It just occurred to me that Office Ally offers other products in addition to being a clearing house so I just want to clarify that I use Office Ally as a clearing house only. I do not do double entry when uploading claims from Medisoft to Office Ally and I have not had any problems with the uploads. I have an issue with double-entry for data being entered manually into Amazing Charts and than having to be re-entered manually into Medisoft. I've been researching x-link as an interface to automatically transfer data from Amazing Charts to Medisoft. You might want to read the post I just submitted "Using X-link with Medisoft and Amazing Charts"....:)