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northstar-payer-ops

Produce a structured JSON deliverable for a Northstar Health Plan payer-operations work item (UM prior-auth determination, pharmacy coverage appeal + manufacturer assistance intake, claim repricing/payment-integrity correction, peer-to-peer closure, or therapy-margin queue analysis) by reading the shared read-only payer operations environment over its SQL and REST endpoints and returning exactly the JSON shape the task's answer_template.json defines. Use whenever a task gives a Northstar business ID (CASE-*, APPEAL-*/APL-*, CLAIM-*, P2P-*, QUEUE-*), a `<TASK_ENV_BASE_URL>` with a `POST /sql/query` bearer token, and an answer_template.json to conform to.

experiments/claude_code_opus_4_8_xhigh/reports/skills/task_group_014/self/self_attempt_01/SKILL.md

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Nov 6, 2026

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121
Repository last updated
Oct 29, 2026
License
Apache-2.0

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# Northstar Payer-Operations Deliverable Builder

## What this skill is for

Northstar payer-operations tasks all share the same shape:

- A **task_context.json** naming a target business ID, a requester role, a reporting
  date, and environment access.
- An **answer_template.json** that fixes the exact output JSON (required keys, enums,
  ordering rules, precision, null handling).
- A **shared read-only environment** you must query for the real facts.
- The instruction **"return JSON only"** conforming to the template.

Your job is to pull the real records from the environment, apply the operating rule