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northstar-payer-ops-json

Solve Northstar payer operations tasks that require retrieving authorization, appeal, claim, policy, document, rate schedule, P2P, or service-margin records from the task environment and returning a strict JSON object matching an answer_template.json schema. Use for UM determinations, pharmacy appeal intake, payment integrity repricing, peer-to-peer summaries, and payer-service margin queue summaries.

experiments/codex_skill_creator_comparison_gpt5_5_xhigh/reports/skills/task_group_014/fewshot/codex/fewshot_attempt_02/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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SKILL.mdcore · 6,869 bytes
SKILL.mdcore · 6,869 bytes
references/northstar-environment.mddoc · 5,704 bytes

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# Northstar Payer Ops JSON

## Core Workflow

1. Read the prompt, `input/payloads/task_context.json`, and `input/payloads/answer_template.json` before querying. Treat the template as the output contract: exact required keys, allowed enums, ordering, null handling, numeric precision, and whether extra fields are allowed.
2. Use only the task environment endpoints provided in the prompt or context. Do not inspect source files, generated data files, database files, manifests, or setup scripts. If using SQL, post JSON with an `sql` string and the bearer token from the task.
3. Query narrowly by the target business identifiers from the prompt/context. Pull every record type needed to justify the output, not just the record that names the target.
4. Apply the source-precedence rule that matches the business workflow. Use the rule both to decide the outcome and to populate `basis_audit`.
5. Return JSON only. Use JSON numbers for currency/ratios, ISO dates, and `null` when the template asks for null rather than an empty string.

Read [references/northstar-environment.md](references/northstar-environment.md) for table names, join keys, query patterns, and calculation rules.

## Evidence Collection By Workflow