II=imported items. Like labs or other faxes received from an office or lab are typically placed in imported items. Bert uses File Assistant Pro. I use a combination of II and Windows explorer.

There's a variety of ways to send patient's charts. You can use UpDox's portal/faxing, a fax server, or encrypted email. All the aforementioned methods avoid printing paper. You can use regular email, but the email should be encrypted before it's sent out. Then decrypted at the recipient site. This often involves both parties having a pre-shared key. There's a lot of people that still don't know how to open a .zip file so...fax has been the main thing for us. I'm working on getting Exchange Hosted Encryption for us. The only service that doesn't require users to have some pre-existing agreement/password/software are good ol' fax machines and encrypted email. One of the reasons fax has been around so long.