Individual skill

northstar-payer-ops-determination

Produces a structured JSON determination, disposition, summary, or correction packet for a Northstar Health Plan payer-operations work item. Use whenever a task asks for a UM-nurse prior-authorization determination, pharmacy coverage appeal and/or manufacturer-assistance intake disposition, payment-integrity claim repricing packet, peer-to-peer (P2P) final summary, or UM-finance margin-queue summary — i.e. any task that supplies a prompt plus a task_context.json and an answer_template.json and expects a single JSON object back from the shared Northstar payer-operations environment. Covers reaching the environment only over the network (SQL endpoint + bearer token + open business endpoints), reconciling conflicting evidence via the domain source-precedence rule, evaluating criteria, classifying evidence vs excluded records, and assembling the basis_audit trail.

experiments/claude_code_glm_5_2_max/reports/skills/task_group_014/fewshot/fewshot_attempt_01/SKILL.md

Source commit 5082a777379156a048881e94940d640702e5e09a

What was checked

Matches the observed repository HEAD

Yes

Scanner rules are current

Yes

Repository scan complete

No

Skill scan complete

No

Observed behavior

Instructions only

Last checked

Nov 11, 2026

These are observations at the recorded commit, not a guarantee of safety. Review the source before running it.

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