I checked with our sales department on this. The $395 yearly charge is for the Amazing Charts Patient Portal. This charge would only apply if you do NOT have the patient portal through Updox Premium (directly through Updox). If you are already paying for the patient portal through Updox, you should not be charged this charge.
If you do not have Updox Premium but still want the patient portal, then the $395/year ($33/month) would apply.
If you find you are getting charged for the patient portal despite having the portal through Updox, you can reach out to our accounting department at accounting@amazingcharts.com for clarification.
