You are referring only to the fax part of the picture. Updox provides a fax but also has a patient portal. There are no separate charges for the portal and that is what provides the most pt satisfaction. It widely expands communication ability and reduces phone calls and use of paper. You do not realize how many copies of reports/labs you are processing until the day you stop buying cases of paper. Not to mention that the future of this whole EMR mandate is that the patients must have access to their records. Here the problem is already addressed. I already can print a summary of the visit to the Updox printer and then send it to the portal and the patient has access to it.