Individual skill
northstar-payer-ops
Solve Northstar Health Plan payer-operations tasks across UM authorization, pharmacy appeals, payment integrity, peer-to-peer, and finance margin queues using the shared environment, structured JSON answer templates, and business-audit precedence rules.
experiments/codex_skill_creator_comparison_deepseek_v4_pro_max/reports/skills/task_group_014/fewshot/naive/fewshot_attempt_03/SKILL.md
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- Observed behavior
- Instructions only
- Last checked
- Nov 6, 2026
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- Repository last updated
- Oct 29, 2026
- License
- Apache-2.0
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- self-evolving Repository topic
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- finance Derived category
- operations Derived category
- security Derived category
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# Northstar Payer Operations
This skill covers five Northstar Health Plan workflows run against the shared
payer-operations environment: utilization management (UM) authorization
determinations, pharmacy coverage appeals, payment integrity claim repricing,
peer-to-peer (P2P) final summaries, and therapy margin queue analysis.
## Environment
Every task uses the same Northstar payer-operations environment. The solver
receives `<TASK_ENV_BASE_URL>` as the base URL.
- **SQL endpoint**: `POST /sql/query`
[Credential-related source omitted]