I'd pretty much echo what Jon says. Some benefits of UpDox are hard to quantify, like a reduction in phone calls by use of the portal. Some just make medical care "better" in some loosely defined way, like an easy way to advise the patient of labs, medication changes and so on while automatically documenting the exchange. My business person is totally convinced that the online payment system has helped our cash flow a great deal. In the total scheme of office expenses it is dirt cheap. We have pretty much no computer issues with it, except for things like the Java update that took some fiddling by the one person in my office who is reasonably IT facile. I no longer can imagine how to run the practice without it.