Individual skill
northstar-payer-ops
Solve Northstar Health Plan payer-operations tasks that require live task-environment evidence and strict JSON output for prior authorization UM reviews, pharmacy appeals and assistance intake, payment-integrity claim repricing, peer-to-peer dispositions, or therapy finance margin queues. Use when prompts mention Northstar, payer operations, TASK_ENV_BASE_URL, sql/query, authorization cases, appeals, claims, P2P, rate schedules, or service margin queues.
experiments/codex_skill_creator_comparison_gpt5_5_xhigh/reports/skills/task_group_014/fewshot/deepagents/fewshot_attempt_03/SKILL.md
Source commit 5082a777379156a048881e94940d640702e5e09a
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- Observed behavior
- Not checked yet
- Last checked
- Nov 6, 2026
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- 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.
- agent Repository topic
- ai Repository topic
- benchmark Repository topic
- llm Repository topic
- self-evolving Repository topic
- self-learning Repository topic
- skills Repository topic
- finance Derived category
- operations Derived category
- data Derived category
- data-databases Derived category
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SKILL.mdcore · 3,022 bytesreferences/northstar_operations.mddoc · 8,861 bytesscripts/query_northstar.pyruns · 2,622 bytes
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# Northstar Payer Operations
## Core Workflow
1. Read the user prompt, `input/payloads/task_context.json`, and `input/payloads/answer_template.json` before querying. Treat the template as the output contract.
2. Get the target ID, reporting date or period, base URL, SQL endpoint, and bearer token from the prompt/context. Use only the exposed business endpoints and SQL endpoint; do not inspect environment source, database, generated data, manifests, or setup files.
3. Discover records from the live environment, not from local examples. Start with `/api/tables` when schema is uncertain. For SQL, use [scripts/query_northstar.py](scripts/query_northstar.py).
4. Pull every record family that can affect the requested disposition: case, member, plan, request lines, policy, criteria, documents, facts, authorizations, appeals, assistance screens, drug trials, claims, claim lines, payment benchmarks, P2P events, or service margin rows as applicable.
5. Resolve the business result using the source-precedence rule implied by the work type and answer template. See [references/northstar_operations.md](references/northstar_operations.md) for task-specific checklists.
6. Build only the JSON object requested by the template. Match required keys, enum values, null handling, ordering rules, date formats, and numeric precision exactly. Do not add prose or markdown.
## Basis Audit
Every observed task requires `basis_audit`. Populate it from the records that actually decide the answer: