KP
Field Selector
Patient / Member
Member IDSTR
Patient NameSTR
Date of BirthDATE
GenderSTR
ZIP CodeSTR
Claims
Claim IDSTR
Date of ServiceDATE
ICD-10 CodeSTR
Paid AmountNUM
Claim StatusSTR
Billed AmountNUM
Allowed AmountNUM
Provider
Provider NameSTR
NPI NumberSTR
SpecialtySTR
Network StatusSTR
Financial
PayerSTR
Plan TypeSTR
Saved Queries
High-Cost Members > $10K
Claims · Saved Apr 15
Diabetes Cohort (E11.x)
Members · Saved Mar 28
ER Visits 30-Day Readmit
Claims · Saved Mar 10
HEDIS Measure Pull — CDC
Population · Saved Feb 22
Selected Fields Click fields in the panel to add · Drag to reorder
Member ID
Patient Name
Claim ID
Date of Service
Paid Amount
Provider Name
Filter Rules
Match:
WHERE and
AND
AND
SQL Preview
Generated SQL Auto-generated · Read only
SELECT
  m.member_id,
  m.patient_name,
  c.claim_id,
  c.date_of_service,
  c.paid_amount,
  p.provider_name
FROM claims c
JOIN members m ON c.member_id = m.member_id
JOIN providers p ON c.provider_npi = p.npi
WHERE
  c.date_of_service BETWEEN '2024-01-01' AND '2024-12-31'
  AND c.paid_amount > 5000
  AND c.claim_status = 'Paid'
ORDER BY c.paid_amount DESC
LIMIT 1000;
Results Showing 10 of 2,847 rows · Query ran in 0.34s
Member ID Patient Name Claim ID Date of Service Paid Amount Provider Name
MBR-10482Martinez, Luis A.CLM-2024-0918472024-11-14$42,180.00Northgate Medical Group
MBR-07219Johnson, Carol B.CLM-2024-0882312024-10-28$38,540.00Valley Health Center
MBR-14392Garcia, Maria E.CLM-2024-0827102024-09-03$31,200.00Dr. Robert Almanza, DO
MBR-22814Thompson, James R.CLM-2024-0750192024-08-22$28,750.00Westside Family Practice
MBR-09183Williams, Betty K.CLM-2024-0694122024-07-15$24,320.00Dr. Sandra Kim, MD
MBR-31027Lee, David S.CLM-2024-0618842024-06-30$19,870.00Northgate Medical Group
MBR-18204Rodriguez, Ana C.CLM-2024-0552912024-06-02$17,450.00Valley Health Center
MBR-04917Brown, Thomas W.CLM-2024-0476382024-05-18$14,900.00Dr. Patricia Moore, MD
MBR-27560Davis, Patricia M.CLM-2024-0394712024-04-24$12,340.00Westside Family Practice
MBR-11834Wilson, Michael T.CLM-2024-0310282024-03-10$10,820.00Dr. Sandra Kim, MD
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Page Guide

The Query Builder lets you create custom ad-hoc reports from healthcare data without writing SQL.

  • Step 1: Select a data source (Claims, Members, Encounters, etc.) from the dropdown.
  • Step 2: Click fields in the Field Selector to add them to your report.
  • Step 3: Add filter rules in the Filter Rules section.
  • Step 4: Click "Run Query" to see results, then export to CSV, Excel, or PDF.
  • Click "Add Rule" to add a new filter condition.
  • AND: All conditions must be true (more restrictive).
  • OR: Any condition can be true (broader results).
  • Delete a rule by clicking the trash icon on that row.
  • Combine date ranges with paid amount filters for cost analysis.
  • The SQL Preview shows the exact query that will run — useful for review or sharing with IT.
  • Click "Copy" to copy the SQL to your clipboard.
  • Toggle the SQL panel closed to maximize the results view.
  • CSV: Raw data for further analysis in Excel.
  • PDF: Formatted report for presentations or audits.
  • Click "Save Query" to name and store your current query configuration.
  • Load a saved query from the Saved Queries panel on the left.
  • Queries are user-scoped — your saved queries won't appear for other users.
  • For large result sets, add more filters to reduce rows before exporting.
  • The query results are limited to 1,000 rows in preview — full data is available on export.