I have a new practice that began in March. I initially billed directly online with health plans and held onto my medicare. I purchased Medisoft v12 with PerSe and even went with their claims manager to help scrub claims and insurance verification. What a terrible mistake. Roy's complaints are not unfounded, I can back everything up in regards to the absolute lack of support. We finally decided to keep the software and go with WebMD for clearing house/claims scrubber... They have been so great and very easy to get a hold of and deal with.