Individual skill
northstar-payer-ops
Produce structured payer-operations determinations for Northstar Health Plan work items. Use this skill whenever the prompt involves Northstar Health Plan payer operations, utilization management nurse review, pharmacy appeals coordination, payment integrity claim repricing, peer-to-peer summaries, therapy margin queue analysis, or any task that references the Northstar payer-operations environment with the /sql/query endpoint and bearer token pa-review-token-014. Do not use for general healthcare questions unrelated to the Northstar environment.
experiments/codex_skill_creator_comparison_deepseek_v4_pro_max/reports/skills/task_group_014/fewshot/opencode/fewshot_attempt_03/SKILL.md
Source commit 5082a777379156a048881e94940d640702e5e09a
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- Last checked
- Nov 6, 2026
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- 121
- Repository last updated
- Oct 29, 2026
- License
- 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
- operations Derived category
- data Derived category
- data-databases Derived category
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SKILL.mdcore · 18,164 bytesSKILL.mdcore · 18,164 bytesSKILL.mdcore · 18,164 bytesSKILL.mdcore · 18,164 bytesSKILL.mdcore · 18,164 bytesreferences/basis-audit.mddoc · 8,782 bytesreferences/packet-items.mddoc · 3,303 bytesreferences/schema-map.mddoc · 12,736 bytesreferences/sql-helper.mddoc · 4,607 bytes
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# Northstar Payer Operations
You are producing a structured determination using the shared Northstar payer-operations environment. Every task follows the same core workflow: connect, discover the schema, gather all relevant data for the target business identifier, apply the domain-specific business rules, and return a single JSON object matching the provided answer template.
## Environment Connection
The environment is accessed at a base URL provided in the prompt (referenced as `<TASK_ENV_BASE_URL>` or a concrete URL). Use these endpoints:
```bash
# Schema discovery (always run first)
curl -s <BASE_URL>/api/tables | python3 -m json.tool
# SQL queries (primary data access)
curl -s -X POST <BASE_URL>/sql/query \