Electronic Remittance
This feature of BestRx is included in the Standard/Premium tiers.
Commonly used for importing, processing, and reconciling 835 Electronic Remittance (ERA) files received from reconciliation companies, the Electronic Remittances screen allows pharmacies to verify which transmitted prescriptions were actually paid by insurance and update their status accordingly. This feature supports accurate payment tracking and reconciliation without re‑billing claims.
If an error or unexpected behavior occurs during 835 processing, first verify whether the prescriptions were already auto‑reconciled by checking for a Paid by Insurance status before attempting to reprocess the file.
Electronic Remittance
This screen is used to process and reconcile 835 Electronic Remittance (ERA) files from reconciliation companies.
By doing so, prescriptions that have been reconciled will change status from Transmitted to Paid by Insurance; this status change is informational and indicates which prescriptions were actually paid and that funds were received from the insurance company. This feature supports reconciliation through Net‑Rx, Cardinal/Arete/Elevate, Third Party Station, and manual 835 file import.
To access the Electronic Remittance screen, click on Billing Electronic Remittance.
To begin, select the source from the drop‑down menu, then click Get File to retrieve the 835 file from the server (if ERA Settings are configured) or Select File to manually upload a file. To limit the list to files that have not yet been processed, check Show Only Unprocessed, and choose whether to enable Auto‑Reconcile using the option in the top‑right corner.
After the files are loaded, select the file to process and click Process File. Once processing is complete, click Reconcile to reconcile the prescriptions and update their status to Paid by Insurance.
During initial Electronic Remittance setup, it’s best to keep this setting turned off to manually review 835 files and get comfortable with the workflow.
When Auto Reconcile 835 files is enabled, the system will automatically reconcile prescriptions during 835 processing, instead of requiring the user to reconcile each record manually. In these cases, prescriptions may already be reconciled immediately after processing the file.
Support instructs pharmacies to verify reconciliation by checking prescription status in the Payment Reconciliation Report.
If prescriptions show Paid by Insurance, the reconciliation has already occurred.
Summary screens cannot be reopened after processing; only the file name will remain visible on this screen. To verify reconciled prescriptions, refer to the Payment Reconciliation Report.
Printing
The report can be sorted at any time by clicking the desired column header.
To print, click Print or press Enter when the Print button is highlighted.
To export, click Export or press Enter when the Export button is highlighted. Note: Export to Excel requires a full version of Microsoft Excel or Office; if unavailable, export the data as CSV instead.
To clear all displayed data, click Clear or press Enter when the Clear button is highlighted.