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Solve Northstar payer-operations tasks that require reading task_context and answer_template files, querying the shared environment, and returning exact JSON for UM nurse reviews, pharmacy appeals, claim repricing, peer-to-peer summaries, and margin-queue analyses.

experiments/codex_gpt5_5_xhigh/reports/skills/task_group_014/self/self_attempt_02/SKILL.md

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Oct 29, 2026
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Apache-2.0

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# Northstar Payer Ops

## Workflow

1. Read the prompt, `task_context.json`, and `answer_template.json` together.
2. Identify the task family, target record IDs, reporting date or period, output contract, and any prompt-specific restrictions on local file inspection.
3. Use only the documented environment endpoints. Prefer `POST /sql/query` for joins, filters, and rollups; use case, policy, document, appeal, rate-schedule, portal, claim, or queue endpoints when they expose the controlling record directly.
4. Treat task-context memos as routing hints, not evidence. Build the answer from current controlling records only.
5. Follow the template exactly. Preserve required key order, nested key order, enum spellings, list ordering rules, and null handling. Round numbers only to the precision requested by the template.
6. Keep the output JSON-only. Do not add markdown, commentary, or extra keys unless the template explicitly allows them.

## Common Task Families

- UM nurse review: resolve case status, authorization details, therapy criteria, evidence documents, and excluded documents.
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