The charges not going over into the PM has been an issue for over a year for us. Sometimes a simple push by taking out the unit and replacing it works look on your Sync error report under the billing tab in AC it will tell you the reason why it did not go over, sometimes it doesn't matter because the error listed doesn't make sense and the tech team has to fix it, sometimes your internet is slow and it just takes time to go over, which I find extremely frustrating. This is the problem with this system not being "fully integreated" and using and HL7 to have the two systems "talk".