Spruce looks promising.
In retrospect the least useful aspect of Updox was the "secure portal" function.
It seemed like such a good idea at the time, and presumably was required for HIPAA/ACA.
If anything, it hindered communication and access.
It would have been nice if AC had developed that requirement rather than farming that out to Updox.
What did work well with Updox was the unified inbox and remote access.
This was remarkable at the time.
