Thanks for all the posts, sorry I didn't respond earlier. Just so happens,the week after my original post, our current web based billing service announced a "major" upgrade to their website, which of course was going to come with a "major" price increase. I hated the idea of laying out a bunch of cash for something I was planning on dumping within the year so we took the leap and went over to Office Ally using their Practice Mate front end. At least all the demographic info we had in AC could be imported into Office Ally using a CSV file, so we are only double entering new patients and updates to insurance rather than having to enter everything from scratch in Office Ally. So far, seems to be going well. They have better coverage of the insurances we deal with than our previous clearinghouse, and hard to beat the free pricetag. Just about any other solution that did not involve double demographic data entry came with a significant cost, either as an initial outlay or a monthly ongoing fee(or both). Since it takes my 10$ per hour front office staff member less than 2 minutes to enter the data a second time, I actually think the "free clearinghouse/double data entry" system is my lease costly alternative at this point!