RxLogic PBM Application Update
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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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Existing Feature Behavior Changes |
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Version Number |
1.18.3.2 |
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Production Release Date |
5/19/2026 |
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UAT Release Date |
5/6/2026 |
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.
Site Wide
Version 1.18.3 introduces an upgrade to the platform across our Adjudication, User Interface, and Client‑Facing APIs. This upgrade provides long‑term support, improved performance, and enhanced security ensuring the platform remains modern, stable, and scalable as client needs evolve.
This upgrade also delivers more efficient data handling, faster API responses, and improved reliability for data‑driven workflows. These improvements directly benefit client integrations, reporting, and overall system responsiveness.
RxLogic has been preparing this upgrade behind the scenes and has completed extensive testing to ensure a smooth transition. Our goal is for this update to be largely invisible to clients, while quietly strengthening the foundation that supports your day‑to‑day operations and future enhancements.
Claim Tab
Claim Activity
Add Prescriber NPI Column (31084) – A selectable "Prescriber#" column was added to the Claim Activity grid, sourced from the Transaction Prescriber NPI. This column is hidden by default, but can be added via the Column Chooser. Prescriber# supports sorting, filtering, clickable navigation to Prescriber Record, and is included in exports when visible.
The Prescriber Name and State are visible in a popup when hovering over the field.
Drug Tab
Drug Lookup
Configurable Default Filters (25948) – A new Settings button was added to Drug Lookup controls across the application. The Drug Lookup screens now apply the following filters by default:
- Item Status must be Active
- Item is not a Repackaged Product
- Item is not Discontinued
The new defaults help reduce the number of records returned to the ones most relevant to adjudication for clients. These settings can still be modified from the settings screen, with these options saving for the User.
If the filters are changed from the recommended settings, a warning is shown on the page to indicate the defaults have been changed.
Member Search
Add Prescriber Number to Claim History (31085) – A New “Prescriber#” field was added to the Claim History screen. This displays the Prescriber value stored for the transaction. This update was made to all locations where the Claim History popup is available.
Add Prescriber Number to Show MPA (31086 / 32275) – A new "Prescriber#" column was added to the Show MPA screen, positioned to the right of the MPA State column. The column displays the value from the PrescriberNPI field on Member Prior Authorizations. The column supports sorting and text-based filtering (Equals, Starts With, Contains, Reset). This update was made to all locations of the Show MPA screen.
Plan Design Tab
Group Manager
New Warning on Caps Without Satisfaction Option Defined (30625) – When adding or updating a Plan on the Group, a warning is now displayed if the Plan has Deductible, MOOP, or Benefit Cap amounts and no satisfaction is defined on the Group. This allows for the Plan attachment to still be saved, allowing for adjustment of the Satisfaction.
Plan Manager
Capture All Rejects for Non Compounds Expansion for Pricing Rejects (31428) – The Capture All Rejects for Non Compounds option was expanded to return pricing related rejects such as Max Dollar Limits, SDC Limits, and Restriction Rule dollar limits. This is done by calculating pricing even though the transaction is going to be rejected. All applicable reject reasons are included in the response while ensuring no accumulators are updated when a transaction rejects.
Files and Jobs Tab
Job Manager
Claim History Import – Bypass Eligibility Lookups (30685) – A new “Bypass Eligibility Lookups” option was added to the Claim History Import. When set to Yes, the import process skips member matching, and no member ID is assigned to the transaction or claim. This option is good for Payrec only clients but should not be used for clients that require this data for adjudication patient history lookups.
Billing & Fee Mgmt Tab
Billing Manager
Hierarchy Cycle Tab - New CustomText Field (31144 / 31216) – A new “Custom Text” field was added. This field is currently used for specific customized invoices and has limited applicability to most clients. The label of the field can be customized using the global default "Billing Manager - Custom Invoice Field Name" entry and defining a value.
Help & Support
Knowledge Center
Knowledge Center Rename Update (31017) – The existing "Knowledge Base Tool" App Area was renamed to "Knowledge Center", including menu labels, page URL, breadcrumbs, and Help & Support navigation references. The page now includes a default landing screen with access to the Knowledge Center.
APIs
Claim Adjustment
Claim Adjustment (30747) – A new Claim Adjustment API is now available, allowing retrieval of eligible claim details and submission of claim adjustments programmatically instead of using the UI or file imports. The API supports adjustments only for paid claims and returns clear, descriptive error messages when an adjustment cannot be performed. Full documentation is available in the RxLogic Client API documentation.
Database
New Fields
The following new fields were added as part of this release:
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Database |
Table |
Field |
Data Type |
Length |
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Enrollment |
EntityBillingConfigs |
CustomText |
varchar |
50 |
Bug Fixes and Minor Enhancements
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 Tab
Adjudication
- Fixed an issue where submitted tax was incorrectly added to the Gross Amount Due amount for claims pricing at GAD, instead of treating the tax as already included. (31487)
- Fixed an issue that caused the Client Billed amount to be out of balance on OPPRA COB claims where the Max Spread edit caused an adjustment. (31440)
- Changed Sell Side Copay functionality to limit the sell side inflation to the OPPRA COB amount in 100% copay situations to prevent out of balance transactions. (31642)
- Fixed an issue where a Compound with all ingredients rejected could still create an Accumulator if an SCC 8 was submitted. (32008)
Claim Processing
- Fixed an issue where the visible Payment Center Override was not submitted properly on a reversal request of a transaction recently opened in Claim Processing. (31342)
Drug Tab
Drug Lookup
- Fixed the Historical Drug Prices box for MAC to allow scrolling and corrected an issue where a portion of the prices could appear behind the Therapeutic Categories for longer lists. (9599)
Formulary Manager
- Resolved an issue where termination dates were incremented by one day in the export file due to time zone conversion (e.g., 03/31/2026 appearing as 04/01/2026). The export functionality was updated to prevent time zone-based date shifts. (31198)
Import Manager
- Formulary Import – Fixed issues with the Apply Adds and Changes handling of DDIDs that would result in not terming an overlapping DDID record, instead adding an additional record for the DDID set with a drug type of GPI. (29688)
Member Tab
Create Cardholder
- Updated display to include to require the Policy Effective Date if Date of Injury is visible and populated, and vice versa. If one is populated without the other an error message is now displayed as Worker’s Compensation records cannot be created without both. (31136)
MPA Manager
- Fixed the search popup on Group# and Carrier Code to update the Showing Record detail if closing and re-opening the search box. (31187)
- Resolved an issue where termination dates were incremented by one day in the export file due to time zone conversion (e.g., 03/31/2026 appearing as 04/01/2026). The export functionality was updated to prevent time zone-based date shifts. (31899)
- Fixed the Notes column to properly display the latest note on the MPA on both the Grid and Export views. (32002)
Member Search
- Updated the Member Merge confirmation box to properly close on click of Continue. (31746)
Prescriber Tab
NPI Manager
- Updated the monthly NPPES import to support the new V2 version of the file. This new version increased the length of Legal Business Name, Organization Name related fields, and First Name related fields. (31015 / 31866)
Plan Design Tab
Group Manager
- Fixed an issue where the warning “The Group does not have an Active Carrier Assignment” was displayed even if the Group was attached to the Carrier since initially loading the Group page. (31601)
Rules & Calculators Tab
Bill Cost Calculator
- Improved functionality to handle situations where an attached Cost Calculator has no Formula 1 or 2 to utilize the configured lesser-of options rather than rejecting for a 92. (28422)
- Fixed the Copy To functionality to properly copy settings to the expected locations. (31148)
Files and Jobs Tab
File Manager
- Resolved an issue where connection to an FTP was taking extra time retrieving the entire topography of the FTP, instead of the contents of the directories requested. (30636)
Job Manager
- Claim Import – Improved netting logic to properly flag a sequence such as Paid, Paid, Reversed as first paid nets with reversal, and second paid is treated as a duplicate of the original Paid since the status was still Paid when it is evaluated since the reversal has not occurred yet. This includes updates to netting to have it treat the transactions as in sequence and receive similar status outcomes to an online adjudication in the same order. (27138)
- Accumulator Import – Updated the job to automatically move empty files other than tmp.txt file into a new EmptyFiles subfolder within the load location. (30678)
- Claim Adjustment – Improved validation routine by reducing the number of calls to retrieve the existing transaction data. (31614)
Billing & Fee Mgmt Tab
Payables Manager
- Improved handling of multiple PayTo Conflicts on Step 3 of the Payables Wizard, including the ability to return to the PayTo Conflicts screen if exited with unresolved conflicts. (25453)
- Improved data type validation on the Org Info Screen to allow numeric values only for the Bank Routing Number, Bank Account Number, Zip Code, and BIN fields. (30709)
- Fixed an issue where the Voided and Reissued Payments were not appearing in the regenerated Manual Checks file. (31088)
- Removed the Data Loss Warnings when returning to the dashboard in Steps 3-6 as no data was lost. (29444)
- Fixed an issue with the AP Summary and Voucher Export files where duplicate records appeared when processing more than one Billing Cycle ID in the Batch. (31118 / 31173)
- Fixed an issue where the Voucher Claim Details would fail to display due to an RxNumber related error message. The Voucher Claim Details is accessed via the Claim Count link on Carryovers Library tab. (31387)
Invoice Manager
- Fixed an issue where the Page Number controls were not functional for the grid on the Invoice tab. (31421)
HotFixes
The HotFixes section includes both Enhancement and Bug related information applied to an earlier version after the publication of their Release Notes.
MPA Manager
• 1.18.2.2 - Resolved an issue where flat dollar copay overrides from the MPA were not applied when a Group Max Spread was present on the claim. (31087)
Rules & Calculators Tab
SDC Manager
• 1.18.2.2 – Fixed an issue where a met Deductible SDC was treating a blank After Deductible/Cap has been met rule the same as a $0 Copay, rather than using the Copay assigned from other rules. (31770)
• 1.18.2.2 – Fixed an issue where a meeting a Deductible SDC with a remaining balance less than the after met Copay would result in an incorrect Copay. (31794)
Files and Jobs Tab
Job Manager
• 1.18.2.2 Claim Import – Fixed an issue where the .ACK file counts were not being properly recorded. (31730)