Individual skill

northstar-payer-ops

Structured determination and audit-trail output for Northstar Health Plan payer operations. Query a shared SQL + REST environment to produce utilization management, pharmacy appeal, payment integrity, peer-to-peer, and margin-queue determinations as JSON matching a provided answer template. Use when the task requires (1) querying the Northstar payer environment, (2) building a structured JSON determination with a basis_audit trail, or (3) resolving payer workflows that span cases, claims, authorizations, policies, documents, appeals, benchmarks, or service-margin tables.

experiments/codex_skill_creator_comparison_deepseek_v4_pro_max/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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# Northstar Payer Operations

Use the shared payer-operations environment to query case, claim, authorization, policy, document, appeal, benchmark, and service-margin records and return a single structured JSON object matching the provided answer template. Every determination must include a `basis_audit` block that records the source-precedence rule, ordered record trail, controlling records, and exception records.

## Environment Access

The environment is accessed at the base URL provided in the task prompt or context as `<TASK_ENV_BASE_URL>`. Confirm the exact URL before issuing any request.

### REST Endpoints

| Method | Path | Description |
|--------|------|-------------|
| GET | `/` or `/portal` | Portal landing page |
| GET | `/api/tables` | List all database tables with column definitions |