Individual skill

northstar-payer-ops

Produce strict JSON answers for Northstar Health Plan payer-operations tasks that use the shared task environment, task_context.json, and answer_template.json. Use for prior authorization determination summaries, pharmacy appeals and manufacturer assistance intake, payment integrity claim repricing, peer-to-peer authorization closure, and therapy margin queue analysis requiring case, policy, document, rate schedule, appeal, or SQL evidence.

experiments/codex_skill_creator_comparison_gpt5_5_xhigh/reports/skills/task_group_014/fewshot/codex/fewshot_attempt_03/SKILL.md

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Repository stars (not skill ratings): 121
Repository last updated: Oct 29, 2026
License: Apache-2.0

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scripts/northstar_fetch.pyruns · 4,094 bytes

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# Northstar Payer Ops

## Core Workflow

Use this skill to solve Northstar payer-operations tasks by deriving a single schema-conforming JSON object from the task files and the running environment.

1. Read the prompt, `input/payloads/task_context.json`, and `input/payloads/answer_template.json`.
2. Resolve the environment base URL and SQL token from the prompt/context. If the base URL is a placeholder, read the staged environment access file supplied with the task.
3. Inspect the template before reasoning. Preserve required keys, enum values, date formats, numeric precision, list ordering rules, and whether extra fields are allowed.
4. Query only permitted environment endpoints or SQL. Do not inspect local databases, generated data files, manifests, setup scripts, test answers, or environment source.
5. Build the answer from current operational records, then validate the object against the template. Return JSON only.

For endpoint details, schema notes, reusable SQL patterns, and domain checklists, read [references/northstar_environment.md](references/northstar_environment.md). For a small standard-library helper that fetches endpoint or SQL evidence, use [scripts/northstar_fetch.py](scripts/northstar_fetch.py).