Jimmie,its funny that on this issue I dont' think we are. We give them a written response which mentions anything the doctor thinks is significant on their lab results, along with actual instructions and they did not have to come in and/or pay a copay/deductible. And we don't get our fee. Now, sometimes they need to come in regardless, as when the HA1C is 8.5. Then the instructions include coming in for an office visit. Sometimes its come back in 6 months for retesting to see if action is required. But, if they don't want to take her word for it and want a more detailed and involved, well that is not something that can be effectively done over the phone in a reasonable period of time. So they need to come in for an office visit where we set aside proper time to have a short discussion about it. No, she cannot call them at the end of the day...she needs to go home too. I really don't think we're being hard-nosed about it. Though admittedly, some patients disagree.