Run PDCA on enrollment reconciliation
Apply PDCA to test and control a narrow enrollment reconciliation improvement.
The move: test the enrollment fix before it becomes a rule. PDCA is a loop: Plan, Do, Check, Act. In enrollment operations, the loop is valuable because the same fix can reduce one mismatch while creating a downstream coverage, billing, or claims problem. Plan the narrow defect Define one exception type, not the whole reconciliation universe. Example: active on employer 834, terminated in core admin, termination date less than 30 days old. Name the prediction: "This rule will reduce aged mismatches by 40% without false reactivation above 2%." Do the smallest credible test Run the change on one employer group,…
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