Individual skill
northstar-payer-operations
Solve Northstar Health Plan payer-operations tasks across UM authorization, pharmacy appeals, payment integrity, peer-to-peer, and margin analysis. Use the shared task-environment SQL and REST endpoints to gather records, evaluate policy criteria, and return structured JSON matching the supplied answer template.
experiments/codex_skill_creator_comparison_deepseek_v4_pro_max/reports/skills/task_group_014/fewshot/naive/fewshot_attempt_02/SKILL.md
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- Last checked
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- Oct 29, 2026
- License
- Apache-2.0
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# Northstar Payer Operations Skill
This skill guides a Codex solver through Northstar Health Plan payer-operations
tasks. It covers five operational domains: utilization management (UM)
authorization review, pharmacy appeals intake, payment integrity claim
repricing, peer-to-peer (P2P) case summarization, and therapy margin queue
analysis.
## Task Shapes
Every Northstar task follows the same skeleton:
1. A `prompt.txt` describes the work in natural language and references the
shared task environment at `<TASK_ENV_BASE_URL>`.