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Hi,
I have an excel table 'Claim Data' I'm bringing in to Power BI. The table has medical claim data. The two fields that apply to my question here are [Plan Payment Amount] and [Claim Serial Number]. Each [Claim Serial Number] can populate numerous times in this table (meaning a customer could have gone to the same doctor for the same cold multiple times and it would have been logged with the same [Claim Serial Number] because it was for the same issue. Each instance (row) of the [Claim Serial Number] is also populated with a [Plan Payment Amunt]. For example:
Claim Serial Number Plan Payment Amount]
0077 $1.00
0077 $3.00
0077 $10.00
0050 $150.00
0077 $10.00
0030 $25.00
With that in mind, Id like to associate certain [Plan Payment Amount] totals for each [Claim Serial Number] as either a (High Cost Claimant), a (Mediam Cost Claimant) or neither.
For this example, lets pretend that a (High Cost Claimant) is any situation where a [Claim Serial Number]'s total [Plan Payment Amount] is greater than or equal to $150.00. Let's also pretend that a (Medium Cost Claimant) is where a [Claim Serial Number]'s total [Plan Payment Amount] is greater than or equal to $25.00 but less than $150.00. In any other situation (if the [Claim Serial Number]'s total [Plan Payment Amount] is less than $25.00...it is neither a (High Cost Claimant) or {Medium Cost Claimant).
For this example, [Claim Serial Number] 0050 is the only (High Cost Claimant). [Claim Serial Number] 0030 is the only (Medium Cost Claimant) while 0077 is neither a (High Cost Claimant) or (Medium Cost Claimant).
I'm not really sure how I should go about building this out. Here is a picture of my relationships already.
Thank you in advance,
Andrew
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