select * from qmd_getClaimDetail
Claim Detail
Date Recieved: #dateformat(qmd_getClaim.claimDate,"mm/dd/yyyy")#
Invoice Date: ?
Invoice ##: #qmd_getClaim.claimInvoice#
Invoice Start \ End: #dateformat(qmd_getClaim.claimPeriodStart,"mm/dd/yyyy")# - #dateformat(qmd_getClaim.claimPeriodEnd,"mm/dd/yyyy")#
Claim Period Desc: #qmd_getClaim.claimStatusComment#
Calculated Variance Summary
Calculated Type ## of Cases Total Variance
Incorrect Allowance Rates:
Excluded Products:
Unrecognized Products:
Product not in Contract :
Variance Total
Variance Summary
Rebate Amount: #dollarFormat(qmd_getClaim.claimAmount)#
Calulated Variance: #dollarFormat( val(qmd_getClaim.claimAmount) - val(qmd_getClaim.verificationVariance) )#
Net Claim Amount Due: #dollarFormat( (val(qmd_getClaim.claimAmount) + val(qmd_getClaim.verificationVariance)) - val(qmd_getClaim.claimAmount))#
Manual Adjust \ Admin Fees: #dollarFormat( val(qmd_getClaim.adminFee) )#
Total Amount Paid:
Administration Fee:
Paid:
Requested:
Total Here:


Excluded
Rebate Claimed Contract
Code Sku Description Quantity Rate Rebate Rate Rebate Variance
1 22 333 4444 55555 666666 7777777 88888888 999999999
Excluded Total:


Incorrect Allowance Rate
Rebate Claimed Contract
Code Sku Description Quantity Rate Rebate Rate Rebate Variance
1 22 333 4444 55555 666666 7777777 88888888 999999999
Incorrect Allowance Rate Total:


Unrecognized Product
Rebate Claimed Contract
Code Sku Description Quantity Rate Rebate Rate Rebate Variance
1 22 333 4444 55555 666666 7777777 88888888 999999999
Unrecognized Product: