Individual skill
northstar-payer-ops-json
Solve Northstar Health Plan payer-operations tasks that require a strict JSON answer from the shared task environment, including utilization-management determinations, pharmacy appeals and assistance intake, payment-integrity claim repricing, peer-to-peer outcomes, and UM-finance margin queues. Use when a prompt mentions Northstar, payer operations, a SQL/query endpoint, case/claim/appeal/queue records, answer_template.json, task_context.json, criteria results, source precedence, basis_audit, or returning JSON only.
experiments/codex_skill_creator_comparison_gpt5_5_xhigh/reports/skills/task_group_014/fewshot/opencode/fewshot_attempt_02/SKILL.md
Source commit 5082a777379156a048881e94940d640702e5e09a
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- Last checked
- Nov 6, 2026
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- Oct 29, 2026
- License
- Apache-2.0
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- finance Derived category
- operations Derived category
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# Northstar Payer Operations JSON
Use this skill to produce one schema-conforming JSON object for Northstar payer operations tasks. The stable challenge is not writing prose; it is retrieving the right operational records, applying the correct source-precedence rule, calculating/classifying fields exactly, and preserving an audit trail.
## Operating Boundary
- Use only the environment endpoints and credentials supplied by the task prompt or payload. Do not inspect task-environment source files, database files, generated data files, manifests, or setup scripts.
- Treat `input/payloads/answer_template.json` as the output contract. Read it before calculating final fields.
- Treat `input/payloads/task_context.json` as the scoped work order. Use target IDs, reporting dates/periods, queue row IDs, requester role, and any local finance or routing definitions from it.
- Return JSON only. Do not include Markdown fences, comments, or explanatory text outside the object.
- Do not copy fields from a local memo when environment records disagree. The memo scopes the task; current operational records supply the facts.
## One-Pass Workflow
