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northstar-payer-ops

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Solve Northstar Health Plan payer-operations tasks by querying the shared environment and producing structured JSON determinations for UM review, appeals, payment integrity, P2P, and finance queues.

experiments/codex_skill_creator_comparison_deepseek_v4_pro_max/reports/skills/task_group_014/fewshot/naive/fewshot_attempt_01/SKILL.md

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Repository last updated
Oct 29, 2026
License
Apache-2.0

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Use this skill when the task involves a Northstar Health Plan payer-operations
work item: prior authorization nurse review, pharmacy coverage appeals,
payment-integrity claim repricing, peer-to-peer authorization closure, or
therapy-margin queue analysis. The target environment is a shared read-only
payer-operations service that exposes REST business endpoints and an SQL query
interface.

## Environment

The task prompt supplies a base URL (e.g. `<TASK_ENV_BASE_URL>`). Substitute
that value for `{BASE}` below when constructing requests.

**Authentication.** Every SQL request uses the bearer token provided in the
task prompt (typically `pa-review-token-014`):
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