Lots of good points being made here.
First, anyone considering how to handle document management (faxes in and out, scanning, etc) should take the time to read Indy's post. Finally, someone took the time to run the numbers. Yes, Updox costs $35 a month...but you save more than that in staff time. As he notes, he significantly underestimates the time savings with each Updox import, so the overall savings is actually much greater.
Second, his earlier point "hook an incoming Fax line to a fax machine that generates files, and then have those files go into (by configuration or by hand) the auto-upload-to-Updox folder" is more than just a theoretical construct. You can do this with a fax machine OR with inexpensive fax software. All of our incoming faxes are automatically converted into emails before being brought into Updox. This happens automatically and seamlessly without us even seeing it. The impact of that: emails are not counted by Updox so NONE of our incoming faxes count in our monthly total, and we stick close to the $35 minimum.
Bert, I know you and others looked at Barbash's product which relied on Onebox. The current product is completely different...it might have even benefited from a name change as people who knew the old one might incorrectly think they know this one.
As to counting clicks...I am with you, Bert...I am a BIG proponent of reducing them. It is one of the reasons that I prefer Updox; it saves MANY, in my experience. The issue of "more clicks for the providers and less for the staff"...that is a separate topic which thus far seems to be an inherent characteristic of EMR's.