RxLogic Release Notes 1.18.0 02/26/2026

Update Type

Minor

Update Description

This version update includes stabilization and performance items and various bug fixes.

Added Features:

• Pharmacy Network Filtering by Hours
• Process Rule Copay Reduction
• Invoice Payments Import Category Code Enhancements
• Payables File Delivery

Version Number

1.18.0.2

New Development

The New Development section of the Release Notes is dedicated to work items (User Stories, Tasks, etc…) that are new functionality that was not in previous versions of the application. This section has additional information and details that the Bug Fixes section does not have. If you have additional questions on any of the new functionality, please ask your RxLogic Client Manager or check out the User Guide for the new documentation.

Claim

Paid Claim Lookup

New Filter Options for External Adjudication Transactions (28032) – A new "External Adj Claims" field is available in the Tx Info section of Paid Claim Lookup, offering three dropdown choices:

Show: includes both regular and external adjudicator claims in search results (this is the default option)
Show Only: displays only external adjudicator claims
Hide: excludes external adjudicator claims from results

25,000 Record Export Cap (28033) – An export limit of 25,000 records was implemented for the Paid Claim Lookup screen. If there are more than 25,000 records in the data set, the pop-up box below is shown, allowing for the 25,000 most recent transactions to still be exported.

Drug

Manual Drugs

Package UOM Now Required (28574) - The Package UOM field is now required. Failure to populate a value will display a pop-up message of “Please select a Package UOM.”.

Formulary Manager

Formulary Manager Grid Improvements (27899 / 28837) - The Formulary Manager grid was updated to better utilize space on higher resolution monitors. As a part of this change, the grid now supports continuous scrolling.

Member

MPA Manager

Grid Update to Include Brand and Generic Flat Copay (27972) – Columns for Brand Flat Copay and Generic Flat Copay are now available via the column chooser. When selected, these fields will also appear in export files.

Pharmacy

Pharmacy Manager

Filtering FTP Connections by Type = Pharmacy (27787) - The Pharmacy Manager EDI FTP Connection dialog box was updated to only display FTPs with a type of Pharmacy.

Network Manager

Network Filtering by Adjudication Time (22105 / 28425) – The ability to define “Network Operating Hours” was added to the Network Manager. This feature allows a Pharmacy Network to have Open and Closed hours, allowing a specific Network to be completely ignored during the Closed period. This evaluation is based on Adjudication Date/Time in Eastern time.

For example, the Network below could be used between the hours of Friday at 6pm, to Monday at 8am. Outside of that window, the Pharmacy Network is ignored. Defining the hours of operation is optional, and Networks without any defined hours continue to work all hours of the day.

Payment Center Manager

Filtering FTP Connections by Type = Pharmacy (27788) - The Payment Center Manager EDI FTP Connection dialog was updated to only display FTPs with a type of Pharmacy.

Plan Design

Location Manager

Location Clone Feature Now Includes Groups (27641) – The Location Code clone was enhanced to now include the related Groups as a part of the clone.

Increased Character Limit for Location Fields (28206 / 28537) – The Location Name field was expanded to support up to 100 characters, and the Description field now supports up to 128 characters. These updates were made for both UI entry, as well as Location Code import.

Rules & Calculators

Process Rules

"Reject with Code” Multiple Code Support (28211 / 28380) – The “Reject with Code” Process Rule action was enhanced to permit the selection of up to four Reject Codes.

New "Copay Reduction" Option (28213/ 28420) – A new action for "Copay Reduction" was added to the Process Rule Screen. This action is located in the Money section. When set to Yes, the Copay is reduced after the total Copay is calculated. The reduction can be applied as a dollar amount, a percentage, or a combination of both. When both are used, the apply type determines how the final reduction is computed. Lesser Of applies the smaller of the two reductions, Greater Of applies the larger, and Both applies the percentage reduction first and then the dollar reduction.

Transactions with a DAW differential bypass the Copay reduction logic.

Restriction Rules

MPA Override Support for Max Script Dollars (26736) – MPA functionality was updated to allow an override of the 76 Cost Exceeds Maximum (Fill Restriction Dollar Limit Exceeded) rejection via the Max Script Dollar field on the MPA.

Files and Jobs

File Manager

FTP Type Selector and Default Directory (27523 / 27784) – The File Manager was updated to support additional options of a new connection type selector (Client, Pharmacy, or Not Specified) for a more accurate setup. A new optional Default Directory field was also been added for use with new Payrec file delivery to Pharmacies options.

Job Manager

File Distributor – New Status and Error Message When Location Not Found (27447) – When the File Distributor attempts to move files from a location that cannot be found, the job will now be set to a status of ‘Succeeded No File’, with the run details indicating a problem with the paths used.

File Distributor Ignores Pharmacy-Type FTPs (27798) – The File Distributor configuration screen was updated so that Pharmacy type FTP connections are now excluded. Only NotSpecified and Client FTP options are available for setup on a File Distributor in this location.

InvoicePaymentsImport Partial Payment Category Codes (28108) – The InvoicePaymentsImport job parameters were updated to support separate category codes for invoices “Paid in Full” and “Partial Payments”. The job now applies the Paid in Full category when an applied payment results in a zero or negative outstanding balance, and the new Partial Payment category code is used when the remaining balance is greater than 0.00.

Billing Cycle Export – Table to Log Output File Names and Parameters (28153) – A new table, AutomatedPayrecLogs, was added to the Payrec database to indicate files that have been auto pushed to Payrec. This table will be used in future functionality to allow for easy review of files expected to be in Payrec vs. Actual.

Billing & Fee Mgmt

Payables Manager

PayRec Payables/Receivables: 'Copy Files to FTP' Button on Batch ID Screen (27712 / 27759) – The Batch ID screen now includes a "Copy Files to FTP" button, allowing file copy to an FTP location from the Payables/Receivables Dashboard. This functionality was previously only available on Step 6 of the wizard process.

Make FTP Destination Path Error More Specific (28153) – An update was made to the handling of invalid destination paths when copying FTP Files. Whether in the Confirm FTP Destination Path step via Payables or Receivables Batch ID, or in Step 6 of the wizard, the error message was updated to "Invalid destination path" to provide better clarity into the cause of the error.

PayRec Payables/Receivables: Filtering FTP Connection by Type = Client (27868 / 27872) – The Payables and Receivables Managers were updated to display only non-Pharmacy FTPs for the Copy Files process, preventing the accidental use of Pharmacy‑designated FTPs.

835 Delivery to Pharmacy SFTP (27524 / 27968 / 27969 / 28349 / 27885) – 835 files can now be delivered directly to Pharmacy or Payment Center SFTP connections from within the application. This utilizes the defined SFTP for the Pharmacy / Payment Center and places the files in the default directory parameter for the related FTP. The Default Directories are defined by the full path, excluding the Base URL.

The new PaymentFiles tab is only visible to users with the Custom-Control-Payables: DistributeFiles permission.

The UI displays delivery status, sent and acknowledged timestamps, and provides error messaging when the delivery fails (these failure details are logged). Successful deliveries trigger notifications to the designated “File Distribution Email” contacts on the Pharmacy and Payment Center Managers, while failed deliveries generate alerts sent to the distribution list configured in the PayRec Organization settings.

Example of a Successful 835 Delivery Email:

Example of an unsuccessful Delivery Email:

To deliver the files, select one or many of the files by checking the left most column and click on the Deliver selected files option.

The overall steps of the process are:

Complete a Batch.
Navigate back to the Payables Dashboard
Navigate to the Payments Tab
Search for your Batch(es)
Select the PaymentFiles Tab in the grid at the bottom of the screen
Select the File(s) with FileTypes ending in "835"
Click “Deliver Selected Files”

Claim Summary and Check Summary Delivery (27525) – Check Summary PDFs and Txt files can now be distributed via email. The overall process is the same as the 835 delivery detailed above, with the difference being that the related files are delivered via an Email to the File Distribution Email.

Example Email:

Condensed Claim Summary Report Changes (27013 / 27014) - The Condensed Claim Summary Report now dynamically populates the Name, Phone, Fax and Website fields based upon what is entered in the Org Info screen in PayRec. In addition, these reports are now stored in their respective Pay-To Entity directories nested within the Released directory.

NACHA File - FED TIN Immediate Origin Prefix Customization (21893) - In the Organization Info area of the Payables Manager and Receivables Manager there is a new field called “Immediate Origin Prefix”. This field allows for a single character prefix that is added to the Immediate Origin field of the NACHA file. The field defaults to ‘off’, but if used will default to a value of 1 with the option to change the value.

Duplicate Imported File Check (10177) – A new check was added to the Billing Cycle Import process to detect files that have already been loaded into PayRec with the same name. If a duplicate filename is found, a popup is displayed with the Billing Cycle IDs and Billing Cycle Dates of any matching files. The file can still be imported by clicking on the Continue button.

Credit Payment Type (16069 / 28637) – A new Credit option was added to the Payment Type dropdown on Step 4 of the Payables Batch process. Credit payments follow the same processing and report generation as Check but display Credit as the payment type on applicable reports such as Check Summary and AP Summary.

Payment Amount Added to Combined Claim and Claim Summary File (16731) – A new Payment Amount column was added to the Payables CombinedClaims and ClaimSummary reports. This field is calculated as Total Paid + Pharmacy Admin Fee(s) and appears as the last column in the file.

Transactions Link to Payments and Vouchers (27715) – Two new cross-reference tables, PaymentClaims and VoucherClaims, were added to the Payrec database to link Payables transactions to their associated Payments and Vouchers. Data will be backfilled to these tables to create the links for previously run batches shortly after deployment.

Records on File Change on Dashboard (27715) – The Records on File column was updated to now show a count of both Paid and Reversal transactions on the file. The paid count is preceded by a (P), and the reversal count by an (R). This count still represents the number of records on the file and includes transactions that have the Exempt from Payables value set on them.

Invoice Manager

Addition of CHID and WCClaimID Columns to the Invoice Tab (26602 / 27894) – New columns for CHID and WCClaimId were added to the Invoice Manager. These columns are hidden by default but can be added via a new column chooser on the page.

Please note that this page currently does not save user column settings. This will be added in a future release.

Help & Support

Release History

Add Notes for 1.17.6 (27867) – 1.17.6 Release notes were added.

Medi-Span Updates

2026 March GPI Changes (28314) – The list for the 2026 March GPI TCS Changes Tech Bulletin is now available in this location.

APIs

Client API

MemberEligibility API Update (26757) – Updates to the MemberEligibility endpoint include:

Member Key (CHID) is now optional.
Search by the Member ID is available. When provided only Member ID is required for this search.
Members can be found using any combination of FirstName, LastName, and DOB.
Partial name searches are supported via the new NameMatchType field. This field uses P = partial match, and E = exact match. Exact match is used as the default if nothing is specified for this field.

Database

New Fields

The following new fields were added as part of this release:

Database / Table	Table	Field	Data Type	Length
Enrollment	FTPConnections	ConnectionType	TinyInt
Enrollment	FTPConnections	DefaultDirectory	nvarchar	255
Enrollment	Network_OperatingHours	Id	int
Enrollment	Network_OperatingHours	NetworkId	int
Enrollment	Network_OperatingHours	OpenDay	TinyInt
Enrollment	Network_OperatingHours	OpenTime	Time
Enrollment	Network_OperatingHours	CloseDay	TinyInt
Enrollment	Network_OperatingHours	CloseTime	Time
Enrollment	Network_OperatingHours	Created	DateTimeOffset
Enrollment	Network_OperatingHours	CreatedBy	Varchar	64
Enrollment	Network_OperatingHours	Changed	DateTimeOffset
Enrollment	Network_OperatingHours	ChangedBy	Varchar	64
Enrollment	ProcessRuleConfigs	CopayPercentReduction	decimal	18,2
Enrollment	ProcessRuleConfigs	CopayDollarReduction	decimal	18,2
Enrollment	ProcessRuleConfigs	CopayReductionApplyType	tinyint
NCPDP	PaymentCenterInfo	PayablesFileDistributionEmail	varchar	255
NCPDP	ProviderInfo	PayablesFileDistributionEmail	varchar	255
PayRec	AutomatedPayrecLogs	Id	int
PayRec	AutomatedPayrecLogs	DateCreated	datetimeoffset
PayRec	AutomatedPayrecLogs	BillingCycleFileName	varchar	255
PayRec	AutomatedPayrecLogs	AutoPushToPayrec	bit
PayRec	AutomatedPayrecLogs	AutoImportFile	bit
PayRec	AutomatedPayrecLogs	AutoCalculateInvoices	bit
PayRec	AutomatedPayrecLogs	ApplyMonthlyFeesToInvoices	bit
PayRec	AutomatedPayrecLogs	CreateInvoicesWhenNoClaims	bit
PayRec	AutomatedPayrecLogs	AutoGenerateInvoiceFiles	bit
PayRec	AutomatedPayrecLogs	BatchStartDay	int
PayRec	AutomatedPayrecLogs	BatchEndDay	int
PayRec	AutomatedPayrecLogs	DefaultBatchName	varchar	255
PayRec	AutomatedPayrecLogs	EntityType	varchar	255
PayRec	AutomatedPayrecLogs	Entity	varchar	255
PayRec	AutomatedPayrecLogs	EntityBillingConfigId	int
PayRec	AutomatedPayrecLogs	BatchId	int
PayRec	PayableFileDistributionRequests	Id	int
PayRec	PayableFileDistributionRequests	PayableFileIdList	varchar	max
PayRec	PaymentClaims	Id	int
PayRec	PaymentClaims	PaymentId	int
PayRec	PaymentClaims	SourceFileDataId	bigint
PayRec	PaymentFiles	DeliveryStatus	tinyint
PayRec	PayRecOrganizations	PayablesFileDeliveryDistListId	int
PayRec	PayRecOrganizations	ImmediateOriginPrefix	varchar	1
PayRec	VoucherClaims	Id	int
PayRec	VoucherClaims	VoucherId	int
PayRec	VoucherClaims	SourceFileDataId	bigint

Bug Fixes

The Bug Fixes section of the Release Notes documentation is dedicated to existing functionality of the application that had a defect or system issue that was preventing it from functioning properly. No new functionality should be included in this section, so if you are not sure how a particular screen or area should be working, please refer to the User Guide for additional information.