination outreach Next-best-action	Ryan Ramirez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004762	Proposed	—
ACT-018145	Care coordination outreach Next-best-action	Patrick Wells: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004765	Proposed	—
ACT-018146	Care coordination outreach Next-best-action	Samantha Bell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004787	Proposed	—
ACT-018147	Care coordination outreach Next-best-action	Heather Austin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004811	Proposed	—
ACT-018148	Care coordination outreach Next-best-action	Zachary Green: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004833	Proposed	—
ACT-018149	Care coordination outreach Next-best-action	Russell Schultz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004840	Proposed	—
ACT-018150	Care coordination outreach Next-best-action	Marcus Fernandez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004845	Proposed	—
ACT-018151	Care coordination outreach Next-best-action	Teresa Gonzales: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004871	Proposed	—
ACT-018152	Care coordination outreach Next-best-action	Edward Coleman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004872	Proposed	—
ACT-018153	Care coordination outreach Next-best-action	Carolyn Price: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004876	Proposed	—
ACT-018154	Care coordination outreach Next-best-action	Lori Olson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004886	Proposed	—
ACT-018155	Care coordination outreach Next-best-action	Nicole Welch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004890	Proposed	—
ACT-018156	Care coordination outreach Next-best-action	Gerald Anderson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004914	Proposed	—
ACT-018157	Care coordination outreach Next-best-action	Vincent Sullivan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004927	Proposed	—
ACT-018158	Care coordination outreach Next-best-action	Brandon Obrien: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004931	Proposed	—
ACT-018159	Care coordination outreach Next-best-action	Katherine Young: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004934	Proposed	—
ACT-018160	Care coordination outreach Next-best-action	Madison Vazquez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004935	Proposed	—
ACT-018161	Care coordination outreach Next-best-action	Carl Robertson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004951	Proposed	—
ACT-018162	Care coordination outreach Next-best-action	Keith Graham: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004957	Proposed	—
ACT-018163	Care coordination outreach Next-best-action	James Chen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004961	Proposed	—
ACT-018164	Care coordination outreach Next-best-action	Kimberly Cruz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004978	Proposed	—
ACT-018165	Care coordination outreach Next-best-action	Shirley Munoz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-004980	Proposed	—
ACT-018166	Care coordination outreach Next-best-action	Roger Martinez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004988	Proposed	—
ACT-018167	Care coordination outreach Next-best-action	Jose Walker: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-004993	Proposed	—
ACT-018168	Care coordination outreach Next-best-action	Nathan Crawford: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005000	Proposed	—
ACT-018169	Care coordination outreach Next-best-action	Cheryl Harper: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005006	Proposed	—
ACT-018170	Care coordination outreach Next-best-action	Ethan Stevens: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005013	Proposed	—
ACT-018171	Care coordination outreach Next-best-action	Daniel Russell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005035	Proposed	—
ACT-018172	Care coordination outreach Next-best-action	Kenneth Cooper: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005048	Proposed	—
ACT-018173	Care coordination outreach Next-best-action	Brenda Parker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005056	Proposed	—
ACT-018174	Care coordination outreach Next-best-action	Timothy Weber: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005057	Proposed	—
ACT-018175	Care coordination outreach Next-best-action	Amy Torres: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005067	Proposed	—
ACT-018176	Care coordination outreach Next-best-action	Isabella Lee: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-005074	Proposed	—
ACT-018177	Care coordination outreach Next-best-action	Douglas Stewart: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005087	Proposed	—
ACT-018178	Care coordination outreach Next-best-action	Logan Hoffman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005105	Proposed	—
ACT-018179	Care coordination outreach Next-best-action	Juan Harris: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005106	Proposed	—
ACT-018180	Care coordination outreach Next-best-action	Rachel Lopez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005146	Proposed	—
ACT-018181	Care coordination outreach Next-best-action	Emily Palmer: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005149	Proposed	—
ACT-018182	Care coordination outreach Next-best-action	Ralph Knight: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-005177	Proposed	—
ACT-018183	Care coordination outreach Next-best-action	Brenda Clark: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005181	Proposed	—
ACT-018184	Care coordination outreach Next-best-action	Angela Sullivan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005196	Proposed	—
ACT-018185	Care coordination outreach Next-best-action	Ahmed Riley: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005205	Proposed	—
ACT-018186	Care coordination outreach Next-best-action	Brenda Hernandez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005227	Proposed	—
ACT-018187	Care coordination outreach Next-best-action	Eric Schmidt: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-005264	Proposed	—
ACT-018188	Care coordination outreach Next-best-action	Ann Reed: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005266	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.