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RecRx User GuideooIf you see a remittance posted in Pending, but have not received the funds, contact the Payerdirectly to question the status of the payment.As you are reviewing the remittance information and detail, the TY (Type Code) will assist inidentifying the source of the transaction, as per the Payer. This list will assist you in referencingthose codes properly: 1 - Processed as primary 2 - Processed as secondary 3 - Processed as tertiary 4 - Denied (rejected) 5 – Pended 10 - Received, but not in process 13 – Suspended 15 - Suspended - investigation with field 16 - Suspended - return with material 17 - Suspended - review pending 19 - Process as Primary, Forwarded to additional Payers 20 - Processed as Secondary, Forwarded to additional Payers 21 - Processes as Tertiary, Forwarded to additional Payers 22 – Reversal 23 - Not our claim, Forwarded to additional Payers 25 - Predetermination Pricing Only - No Payment 27 – Reviewed*Codes in BOLD are most commonly seen.o835 Remittance GC (Group Code) is populated by the payer as a Claim Adjustment ReasonCode. Some of the common adjustment code definitions are: CO – Contractual Obligation CR – Corrections/Reversals PR – Patient Responsibility RC – Reason Code OA – Other AdjustmentARCHIVED REMITTANCE ADVICESArchived Remittances identifies remittance advices (ERA or 835 files) where receipt of payment was confirmed bythe customer and the checks were selected to be archived. Archived Remit CriteriaThe search criteria selections are identical to the options for Pending Remittance Advices, with the exception of adate range requirement. The default date range is the previous 30 days but can be edited.Page 8 of 36Confidential & Proprietary – Do Not DistributeCopyright 2022 Managed Health Care Associates, Inc. All Rights ReservedApril 2022

RecRx User Guide Archived Remit DetailOnce “View Report” is clicked, your remittance results will display in the Archived Remit Detail section. This isalso identical to the detail display in Pending Remittance Advices, with two slight differences:A. The Archived Date column will display the date the remittance advice was moved to ArchivedRemittance Advices.B. The Restore Pending column/checkbox allows for the remittance advice to be moved back toPending Remittance Advices (this process works like archiving; once the remit is selected, “Restoreselected to pending status” is clicked to successfully move the file back to Pending).You will still have the ability to export the Archived Remit Detail list into a PDF (by selecting “Print View”) or anExcel spreadsheet (by selecting “CSV”) at the bottom left corner of the list.You will also have the ability to download the remittance advice into a PDF or Excel document. Click on either thered Adobe PDF icon or the green Excel icon to the left of the Payer name.NOTES:Archived Remittance information will be available on the RecRx web portal for the length of the account; neitherremittance advices nor dispensing claim information are deleted.Any remittance that is manually created (see page 13), will have an Edit Remittance link to the far right side of thepage. This feature will allow you to edit any manual remittance that was previously created.ARCHIVE ASSISTANCENet-Rx can automatically archive payments based on an excel file created by the pharmacy and uploaded viaSFTP to our system. Bank deposit statements can be used, as long as they are in the required format.Please contact your Net-Rx analyst if you are interested in using this feature.In order to upload the excel file successfully, we require the following file specifications:A. The file must be in XLSX format (Microsoft Excel Worksheet)B. The naming convention of the Excel File must be: RPID YYYYMMDD DEPOSITo Your RPID is an internal account number, which Net-Rx will provide upon setup.C. The file to be uploaded must only contain two columns of data:o Deposit Date (column A) must be Short Date formatted (i.e., 2/1/2019)1. Cell A1 must be named “Deposit Date”o Deposit Amount (column B) must be formatted as Number with decimals only - no dollarsigns (i.e., 73127.81, not 7,3127.81)1. Cell B1 must be named “Deposit Amount”Page 9 of 36Confidential & Proprietary – Do Not DistributeCopyright 2022 Managed Health Care Associates, Inc. All Rights ReservedApril 2022

RecRx User GuideD. File may not contain more than one month of depositso Archiving is based on upload date and will archive 30 days back from the upload date. Forexample - if uploaded on 6/20/2020, the archiving process will only look at files dated back to5/21/2020.NOTES:Files will be picked up once daily. Any file uploaded after 4pm Pacific Time will process the following day.Archiving will complete overnight.Files archived by Net-Rx will be identified by a yellow highlight over the check Amount in the Archived RemittanceDetail Report. The Modified User, under the View hyperlink, will display as “NETRXARC”.If files did not archive as expected, please confirm the file and upload parameters above were met beforereaching out to your Net-Rx analyst.MISSING REMITTANCE ADVICESThe Missing Remittance tool allows you to request remittance advices when a payment has been physicallyreceived, but there isn’t a matching remittance loaded into the RecRx web portal Report A Missing RemittanceTo initiate a new request, click “Add New” to complete the criteria within the pop-up form:There is an option to include a screenshot of the actual payment/bank deposit statement. Click “Browse” to selectthe document from your computer. Clicking “Save” will submit the missing remittance request to the Net-Rx team. Active Missing Remittance Request(s)Page 10 of 36Confidential & Proprietary – Do Not DistributeCopyright 2022 Managed Health Care Associates, Inc. All Rights ReservedApril 2022

RecRx User GuideThis section will display all open Missing Remittance requests for your account. The Missing Remittance griddisplays the following information (the results can be sorted by clicking on the column headers):A. PayerB. Central Pay: this will indicate the check’s central pay status; either Y for yes or N for no in thissection.C. Check NumberD. Check DateE. Check AmountF. Request Date: this is the date the request was entered into the missing remittance tool.G. Status: one of three available statuses will be displayed in this column as a hyperlink (see below foroptions). The status name can be clicked to view additional detail notes and dates.o Notice From Net-Rx: this status indicates the Net-Rx team requires additional details regarding amissing remittance request. A description, along with the date of the note, will be included.o Sent to Net-Rx: a new request entered by the customer (prior to the request being sent to thepayer).o Sent to Payer: when a request is sent to the payer (the pop-up will display each date the requestwas sent to the listed payer).H. Received: there will be a check box displayed in this column next to each open request. You havethe option to manually close out a request by checking the box and clicking “Remove ReceivedRemits” at the bottom-center of the page. The request will be removed from Missing Remittances butwill still be searchable through Missing Remittance Lookup. Its status will be Manually Received. Search Historical Missing Remittance(s)This section will allow searches for any current or previous missing remittance requests by entering in a daterange and/or check amount or check number. Clicking “Search” will display results based on the entered criteria.Page 11 of 36Confidential & Proprietary – Do Not DistributeCopyright 2022 Managed Health Care Associates, Inc. All Rights ReservedApril 2022

RecRx User GuideNOTES:When a file is received, that matches an open request, it will drop off the Missing Remittances reportautomatically and given a "Received" status (these examples will still be searchable in Missing RemittanceLookup).We will only display payers that are set up to send electronic remittances to Net-Rx within the Payer section of theNew Missing Remittance form.If a check number is not known, EFT or ACH may be used as the “check number.” Please be aware, incompleterequests may take longer to research, so it is always best to provide as much information as possible.REMITTANCE LOOKUPRemittance Lookup allows you to search for a specific remittance advice by entering in a check number, checkamount, or check date. You may include a specific payer in your search, but it is not required (the defaultselection is All). This search feature will show any matching remittances in the RecRx system, whether they arein Pending or Archived.MANUAL REMITTANCE ENTRYManual Remittance Entry is a feature that allows you to manually post checks from PBM's that are either notsetup to send Net-Rx electronic remittances or do not offer electronic remittances (this is a possibility for somesmaller PBMs). You must have a paper remittance in order to utilize this feature. Check InformationTo create an 835 (electronic remittance) enter the check information as follows:A.B.C.D.E.Check NumberCheck DateCheck AmountSelect NCPDP’s: this will allow you to select a specific NCPDP (if more than one on your account).Payer: select the payer from the drop-down list. If payer is not on the drop-down list, Payer Setup willallow you to add a payer to the list by changing its manual remittance status.F. From Date / To Date: these are optional. The “from” and “to” dates are based on the prescriptiondispensing data loaded in Net-Rx. Please note; if the date fields are not populated, each Rx from thepaper remit will need to be manually entered via “Claim Entry.”G. Entry Options: the selections within the hyperlink are also optional. Check the box next to theoption(s) you wish to include in creating the manual remittance.Page 12 of 36Confidential & Proprietary – Do Not DistributeCopyright 2022 Managed Health Care Associates, Inc. All Rights ReservedApril 2022

RecRx User GuideClicking “Create Check” will pull in any available claims data (if From and To dates are used) and/or allow you tobegin entering in claim information via Claim Entry.“Reset Check” also becomes an available option once a check is created. Once clicked, it will clear all checkinformation.The “Update Check” option then replaces “Create Check.” This is used if any of the check information ischanged. Once any of the check details are edited, “Update Check” must be selected.You will also be prompted with the following message asking if you would like to reset claims. This will re-pull datawithin the date range used when the check was created: Claim DetailThis section will display all dispensing data within the elected “From Date” and “To Date” range. It will alsodisplay claims that are manually entered within the Claim Entry.Within the Claim Detail section, you have the ability to:A. Edit: a claim; clicking on the Edit hyperlink will allow you to update any of the individual prescriptiondetails. The existing information will populate within Claim Entry to adjust.B. Delete: a claim (or claims); to delete a claim, click on the checkbox to left of the prescription numberin question. Click on “Delete Selected” to remove the claim from the Detail list. This will only removethe claim from Claim Detail- it will NOT remove it from your account’s data store. Clicking “All” willcheck-off all claims displayed on the current page.C. Reset Claims: if you wish to clear the claim information completely and re-pull data from the daterange used in creating the check, select “Reset Claims.” You will be prompted with the followingmessage where “Ok” must be selected in order to complete the reset:D. Create Remittance: once all claim details are entered so the information matches exactly to what’sreflected on your physical paper remittance, click “Create Remittance.”Page 13 of 36Confidential & Proprietary – Do Not DistributeCopyright 2022 Managed Health Care Associates, Inc. All Rights ReservedApril 2022

RecRx User Guide Claim EntryThis will allow you to manually add prescription information from your paper remittance or edit existingprescription information that was pulled into the Claim Detail section by using a date range.The Patient First/Middle/Last name fields and Payment Type field will only be accessible if the correspondingEntry Option is selected when creating the check. If the Entry Options are not checked, these boxes will begrayed out.Clicking “Submit” will add the entered/edited claim information into the Claim Detail section.NOTES:Any manual remittance has the ability to be edited. In searching the Remittance Lookup tool or in ArchivedRemittance Advices, there will be an Edit Remittance link next to any available manual remittance.oOnce you elect to edit a previously created manual remittance, you will be prompted with thefollowing message:oIf “OK” is selected, you will be automatically directed back to the manual remittance page tocomplete any edits. “Create Remittance” will need to be clicked in order to re-post theremittance.When a manual remittance is created, it will automatically balance the information and generate the electronic file.You will be prompted to print the remit (in PDF or Excel). The remit can then be found in your ArchivedRemittance Advices folder.If the Check Amount and Total Paid amount do not match, there is likely a facility level adjustment on your paperremit. You will be prompted to approve this after selecting “Post;” this is a common occurrence.If a check is posted and an error is discovered later, please contact the RecRx Department to delete theelectronic file. It will need to be re-created and re-posted.If using the “From and To Date” option, secondary payers will not populate based on the primary transactioninformation.Page 14 of 36Confidential & Proprietary – Do Not DistributeCopyright 2022 Managed Health Care Associates, Inc. All Rights ReservedApril 2022

RecRx User GuideEXPORT REMITTANCESThe Export Remittances tool will allow you to export created batches of 835 remittance files to your dispensingsoftware system.

regarding the benefits of utilizing Reconciliation technology, please view: What is Pharmacy Reconciliation This user guide will provide the outline of the reporting and functionality available on the RecRx website. HOME ASSISTANCE User Guide: The User Guide icon is located at the top right corner of the home screen and displays the