Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018339	Care coordination outreach Next-best-action	Eugene Cruz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007064	Proposed	—
ACT-018340	Care coordination outreach Next-best-action	Bradley Hall: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007071	Proposed	—
ACT-018341	Care coordination outreach Next-best-action	Omar Bryant: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007087	Proposed	—
ACT-018342	Care coordination outreach Next-best-action	Billy Wong: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007089	Proposed	—
ACT-018343	Care coordination outreach Next-best-action	Lori Austin: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007093	Proposed	—
ACT-018344	Care coordination outreach Next-best-action	Priya McDonald: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007102	Proposed	—
ACT-018345	Care coordination outreach Next-best-action	Lawrence Ray: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007107	Proposed	—
ACT-018346	Care coordination outreach Next-best-action	Donna Stephens: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007193	Proposed	—
ACT-018347	Care coordination outreach Next-best-action	Mark Cole: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007195	Proposed	—
ACT-018348	Care coordination outreach Next-best-action	Randy Luna: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007205	Proposed	—
ACT-018349	Care coordination outreach Next-best-action	Santiago Moore: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007220	Proposed	—
ACT-018350	Care coordination outreach Next-best-action	Jennifer Hansen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007225	Proposed	—
ACT-018351	Care coordination outreach Next-best-action	Abigail Johnston: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007234	Proposed	—
ACT-018352	Care coordination outreach Next-best-action	Jose Williamson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007273	Proposed	—
ACT-018353	Care coordination outreach Next-best-action	Andrea King: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007281	Proposed	—
ACT-018354	Care coordination outreach Next-best-action	Austin Bell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007302	Proposed	—
ACT-018355	Care coordination outreach Next-best-action	Dorothy Padilla: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007320	Proposed	—
ACT-018356	Care coordination outreach Next-best-action	Barbara Oliver: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007321	Proposed	—
ACT-018357	Care coordination outreach Next-best-action	Doris Mendez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007330	Proposed	—
ACT-018358	Care coordination outreach Next-best-action	Theresa Cruz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007332	Proposed	—
ACT-018359	Care coordination outreach Next-best-action	Debra Garza: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007343	Proposed	—
ACT-018360	Care coordination outreach Next-best-action	Sharon Miller: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007349	Proposed	—
ACT-018361	Care coordination outreach Next-best-action	Richard Simmons: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007413	Proposed	—
ACT-018362	Care coordination outreach Next-best-action	Margaret Dean: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007417	Proposed	—
ACT-018363	Care coordination outreach Next-best-action	Elijah Harper: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007433	Proposed	—
ACT-018364	Care coordination outreach Next-best-action	Jeffrey Allen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007471	Proposed	—
ACT-018365	Care coordination outreach Next-best-action	Nathan Shaw: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007486	Proposed	—
ACT-018366	Care coordination outreach Next-best-action	Maria Cooper: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007490	Proposed	—
ACT-018367	Care coordination outreach Next-best-action	Adam Bailey: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007492	Proposed	—
ACT-018368	Care coordination outreach Next-best-action	Maria Armstrong: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007493	Proposed	—
ACT-018369	Care coordination outreach Next-best-action	Jordan Wood: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007507	Proposed	—
ACT-018370	Care coordination outreach Next-best-action	Jacob Coleman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007509	Proposed	—
ACT-018371	Care coordination outreach Next-best-action	Laura Berry: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007522	Proposed	—
ACT-018372	Care coordination outreach Next-best-action	Wayne Weaver: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007528	Proposed	—
ACT-018373	Care coordination outreach Next-best-action	Joseph Mitchell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007534	Proposed	—
ACT-018374	Care coordination outreach Next-best-action	Betty Vega: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007544	Proposed	—
ACT-018375	Care coordination outreach Next-best-action	Steven Turner: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007554	Proposed	—
ACT-018376	Care coordination outreach Next-best-action	Kimberly Wood: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007572	Proposed	—
ACT-018377	Care coordination outreach Next-best-action	Brenda Butler: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007584	Proposed	—
ACT-018378	Care coordination outreach Next-best-action	Alexis Price: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007642	Proposed	—
ACT-018379	Care coordination outreach Next-best-action	Judy Burns: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-007661	Proposed	—
ACT-018380	Care coordination outreach Next-best-action	Russell Weaver: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007664	Proposed	—
ACT-018381	Care coordination outreach Next-best-action	Eric Davis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007668	Proposed	—
ACT-018382	Care coordination outreach Next-best-action	Mateo Diaz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007680	Proposed	—
ACT-018383	Care coordination outreach Next-best-action	Lori Porter: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007682	Proposed	—
ACT-018384	Care coordination outreach Next-best-action	Abigail Aguilar: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007690	Proposed	—
ACT-018385	Care coordination outreach Next-best-action	Anthony Martin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007695	Proposed	—
ACT-018386	Care coordination outreach Next-best-action	Tyler Ramirez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007713	Proposed	—
ACT-018387	Care coordination outreach Next-best-action	Mariana Clark: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007734	Proposed	—
ACT-018388	Care coordination outreach Next-best-action	George Foster: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007737	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.