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northstar-payer-ops

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Complete structured authorization, appeals, claim-repricing, peer-to-peer, and margin-analysis tasks for Northstar Health Plan payer operations. Use when the task references the Northstar payer-operations environment, involves prior authorization cases, pharmacy appeals, payment integrity corrections, P2P summaries, or UM margin-queue analysis, requires the bearer token pa-review-token-014, uses SQL /sql/query or REST business endpoints, and asks for a structured JSON determination matching an answer template.

experiments/codex_skill_creator_comparison_deepseek_v4_pro_max/reports/skills/task_group_014/fewshot/cc/fewshot_attempt_03/SKILL.md

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Oct 29, 2026
License
Apache-2.0

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# Northstar Payer Operations

Completes structured payer-operations tasks against the shared Northstar payer
environment. Every task follows the same four-phase workflow: collect records
from the environment, evaluate business criteria, compute the structured
determination, and build a source-precedence audit trail.

## Environment Access

The environment is reachable at the URL provided in the task, typically through
a `<TASK_ENV_BASE_URL>` reference in the task context. Use the environment
exclusively for records; do not inspect filesystem databases or construction
scripts.
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