Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018289	Care coordination outreach Next-best-action	Jennifer Powell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006519	Proposed	—
ACT-018290	Care coordination outreach Next-best-action	Mateo Estrada: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006530	Proposed	—
ACT-018291	Care coordination outreach Next-best-action	Roger Dominguez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006572	Proposed	—
ACT-018292	Care coordination outreach Next-best-action	Keith Vasquez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006576	Proposed	—
ACT-018293	Care coordination outreach Next-best-action	Julie Rios: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006583	Proposed	—
ACT-018294	Care coordination outreach Next-best-action	Madison Montgomery: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006584	Proposed	—
ACT-018295	Care coordination outreach Next-best-action	Richard Luna: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006585	Proposed	—
ACT-018296	Care coordination outreach Next-best-action	Fatima Jacobs: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006607	Proposed	—
ACT-018297	Care coordination outreach Next-best-action	Natalie Mason: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006637	Proposed	—
ACT-018298	Care coordination outreach Next-best-action	Isabella Wood: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006638	Proposed	—
ACT-018299	Care coordination outreach Next-best-action	Wei Morrison: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006666	Proposed	—
ACT-018300	Care coordination outreach Next-best-action	Kathryn Pierce: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006669	Proposed	—
ACT-018301	Care coordination outreach Next-best-action	Lucia Rios: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-006680	Proposed	—
ACT-018302	Care coordination outreach Next-best-action	Ray Garza: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006684	Proposed	—
ACT-018303	Care coordination outreach Next-best-action	Jacob Hall: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006692	Proposed	—
ACT-018304	Care coordination outreach Next-best-action	Danielle Chen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006694	Proposed	—
ACT-018305	Care coordination outreach Next-best-action	Judith Rivera: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006697	Proposed	—
ACT-018306	Care coordination outreach Next-best-action	Pamela Hayes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006716	Proposed	—
ACT-018307	Care coordination outreach Next-best-action	Aisha Hughes: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-006732	Proposed	—
ACT-018308	Care coordination outreach Next-best-action	Emma Fields: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006736	Proposed	—
ACT-018309	Care coordination outreach Next-best-action	Bruce Henry: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006749	Proposed	—
ACT-018310	Care coordination outreach Next-best-action	Anna Mason: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006750	Proposed	—
ACT-018311	Care coordination outreach Next-best-action	Judith Robertson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006757	Proposed	—
ACT-018312	Care coordination outreach Next-best-action	Angela Sanders: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006760	Proposed	—
ACT-018313	Care coordination outreach Next-best-action	Shirley Gilbert: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006765	Proposed	—
ACT-018314	Care coordination outreach Next-best-action	Brittany Lucas: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006797	Proposed	—
ACT-018315	Care coordination outreach Next-best-action	Christian Hayes: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-006805	Proposed	—
ACT-018316	Care coordination outreach Next-best-action	Amber Jordan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006806	Proposed	—
ACT-018317	Care coordination outreach Next-best-action	Nathan Hall: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006812	Proposed	—
ACT-018318	Care coordination outreach Next-best-action	Gregory Dean: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006813	Proposed	—
ACT-018319	Care coordination outreach Next-best-action	Jacqueline Soto: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006822	Proposed	—
ACT-018320	Care coordination outreach Next-best-action	Isabella Gutierrez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006827	Proposed	—
ACT-018321	Care coordination outreach Next-best-action	Heather Rice: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006828	Proposed	—
ACT-018322	Care coordination outreach Next-best-action	Frank Richards: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006845	Proposed	—
ACT-018323	Care coordination outreach Next-best-action	Rebecca Carlson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006846	Proposed	—
ACT-018324	Care coordination outreach Next-best-action	Gary Ryan: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-006881	Proposed	—
ACT-018325	Care coordination outreach Next-best-action	Isabella Gordon: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006894	Proposed	—
ACT-018326	Care coordination outreach Next-best-action	Kayla Henry: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006895	Proposed	—
ACT-018327	Care coordination outreach Next-best-action	Jerry Dunn: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006905	Proposed	—
ACT-018328	Care coordination outreach Next-best-action	Karen Powell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006911	Proposed	—
ACT-018329	Care coordination outreach Next-best-action	Brandon Wagner: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006925	Proposed	—
ACT-018330	Care coordination outreach Next-best-action	Aisha Simmons: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-006954	Proposed	—
ACT-018331	Care coordination outreach Next-best-action	Janet Ryan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006990	Proposed	—
ACT-018332	Care coordination outreach Next-best-action	Abigail Hicks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006998	Proposed	—
ACT-018333	Care coordination outreach Next-best-action	Bobby Cooper: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007009	Proposed	—
ACT-018334	Care coordination outreach Next-best-action	Sandra Reed: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007012	Proposed	—
ACT-018335	Care coordination outreach Next-best-action	Mariana Gordon: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007032	Proposed	—
ACT-018336	Care coordination outreach Next-best-action	William Hamilton: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007035	Proposed	—
ACT-018337	Care coordination outreach Next-best-action	Teresa Richards: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007048	Proposed	—
ACT-018338	Care coordination outreach Next-best-action	Ethan Estrada: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007062	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.