ArtT, hey thanks for the info on the extract from AC to OA. Is this a limitation of OA? or AC? Seems like a text, tab-delimited format could be picked up any which way by a clearing house. I'm thinking that the fields just don't generate period? Also, if it is in fact a text, tab-delimited file, are you able to manipulate the file itsself before sending from your local machine to OA website? Such as fill in signature on file and auto fill down.(Basically auto fill in an enironment *excel* that you could do more than 1 claim at a time) When I spoke to Office Ally previously about the modifier issue, they are able to drop the - characters form modifiers, leaving the valid 2 character modifier. Still seems like there might be a few issues (you had mentioned cpt/icd9) but may more ideal then going claim by claim in the claim fix screens no? Thanks in advance