Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018189	Care coordination outreach Next-best-action	Thomas Carter: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005273	Proposed	—
ACT-018190	Care coordination outreach Next-best-action	Joshua Simmons: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-005284	Proposed	—
ACT-018191	Care coordination outreach Next-best-action	Jessica Hunt: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005286	Proposed	—
ACT-018192	Care coordination outreach Next-best-action	Patricia Payne: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005332	Proposed	—
ACT-018193	Care coordination outreach Next-best-action	Scott Cooper: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005339	Proposed	—
ACT-018194	Care coordination outreach Next-best-action	Raymond Gardner: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005342	Proposed	—
ACT-018195	Care coordination outreach Next-best-action	Yuki Burton: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005352	Proposed	—
ACT-018196	Care coordination outreach Next-best-action	Teresa Thompson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005362	Proposed	—
ACT-018197	Care coordination outreach Next-best-action	Charles Ortiz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005373	Proposed	—
ACT-018198	Care coordination outreach Next-best-action	Joseph Gonzales: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005384	Proposed	—
ACT-018199	Care coordination outreach Next-best-action	Jonathan Cunningham: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005389	Proposed	—
ACT-018200	Care coordination outreach Next-best-action	Wei Carlson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005408	Proposed	—
ACT-018201	Care coordination outreach Next-best-action	Kevin Scott: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005413	Proposed	—
ACT-018202	Care coordination outreach Next-best-action	Kelly Gordon: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005425	Proposed	—
ACT-018203	Care coordination outreach Next-best-action	Yuki Yang: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005441	Proposed	—
ACT-018204	Care coordination outreach Next-best-action	Arthur Robertson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005446	Proposed	—
ACT-018205	Care coordination outreach Next-best-action	Virginia Cunningham: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005449	Proposed	—
ACT-018206	Care coordination outreach Next-best-action	Kelly Lucas: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005452	Proposed	—
ACT-018207	Care coordination outreach Next-best-action	Arjun Sullivan: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005474	Proposed	—
ACT-018208	Care coordination outreach Next-best-action	Anna Carlson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005477	Proposed	—
ACT-018209	Care coordination outreach Next-best-action	Paul Estrada: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005490	Proposed	—
ACT-018210	Care coordination outreach Next-best-action	Albert Rogers: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005501	Proposed	—
ACT-018211	Care coordination outreach Next-best-action	Sophia Hunt: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-005512	Proposed	—
ACT-018212	Care coordination outreach Next-best-action	Camila James: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005539	Proposed	—
ACT-018213	Care coordination outreach Next-best-action	Mark Howell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005541	Proposed	—
ACT-018214	Care coordination outreach Next-best-action	John Salazar: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005565	Proposed	—
ACT-018215	Care coordination outreach Next-best-action	James Hanson: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-005594	Proposed	—
ACT-018216	Care coordination outreach Next-best-action	Ryan Espinoza: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005608	Proposed	—
ACT-018217	Care coordination outreach Next-best-action	Pamela Gonzalez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005609	Proposed	—
ACT-018218	Care coordination outreach Next-best-action	Karen Ruiz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005611	Proposed	—
ACT-018219	Care coordination outreach Next-best-action	Mary Powell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005627	Proposed	—
ACT-018220	Care coordination outreach Next-best-action	Mary Mason: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-005656	Proposed	—
ACT-018221	Care coordination outreach Next-best-action	Albert Ellis: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005701	Proposed	—
ACT-018222	Care coordination outreach Next-best-action	Vincent Larson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005719	Proposed	—
ACT-018223	Care coordination outreach Next-best-action	Anna Baker: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005724	Proposed	—
ACT-018224	Care coordination outreach Next-best-action	Timothy Rios: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005726	Proposed	—
ACT-018225	Care coordination outreach Next-best-action	Patricia Lawson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005740	Proposed	—
ACT-018226	Care coordination outreach Next-best-action	Stephen McCoy: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005747	Proposed	—
ACT-018227	Care coordination outreach Next-best-action	Kyle Burns: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005752	Proposed	—
ACT-018228	Care coordination outreach Next-best-action	Gloria Guzman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005756	Proposed	—
ACT-018229	Care coordination outreach Next-best-action	Marilyn West: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005757	Proposed	—
ACT-018230	Care coordination outreach Next-best-action	Evelyn Guzman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005772	Proposed	—
ACT-018231	Care coordination outreach Next-best-action	Gregory Smith: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005787	Proposed	—
ACT-018232	Care coordination outreach Next-best-action	Julia Cook: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005790	Proposed	—
ACT-018233	Care coordination outreach Next-best-action	Lawrence Carpenter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005795	Proposed	—
ACT-018234	Care coordination outreach Next-best-action	Donald Murray: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005798	Proposed	—
ACT-018235	Care coordination outreach Next-best-action	Priya Santos: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005816	Proposed	—
ACT-018236	Care coordination outreach Next-best-action	Jack Barnes: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-005830	Proposed	—
ACT-018237	Care coordination outreach Next-best-action	Carolyn Ward: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005853	Proposed	—
ACT-018238	Care coordination outreach Next-best-action	George Patterson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005856	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.