Maybe others know this but just in case, I just found out that Office Ally charges up to $20 a month for their Clearinghouse if you have greater than 50% billing from Medicare/Medicaid claims and it does not integrate with AC yet. But still, $20 a month is very good considering EZ Claim charges $99+ a month (but at least it integrates with AC already). We haven't tried either one yet but so I guess we'll ease into it by trying Office Ally and wait and see if Version 7? ever comes out with the PM in it. We may end up sticking with EZ Claim though because I agree that it is very dysfunctional (like in a Jerry-rigged kind of way) if everything does not fully integrate.