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Average Claims for Active Members
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Average Claims for Active Members

MediumSQL · PostgreSQL

Problem

Aetna's claims reporting team needs the average claim amount submitted for members who had maintained active coverage for at least one year when each claim was submitted. Write a PostgreSQL query using the claims and members tables.

Requirements

  1. Join each claim to its member record.
  2. Include only claims submitted at least one year after the member's enrollment date.
  3. Exclude claims after a member's termination date, while treating a NULL termination date as ongoing coverage.
  4. Return one row containing the average qualifying claim amount, rounded to two decimal places. PostgreSQL's AVG should naturally ignore NULL claim amounts.

Schema

members
ColumnTypeDescription
member_idPKINTAetna member identifier
member_nameVARCHAR(100)Member's name
enrollment_dateDATECoverage start date
termination_dateDATECoverage end date, or NULL for ongoing coverage
claims
ColumnTypeDescription
claim_idPKINTClaim identifier
member_idINTMember associated with the claim
claim_dateDATEDate the claim was submitted
claim_amountNUMERIC(12,2)Billed claim amount
claim_typeVARCHAR(30)Claim classification
Tablesclaimsmembers
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