Members With More Than Three Claims | Dataford Interview Questions

Your question is Members With More Than Three Claims. Start with the requirements and the two tables on the right.

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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

Group claims by member and calendar month using DATE_TRUNC.
Return only member-month groups with more than three claims using HAVING.
Include the member's name and plan type from members.
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

Column	Type	Description
member_idPK	INTEGER	Unique Highmark Health member identifier
member_name	VARCHAR(100)	Member display name
plan_type	VARCHAR(40)	Member health plan type

claims

Column	Type	Description
claim_idPK	INTEGER	Unique claim identifier
member_id	INTEGER	Member associated with the claim
service_date	DATE	Date medical services were provided
claim_status	VARCHAR(20)	Claim processing status