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Claims Data Cost Savings Analysis
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Claims Data Cost Savings Analysis

MediumSQL · PostgreSQL

Problem

Tell me about a time you analyzed claims data and identified cost savings.

For this SQL exercise, use the provided claims and procedure benchmark data to identify procedures where paid allowed costs exceed benchmark costs.

Output

  1. One row per procedure with potential savings
  2. Columns: procedure_code, procedure_name, claim_count, current_cost, benchmark_cost, potential_savings, and savings_pct
  3. Include only procedures with positive potential savings, ordered by potential_savings descending, then procedure_code ascending

Schema

claims
ColumnTypeDescription
claim_idPKINTUnique claim identifier
procedure_codeVARCHAR(10)Medical procedure code
service_dateDATEDate of service
statusVARCHAR(20)Claim processing status
allowed_amountDECIMAL(12,2)Allowed amount paid or adjudicated for the claim
procedure_benchmarks
ColumnTypeDescription
procedure_codePKVARCHAR(10)Procedure code used for benchmark matching
procedure_nameVARCHAR(100)Procedure description
benchmark_amountDECIMAL(12,2)Target allowed amount per claim
Tablesclaimsprocedure_benchmarks
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Your question is Claims Data Cost Savings Analysis. Start with the requirements and the two tables in the Question tab.

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