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SQL Pharmacy Spend Per Member
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SQL Pharmacy Spend Per Member

MediumSQL · PostgreSQL

Problem

Lockton Companies needs a monthly view of pharmacy costs for members covered during each claim service date. Write a PostgreSQL query that joins pharmacy claims to enrollment periods and calculates total paid pharmacy spend per member per month.

Requirements

  1. Include only claims where claim_type = 'PHARMACY' and claim_status = 'PAID'.
  2. Include a claim only when its service_date falls within the member's enrollment period. Treat coverage_end as exclusive; a NULL end date means coverage is ongoing.
  3. Group by member and calendar month, returning 0.00 when all matching paid amounts are NULL.
  4. Sort the output by member_id and month.

Schema

pharmacy_claims
ColumnTypeDescription
claim_idPKINTUnique claim identifier
member_idVARCHAR(10)Member identifier
service_dateDATEDate the prescription was filled
claim_typeVARCHAR(20)Claim category
claim_statusVARCHAR(20)Processing status
paid_amountNUMERIC(10,2)Amount paid for the claim
member_enrollment
ColumnTypeDescription
enrollment_idPKINTUnique enrollment record
member_idVARCHAR(10)Enrolled member identifier
coverage_startDATEInclusive coverage start date
coverage_endDATEExclusive coverage end date, or null for ongoing coverage
Tablespharmacy_claimsmember_enrollment
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