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Members With More Than Three Claims
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Members With More Than Three Claims

EasySQL · PostgreSQL

Problem

Highmark Health analysts need to identify members whose claims activity exceeds three claims within a calendar month. Write a PostgreSQL query that summarizes qualifying member-month combinations.

Requirements

  1. Group claims by member and calendar month using DATE_TRUNC.
  2. Return only member-month groups with more than three claims using HAVING.
  3. Include the member's name and plan type from members.
  4. Sort the results by month and then member ID.

Claims with a missing service date cannot be assigned to a month and should not qualify. Claims whose member ID does not match members should not appear in the final output.

Schema

members
ColumnTypeDescription
member_idPKINTEGERUnique Highmark Health member identifier
member_nameVARCHAR(100)Member display name
plan_typeVARCHAR(40)Member health plan type
claims
ColumnTypeDescription
claim_idPKINTEGERUnique claim identifier
member_idINTEGERMember associated with the claim
service_dateDATEDate medical services were provided
claim_statusVARCHAR(20)Claim processing status
Tablesmembersclaims
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