I find it very time consuming to sign off under the Admin/Tools, just to find it still in my outbox, and in my Dr's inbox. What a pain. I can't run from pc to pc to sign off each individual item. I have been online with tech support twice, for over an hour and a half, and have gotten no help at all. (They were confused about why the dr wouldn't want it in his inbox! Hmmm...duh, because he needs to see the IMPORTANT things!) I swear I knew more about AC than the tech support people. It's very frustrating, makes it hard for me to do my job, and the only pc that can delete the files is the main pc (which is needed for scheduling and billing, not taking a ten minute break every 25 items scanned to sign off). I find this irritating, and a major inconvenience that NEEDS to be fixed!