Individual skill
northstar-payer-ops
Solve Northstar Health Plan payer-operations tasks by querying the provided environment and returning schema-conforming JSON for prior authorization, pharmacy appeals and assistance intake, claim repricing, peer-to-peer closure, service-margin queues, and mixed UM-finance triage. Use when prompts mention Northstar payer operations, UM nurse determination summaries, appeals coordinators, payment integrity correction packets, P2P summaries, queue analysis, answer_template.json, or the task environment SQL/API endpoints.
experiments/codex_skill_creator_comparison_gpt5_5_xhigh/reports/skills/task_group_014/fewshot/deepagents/fewshot_attempt_02/SKILL.md
Source commit 5082a777379156a048881e94940d640702e5e09a
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- Apache-2.0
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- 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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# Northstar Payer Operations
## Core Workflow
1. Read the user prompt, `input/payloads/task_context.json`, and `input/payloads/answer_template.json`.
2. Extract the target business IDs, reporting date or period, SQL base URL, bearer token, required output keys, enum choices, ordering rules, and numeric precision from those files.
3. Query only the running environment endpoints named by the prompt or context. Do not inspect local environment source, SQLite files, generated data, manifests, hidden tests, or broad distractor records when a target ID is known.
4. Treat `answer_template.json` as the output contract. Return exactly one JSON object, use only requested keys unless the template permits extras, and use enum strings exactly as listed.
5. Build a `basis_audit` for every answer when requested: choose the matching `source_precedence`, list direct controlling environment records, list gaps/exceptions/stale records, and order the precedence trail from highest-priority controlling source to lower-priority exceptions.
## Environment Access
Use the base URL and token supplied by the prompt or task context. The SQL endpoint accepts JSON with an `sql` key:
