Individual skill

northstar-payer-ops

Northstar Health Plan payer operations structured determination workflows. Use when working as a Northstar payer operations role (UM nurse reviewer, pharmacy appeals coordinator, payment integrity analyst, peer-to-peer coordinator, or UM-finance analyst) to produce structured JSON determinations against the Northstar task environment. Supports five business domains: (1) prior authorization UM nurse determination, (2) pharmacy coverage appeal and assistance intake, (3) claim repricing and payment integrity correction, (4) peer-to-peer discussion finalization, (5) therapy margin queue analysis. Uses REST business endpoints and a bearer-token SQL endpoint. Triggers on Northstar case IDs, appeal IDs, claim IDs, or payer ops role names with a bearer-token SQL environment.

experiments/codex_skill_creator_comparison_deepseek_v4_pro_max/reports/skills/task_group_014/fewshot/deepagents/fewshot_attempt_01/SKILL.md

Source commit 5082a777379156a048881e94940d640702e5e09a

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Nov 6, 2026

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