|
Update Type |
Minor |
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Update Description |
This version update includes stabilization and performance items and various bug fixes. Added Features:
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|
Version Number |
1.18.1 |
|
Production Release Date |
3/24/2026 |
|
UAT Release Date |
3/11/2026 |
New Features
The New Features section of the Release Notes is dedicated to work items that are new functionality that were not in previous versions of the application. If you have additional questions on any of the new functionalities, please reach out to your RxLogic CSM.
Claim
Claim Processing
Bypass External Adjudicator Option (28705) – A new toggle, Bypass External Adjudicator, was added. When set to Yes, any External Adjudicator processes that would occur are skipped for a Billing or Reversal transaction. Visibility of this option is controlled by the “Custom-Control-ClaimProcessing: BypassExternalAdjudicator” app area.
Member Tab
Member Search
Update the Export Claims Report (28209) – The WC Option under Export Claim(s) now includes the strength, unit of measure and dosage form in the DrugName field.
New Negative Permission for Member Manager Screen (27900) – The ability to control visibility of the Interactions and Notes tabs were added. These tabs will be visible unless a user has the related App Area to hide the tab. The new App Areas are:
-
Custom-Control-Member: HideInteraction
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Custom-Control-Member: HideNotes
Member Timeline/Audit: Display Update and Delete Details for Linked Records (29029) – The Member Timeline audit was enhanced to capture and display update and delete activity for linked records, including cardholder elig, group elig, subgroup, prescriber restriction, pharmacy restriction, workers’ compensation, and UDFs. The new audits will only be reflected on go forward changes.
Plan Design
Group Manager
Member Lookup by Name and DOB If No CHID Match (16757 / 29983) – A new option, Lookup Member on Name/DOB if no match on CHID was added. When this is set and the member is not found by CHID on the submitted group, a last attempt to find the member by Name and DOB will be performed. If the member is found, the transaction will be processed capturing the member’s found CHID on the Transaction record.
Files and Jobs
Job Manager
Claim History Import - Data PreValidation (27250) – A new pre-validation check was added to the Claim History Import. This pre-validation looks for issues that would prevent the file from being loaded into a staging database, and gives better visibility into these errors for Client’s to resolve without RxLogic intervention.
If errors are found, a .det file is generated containing an error log with the line number and column value.
Billing & Fee Mgmt
Billing Manager
New Ticket Tracker Call Fee Type (21763) – A new hierarchy fee of Ticket Tracker Fee was added to support per‑ticket billing based on the Ticket Tracker Call Reason. This new fee allows for selection of the Call Reason directly on the Fee setup, allowing for separate fees based on the Call Reason. Eligible tickets are selected based on the Batch Start and End Date based on the create date for the ticket and tied to the related Entity. Tickets that cannot be tied to a specific Entity are excluded.
Receivables Manager
Void Processed Batches (28696 / 29996) – The ability to void batches was added to Receivables. Voiding the batch makes the related transactions available for processing in a new batch and frees any used admin fees to be used on a future batch. Only users with the Custom-Control-Receivables: VoidBatch app area have access to set a Batch to voided.
When voiding the Batch, a popup is displayed to confirm the action since the action cannot be undone.
Invoice Manager
Addition of 'Invoice To Name' and 'WC Claim Id' to Write Offs, Adjustments and Balance Transfers (28634) - Two new fields, 'Invoice To Name' and 'WC Claim Id', were added to the Write Offs, Adjustments and Balance Transfers grids within the Invoice Manager.
Invoice Tab - User Column Settings Saving (28843) - The column order and visible columns on the Invoice tab are now saved when users adjust their order or visibility. Users can reset their columns to the default configuration via the Reset All Columns back arrow on the Column Chooser.
Hide Invoices from Voided Batches (28696) – The Invoice Manager was updated to hide any invoices that are related to a voided Batch.
Help & Support
Release History
Add Notes for 1.18.0 (29021) – The 1.18.0 Release Notes were added.
APIs
MPA
Add Optional Restriction Group Number Field (28689) – Added a new optional field, MPAGroupNumber, to the MPA endpoint. This field assigns a Group Number to the MPA for restricting its usage to only when the Member is within that group. Previously, this restriction group on the MPA was being populated by the value in the GroupNumber field from the API. This will no longer occur, and the GroupNumber field will be used for member lookup only.
Return Validation Messaging in Response (29151) – The MPA endpoint was updated to include validation messages in the response, ensuring that invalid fields now return specific error details.
Pricing Request
Add Script Tags in Response (29212) – Script Tags are now returned as a part of the response for this API. If multiple script tags are returned, they are formatted as “ABC;123”.
Pharmacy Radius Pricing
Add Script Tags in Response (29211) – Script Tags are now returned as a part of the response for both the PharmacyRadiusPricing and MemberPharmacyRadiusPricing APIs. If multiple script tags are returned, they are formatted as “ABC;123”.
Database
New Fields
The following new fields were added as part of this release:
|
Database |
Table |
Field |
Data Type |
Length |
|
Enrollment |
Groups |
AllowMismatchCHID |
BIT |
|
Bug Fixes
The Bug Fixes and Minor Enhancements section of the Release Notes documentation is dedicated to existing functionality of the application that had an issue or received a minor update or improvement.
Claim
Adjudication
- Fixed an adjudication issue that allowed a Rx with all zeros (000000) for the Rx Number. These will now be rejected for 16 – M/I Rx Number. The Claim Processing screen already prevents all zeros from being used. (28484)
- Fixed an issue where claims would reject for a 92 when a null dispense fee was encountered during State Fee Schedule cost calculations. The SFS cost calculator now correctly handles null dispense fees when using 100% of U&C. (28598)
- Fixed an issue where Reject 40 was incorrectly returned when a compound claim was submitted with SCC 8 and no covered ingredients in cases where the pharmacy network included a process rule. (29172)
- Removed the Rule Tracker Event for “Process rule updating IncludeMaxVaccineAdminFeeInCopayCalculation from to False”. This will now only occur if the value is set to True. (28713)
Paid Claim Lookup
- Fixed an issue with the file export where columns AS through BD were missing headers in the export generated from the search results. (29166)
Claim Activity
- Fixed an issue where the NetCount column displayed blank values on the exported file. The exported file now correctly reflects the NetCount values as displayed on the Claim Activity screen. (29395)
Claim Processing
- Fixed an issue where navigating back to the Claim Editor tab after submitting a transaction on the Claim Processing screen automatically redirected users to the Claim Response tab. (29993)
Member Tab
MPA Manager
- Fixed an issue that occurred when attempting to filter on the Carrier Code column header. (29604)
Member Search
- Improved sorting of Member Search to apply to the data set as a whole, instead of just the results for the current page. (28377)
- Added auto formatting for the SSN field on Member Details, and added error validation when provided data is not valid for an SSN. (28823)
Pharmacy Tab
Pharmacy Manager
- Fixed an issue where Payment Center records with alphanumeric Pay To IDs could not be added from the Pharmacy Payment Center Info tab. (29170)
Payment Center Manager
- Fixed an issue where sorting by the Payment Center ID resulted in an unspecified network error. (29707)
Plan Design Tab
Carrier Manager
- Fixed an issue where term dates set via the Carrier Group Term Date Update, invoked when changing a term date on the Carrier and choosing to term related Groups and Plans, were saved with a start-of-day timestamp. Term dates are now stored using an end-of-day value to include coverage for the selected term date itself. (28270)
- Fixed an error that occurred when attempting to sort on the Group column in the Carrier Manager Library grid. (29479)
Group Manager
- Removed the Actions to Apply to Location section of Locations code as there was no related adjudication support. (23907)
Plan Manager
- Fixed an issue where configuration IDs for the DAW settings were removed and re-added on each save of Plan Manager. This caused extra noise in the Timeline view. (27062)
Location Manager
- Enhanced the save process to automatically remove leading or trailing spaces in the Location Name, Code, and Description fields. (28699)
Rules & Calculator Tab
Age Rules
- Added validations to prevent the saving of Age Rules where the Maximum Age was less than the Minimum Age. (29966)
Bill Cost Calculator
- Fixed an issue where the Use Buy Side Dispense Fee option was not applied to the sell side when pricing used the Cost Calculator option. The dispense fee is now correctly carried through regardless of the pricing method selected. (27895)
Process Rules
- Fixed an issue on the Summary screen where the subordinate Treat as MONY settings incorrectly displayed as ON when they should show NO. (20294)
SDC Manager
- Fixed an issue where SDC Pay Out Balance calculations incorrectly applied copay logic to the remainder before applying Plan Pay on Benefit Cap limits, causing incorrect Plan and Patient Pay amounts. The remainder of the balance is now applied directly to Plan Pay with the remainder applied to Patient Pay once the SDC limit is met. (28386)
Reporting Tab
Report Manager
- Eligibility Export – Resolved an issue where the ALL member status was not returning all members. (28311)
Files and Jobs Tab
File Manager
- Resolved an issue where if a user selected an existing directory and opened the Upload File or Create Directory dialog but then closed the popup without completing the action, the previously selected folder remained highlighted. This caused the Upload File and Create Directory buttons to become disabled until the folder was re-selected. (28825)
- Updated the Default Directory field color on the FTPS tab from red to black, since the field is not required. (28839)
- Fixed an issue on the System tab grid where the scroll bar was not visible until clicking on a record. (29438)
Job Manager
- Claim Submission V1 – Updated the job to now move a processed file into a Processed subfolder within the load location. (26629)
- Claim History Import - Fixed an issue where reversed transactions were imported even when there were no corresponding transactions to reverse in the system. Reversals will now only import if there is a related Paid on system. (29229)
- File Distributor – Fixed an issue where the job out text shows wrong path as invalid when there is no file or the path doesn’t exist for the source. (28840)
Billing & Fee Mgmt Tab
Payables Manager
- Improved behavior on Copy to FTP functionality to keep the screen up when the “Invalid destination path” error occurred to allow correction of the path without restarting the Copy to FTP process. (28959)
- Fixed the error that prevented the Inconsistent Batch PayTo check from occurring when moving from Step 2 to 3. This check now occurs and allows correction of data when the same PayTo is in the batch with different key data elements. (28312)
- Updated the SentDateTime and AcknowledgedDateTime values in the Payments tab grid to show as blank when files have not been sent or acknowledged, instead of the 12/31/0000 value shown previously. (29004)
- Improved the Condensed Claim Summary report with column naming, formatting, and adjustments to populated data. (27719)
- Fixed an issue where returning to the Dashboard from step 6 was not clearing previous record selections on the grid. (29439)
- Fixed an issue on the Claims tab where after dismissing the filter the page would not load data and show loading bar indefinitely. (29377)
- Changed the 835 delivery notification process to send emails to the configured EDIContactEmail instead of the File Distribution Email on the Pharmacy/Payment Center. (29028)
Receivables Manager
- Added a tool tip explaining how positive and negative values are used to the Fee Total field on Admin Fee Mgmt. (28694)
Invoice Manager
- Updated the Export function on the Invoice tab to include only the columns selected via the column chooser. (29097)
Administration Tab
ApiKey Management
- Fixed an issue where newly created API Keys were not displayed in the API Key Management grid. (29402)
- Fixed an issue where clicking Save on the API Key Management page without populating any field caused the loader (“Processing… Please Wait…”) to display continuously. (29755)
APIs
Pricing Request
- Fixed an issue where the API returned the amount for current YTD instead of YTD with the amount from the request. (28540)
HotFixes
The HotFixes section includes both Enhancement and Bug related information applied to an earlier version after the publication of their Release Notes.
Claim Tab
Claim Activity
- 1.18.0 - Fixed an issue where an error occurred when users applied the Historical Claims, Imported Claims, or External Adjudicator Claims filters through the Additional Filters option. (29161)
- 1.18.0 - Fixed an issue where the GPI, External Adjudicator, Authorization Number, Compound Code, BIN, Drug Name, and ISCob fields were not populating. (28960)
- 1.18.0 – Fixed operation of the Date of Service equals filter to properly return transactions matching the provided date value. (29215)
Member Tab
MPA Manager
- 1.18.0 - Fixed an issue where an active MPA with a non‑matching DDID could incorrectly apply its cost calculator to a transaction, resulting in pricing failures. MPA selection now correctly enforces DDID matching to prevent unrelated MPAs from being applied. (29167)
Pharmacy Tab
Network Manager
- 1.18.0 - Fixed an issue where operating hours were not applied when in a nested network. (29214)
Rules & Calculators Tab
Process Rules
- 1.18.0 - Fixed an issue where Script Tags defined for the Apply Only If Script Tag Is criteria were being matched based on partial values. For example, a process rule with a Script Tag of 1 was being applied even when a Transaction included a Script Tag of XYZ123. (29298)
Files and Jobs Tab
File Manager
- 1.18.0 - Fixed an issue where files with no name in blob storage would prevent files from displaying in the File Manager. (28487)
Job Manager
- 1.18.0 - Claim History import - Resolved an issue where files containing a reversal line before a same key paid line caused the system to reverse the existing claim but failed to process the subsequent paid line instead treating it as a duplicate of the on system paid. (28710)
- 1.18.0 – Billing Cycle Export Job – Fixed an issue with determination of the batchEndDay using the month end date of the current month, rather than the previous month when auto running batches in Receivables. Now, if the day is before the current date, the current month will be used. If the day is after the current date, the previous month will be used. (28964)
- 1.18.0 – Standard Eligibility – Improved performance of ‘Full’ version of the load when determining coverage records to remove and on system records have null termination dates. (29877)
Billing & Fee Mgmt
Payables Manager
- 1.18.0 – Manual Checks File - Fixed an issue where duplicate records would appear in the file if the Batch was for more than one Billing Cycle. (29899)
Invoice Manager
- 1.18.0 - Fixed an issue where applying a payment to an invoice would fail. Payments can now be successfully applied without error. (29025)
APIs
Member Eligibility
- 1.18.0 - Updated the call to treat the request as having no restrictions when the API key does not specify a UserGroup. (29356)
- 1.18.0 - Updated the FirstName and LastName matching to be case‑insensitive when a MemberKey is provided. (29448)