Actually there is no duplicate work. The demographics are exportable from AC to their sysytem. Then you enter copays into MTBC's client web based software, but not into AC. MTBC has a "virtual cash register" which works pretty nicely. After you see patients, you export your superbills to them and by then next am, they import into theirs. you view your daily billing and confirm it. all the copays and balances are viewable through their software when your pts come in. I agree, ideally it would be all in AC, but at least it is not duplicate work.