Jack, I have starting working with the people at officeally and the transiton seems to be pretty much seemless. I just go the billing section and down load the claims to them and they are sent. I can also manually enter the hospital claims. I got some filled out cms 1500 from a friend as templates and it seems to be working fairly well. I dont even need to do the double entry thats bothering everybody. This is a new game for us though and it is early in the first but if things continue as they are now I may not need the pm.