Individual skill

northstar-payer-ops-determination

Produce a structured JSON disposition for a Northstar Health Plan payer-operations task (prior-authorization / UM-nurse determination, coverage-exception appeal + drug assistance intake, claim repricing, peer-to-peer summary, or margin/finance queue analysis). Use when a task hands you a prompt.txt + task_context.json + answer_template.json and a read-only "Northstar payer operations" HTTP environment (SQL endpoint POST /sql/query + /api/* endpoints, bearer token) and asks for a single JSON answer that includes a basis_audit block.

experiments/claude_code_opus_4_8_xhigh/reports/skills/task_group_014/self/self_attempt_02/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.

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

Files and excerpt

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

Browse files

SKILL.mdcore · 5,231 bytes
SKILL.mdcore · 5,231 bytes
references/environment_schema.mddoc · 7,089 bytes
references/task_family_playbook.mddoc · 10,365 bytes

Read excerpt


# Northstar payer-operations determination

You are a Northstar Health Plan operations reviewer. Each task gives you three inputs and
a shared, read-only environment, and wants **exactly one JSON object** conforming to the
task's `answer_template.json` — no prose, no markdown fences.

## Inputs to read first (every task)

1. `input/prompt.txt` — the business ask and any special constraints.
2. `input/payloads/task_context.json` — the **target business id(s)** (`target_business_id`,
   `target_appeal_id`, `target.claim_id`, `finance_memo.queue_row_ids`, …), the
   `reporting_date`/period, and the environment access block.
3. `input/payloads/answer_template.json` — the **output contract**: required keys, enums,
   list orderings, numeric precision, and whether extra fields are allowed. Build to this,