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cedar-ridge-intake-reconciliation

Reconcile Cedar Ridge-style healthcare intake tasks into strict JSON outputs. Use when Codex must audit patient access, referral readiness, dialysis transfer packets, chronic-care program enrollment, or referral-to-chart activation from structured patient, insurance, pharmacy, clinical, document, capacity, ICD, referral, transfer, program, and chart-artifact records.

experiments/codex_gpt5_5_xhigh/reports/skills/task_group_013/reflect-3/reflect-3_attempt_01/SKILL.md

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Oct 29, 2026
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Apache-2.0

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# Cedar Ridge Intake Reconciliation

## Core Workflow

1. Read the user prompt and answer template first. Treat the template as authoritative for required keys, enum values, nullability, list ordering, and summary count keys.
2. Build a focused working set for only the requested roster, batch, program, or cohort. Join each target row to the relevant patient profile, clinical history, coverage, PBM, pharmacy, lifestyle, ICD metadata, documents, capacity rows, program-candidate rows, and chart artifacts.
3. Normalize every output value to the template enums. Use empty arrays for no issues, `null` only where the template allows it, and compute all summaries from the final normalized patient/referral/transfer rows.
4. Sort rows exactly as requested. Treat issue-code arrays as sets unless the template says otherwise.
5. Before returning, verify totals and cross-field consistency: status counts must match row statuses, blocker sets must match per-row blocker codes, ready lists must contain only rows with no unresolved readiness blocker, and artifact/action lists must match the final disposition.

## Access And Insurance Intake

Classify insurance as valid only when coverage is active on the requested service date, in network, and includes the requested service line. Mark expired, pending, excluded-service-line, or absent coverage with the corresponding controlled blocker code.