Menu

Individual skill

northstar-payer-ops

Northstar Health Plan payer operations environment for utilization management, appeals, payment integrity, peer-to-peer review, and margin analysis. Use this skill when working with the Northstar shared payer-operations API at the task-provided base URL. Covers: (1) UM nurse prior-authorization determinations with criteria review, document classification, and authorization issuance, (2) pharmacy coverage-exception appeals with drug-trial evaluation, packet-gap analysis, and manufacturer-assistance screening, (3) payment integrity claim repricing against current benchmarks with line-level correction, (4) peer-to-peer coordinator summaries after completed P2P discussions including adverse-determination deadlines, and (5) UM-finance therapy margin queue analysis with threshold and charge-sensitivity flagging. Every task produces a structured JSON answer with a basis_audit trail.

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

Read pinned source

Source commit 5082a777379156a048881e94940d640702e5e09a

What was checked

Matches the observed repository HEAD
Yes
Scanner rules are current
No
Repository scan complete
No
Skill scan complete
No
Observed behavior
Not checked yet
Last checked
Nov 6, 2026

These are observations at the recorded commit, not a guarantee of safety. Review the source before running it.

Install this skill

Choose an agent in your Stack or copy a command below. Commands fetch the pinned commit and copy only this skill directory. Existing destinations are refused. Copying a command does not install anything.

An install command is unavailable: current rules, complete repository and skill scans, an eligible behavior level and a permitted license are required.

Repository context

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

Observed agent integration: No specific integration evidence. Standard SKILL.md installation does not imply verified compatibility.

Files and excerpt

File metadata and permitted, redacted excerpts come from the recorded scan. Source links are pinned to that commit.

Browse files
Read excerpt

# Northstar Payer Operations

Shared payer-operations environment for Northstar Health Plan. The environment is read-only and provides business APIs plus a SQL query endpoint. All tasks consume environment records and return structured JSON.

## Quick start

Every task shares the same environment access pattern. Use the base URL and credentials provided in the task prompt or `task_context.json` payload:

```
Base URL:         <TASK_ENV_BASE_URL>
SQL endpoint:     POST {base_url}/sql/query
[Credential-related source omitted]
```