I recently did the delete "received before". I didn't think this feature worked but then I cut the date down so I was removing smaller bits at a time and it worked perfectly. I had messages in the deleted box over 2 years old. Not sure it has sped up the system but worth trying. I also was able to talk to Tech Support and he logged in to clear the dreaded pharmacy change request in the refill pop up. I had over 1200 requests for medication changes. I was not able to do any thing but deny them. This is a feature that is not working correctly and tech support was able to clear and turn it off.