Yes, there s a single open tran for the full duration of the looping and deleting.
Since there is no where clause ... why would he not simply do a...

The following code will work, so long as you only have 5 days per VM.

WITH cteDayNum AS (
SELECT *
  , [DayNum] =...


SELECT
  ID
, DateDifference = SUM(DATEDIFF(DAY, ReportedDate, CompletedDate))
FROM #ReportTable
GROUP BY ID;


WITH ctePerson AS (
SELECT *
  , nextVisitDate = LEAD(p.VisitDate, 1, '2199-12-31') OVER (PARTITION BY PID ORDER BY p.VisitDate)
FROM #person AS p

Is there a reason why the CLUSTERED key is on the IDENTITY field?

Based purely on this query, you could look at changing the PRIMARY KEY to a NON-CLUSTERED...

You can try something like this.  NOTE: The lack of data or expected results means that this code is untested.
WITH cteDateCalc AS (
  SELECT
   trackid

Since this is a SQL 2008 Forum, I assume that you are using SQL 2008.  In this case a SEQUENCE object will not work.

You could use a watermark...

Your first problem is that you have tag names that include mathematical operators.  How do you know whether SC-1 is "SC" minus 1, or just the tag "SC-1".

Once...

I used the following code, and get 4 results from the sample XML that you posted.

DECLARE @CAQH_Return_XML TABLE (FileInfo XML);

INSERT INTO @CAQH_Return_XML(FileInfo)
VALUES...

Please post readily usable code.  A picture of the xml doesn't help. I have added the Provider root, as well as the NPI and LastName nodes to your sample data.

MSDN - DROP INDEX (Transact-SQL)

2 Possible options ...

DECLARE @SeedVal INT = ISNULL((SELECT LID_ID_NB from LastIDNumber WHERE LID_KET_NM = 'TableName'), 0) +1;
DBCC CHECKIDENT ( TableName, RESEED, @SeedVal ) WITH...