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Northstar payer-operations structured JSON review tasks that query the shared environment and return strict dispositions for UM nurse reviews, pharmacy appeals and assistance intake, claim repricing, peer-to-peer review, or margin queue analysis. Use when a task bundle includes a Northstar case, claim, queue, appeal, or P2P record plus a task-specific answer template.

experiments/codex_gpt5_5_xhigh/reports/skills/task_group_014/fewshot/fewshot_attempt_02/SKILL.md

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Oct 29, 2026
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Apache-2.0

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# Northstar Structured Reviews

## Overview
Use this skill to turn a Northstar task bundle into strict JSON that matches the supplied answer template. The bundle usually includes a prompt, task context, an answer template, and an environment access note.

## Workflow
1. Read `prompt.txt`, `task_context.json`, and `answer_template.json`.
2. If `environment_access.md` is present, use it only to obtain the base URL and bearer token for the shared environment.
3. Use the shared environment endpoints or `POST /sql/query` to pull only the records needed to answer the template.
4. Treat `answer_template.json` as the contract. The prompt explains the business question; the template defines the output shape.
5. Return JSON only. Do not add prose, markdown, comments, or extra keys.

## Identify the family
- `authorization` plus PT criteria and document lists -> UM nurse determination.
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