Individual skill
northstar-payer-ops-json
Produce strict JSON determinations and operations packets for Northstar Health Plan payer-operations tasks using the shared task environment. Use when the prompt asks for prior authorization or UM review, pharmacy appeal or assistance intake, peer-to-peer closure, payment integrity claim repricing, benchmark selection, or service margin queue summaries that must conform to an input/payloads/answer_template.json schema.
experiments/codex_skill_creator_comparison_gpt5_5_xhigh/reports/skills/task_group_014/fewshot/cc/fewshot_attempt_02/SKILL.md
Source commit 5082a777379156a048881e94940d640702e5e09a
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- Oct 29, 2026
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- Apache-2.0
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- operations Derived category
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SKILL.mdcore · 8,518 bytesSKILL.mdcore · 8,518 bytesSKILL.mdcore · 8,518 bytesSKILL.mdcore · 8,518 bytesSKILL.mdcore · 8,518 bytesreferences/table-map.mddoc · 4,875 bytesscripts/northstar_sql.pyruns · 2,990 bytesscripts/template_check.pyruns · 3,901 bytes
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# Northstar Payer Operations JSON
## Core Workflow
1. Read `input/prompt.txt`, `input/payloads/task_context.json`, and `input/payloads/answer_template.json` before querying anything.
2. Extract the target identifiers, reporting date or period, requester role, answer schema, endpoint base URL, and SQL bearer token from the task files. If the prompt contains a placeholder base URL, use the task environment access note supplied with that task.
3. Query only the documented environment endpoints. Do not inspect task-environment source files, generated databases, SQLite files, manifests, or setup scripts.
4. Start with the exact target IDs from `task_context.json`, then follow linked `case_id`, `member_id`, `policy_id`, `claim_id`, appeal, document, and queue row IDs. Avoid broad table dumps.
5. Build the answer directly from environment records and the template. Do not rely on local memos except for scope, target IDs, dates, definitions, and output constraints.
6. Return exactly one JSON object and no markdown or narrative text.
Use `scripts/northstar_sql.py` for SQL requests when helpful:
```bash