I am still on my quest to set up in house billing (see ezclaims and medisoft). I found that OfficeAlly does not support several of the major payors I need, so.. back to the drawing board.
I came across FreeClaims.com. It look like it fits the bill. Several payors I need will cost 15 cents a claim but this is less than most others.
They can take a print file which I will probably generate from ezclaims.
Anyone out there using a similar set up?
