topic Re: Looking for YTD Claim Spend in SAS Programming

Looking for YTD Claim Spend

jls954 — Wed, 25 Jun 2014 13:02:33 GMT

Looking for members with over X$ claims in 2014

This query is pulling the members but is not filtering only to 2014, do I not have the date in the correct place?

proc sql;

create table TOTAL_PAID as SELECT DISTINCT MBR_SYS_ID,

SUM(SRC_PD_AMT) as TOTAL_CLAIMS FROM DB2.INS_CLAIM A

WHERE A.CLM_PD_DT >= '01JAN2014'd and A.SRVC_CURR_IND = 'Y' and A.ENCTR_CD NOT IN('3','4','U') and A.TRANS_CD ='00'

group by MBR_SYS_ID

having TOTAL_CLAIMS > 100000;

quit;

Re: Looking for YTD Claim Spend

RW9 — Wed, 25 Jun 2014 13:32:51 GMT

I believe you need to subclause the where statement, then this would feed back into your outer loop for grouping. Also, if you are still not getting anything then copy the subclause with the where into another proc sql, see what it returns. Also you can try dropping the having and seeing what you get then.

proc sql;

create table TOTAL_PAID as

SELECT DISTINCT MBR_SYS_ID,

SUM(SRC_PD_AMT) as TOTAL_CLAIMS

FROM (select *

from DB2.INS_CLAIM

WHERE A.CLM_PD_DT >= '01JAN2014'd and A.SRVC_CURR_IND = 'Y' and A.ENCTR_CD NOT IN('3','4','U') and A.TRANS_CD ='00') A

group by MBR_SYS_ID

having TOTAL_CLAIMS > 100000;

quit;

Re: Looking for YTD Claim Spend

stat_sas — Wed, 25 Jun 2014 13:54:45 GMT

Are you sure you have members with total claims more than 100000 in 2014?

Re: Looking for YTD Claim Spend

jls954 — Wed, 25 Jun 2014 14:09:29 GMT

Yes, I am trying to narrow down because I am returning many with over $1million because its pulling in 2012, 2013 etc.

Re: Looking for YTD Claim Spend

Haikuo — Wed, 25 Jun 2014 14:12:51 GMT

Could "A.CLM_PD_DT" be a "datetime" variable instead of "date" variable? Add datepart( A.CLM_PD_DT) to see if produce what you are expecting.

Haikuo

Re: Looking for YTD Claim Spend

jls954 — Wed, 25 Jun 2014 16:20:42 GMT

Ok, reran and checked------the total amount of claim spend is correct.

The query is returning all claims regardless of date but only calculating the total on 2014.

Is there a way to remove the results that are not applicable (2012-2013)?