We have managed to use an off-shore facility who are very familiar with AC to do all of our scans attachments into patient charts under Imported Items in various categories, or fax out patients records instead of using our staff to do itm saving us paper, toner and time. They are very efficient, fluent with AC and they are a fraction of the cost. If you have charts or incoming faxes that need to be entered into patients charts, or want someone else to fax the patients records right from AC without printing them and manually faxing them, give me a call or send me an email, I will tell you all about them and start saving money from day one. We have been using them for three years and they saved me a bundle. You can reach me at stoloui@cox.net or just call me at 480-213-9951 (Arizona Time).