Re: clearinghouse and lab interface mainly for eMDs users

[Guest guest]

Hi Ramona!I use Gateway EDI. They are bit expensive, but have great customer service. Through their site I can:1) Do insurance verification (either batch or individual)2) Check all rejections and resubmit very easily3) Find any EOB for any one of my patients in <1 minute4) Keep track of all my insurance payments5) Autoimport the payment data from their site into e-MDsCost for me is $128/month and an annual maintenance charge of $200. There is also an e-MDs charge for the Gateway interface of $250. So it gets pretty expensive. I have asked both Gateway and e-MDs why they add the extra charges and I get response which sounds like “continuous programming, blah, blah.” As for the HL-7 interface. My local hospital system just set one up for me. It is very cool, BUT there is an ongoing maintenance fee associated with this as well. So even if the lab pays for the initial set-up, e-MDs charges $990/year “annual maintenance” which apparently some labs will pick up and others will not. Just make sure you ask about ongoing fees associated with the lab interface as well as the initial set-up charge. From: [mailto: ] On Behalf Of Ramona G. SeidelSent: Tuesday, February 22, 2011 8:52 AMTo: Subject: clearinghouse and lab interface mainly for eMDs users Hello all:We dove in, started “par” with CareFirst (Blues, here) and Aetna, and now need to start using the “BILL” portion of our EMR which is eMDs. SO, first, I have to choose a clearinghouse. Those of you on eMDs (and any others who would like to chime in), are you all using Gateway or someone else? And how do you find it? Secondly, we are hoping to get the lab interfaces with Quest and LabCorp. Local labcorp rep says we need to have at least 100 patients go there per month to have them pay for the interface or it will cost me $5K! Not yet sure on Quest, but we have about 80/month there, so might be closer to achieving “free” interface. So, my ? is: do your local commercial labs have these restrictions on the interface? If so, does your eMDs vendor pay it or share cost with you? (also wondering if under these CRISP folks, who are supposed to help us achieve meaningful use, might these interfaces be somehow discounted? I think our eRX will be covered under CRISP.) Thanks in advance for any advice you can provide.Ramona Ramona G. Seidel, MDwww.baycrossingfamilymedicine.comArnold, MD410 518-9808

[Guest guest]

Hi Ramona!I use Gateway EDI. They are bit expensive, but have great customer service. Through their site I can:1) Do insurance verification (either batch or individual)2) Check all rejections and resubmit very easily3) Find any EOB for any one of my patients in <1 minute4) Keep track of all my insurance payments5) Autoimport the payment data from their site into e-MDsCost for me is $128/month and an annual maintenance charge of $200. There is also an e-MDs charge for the Gateway interface of $250. So it gets pretty expensive. I have asked both Gateway and e-MDs why they add the extra charges and I get response which sounds like “continuous programming, blah, blah.” As for the HL-7 interface. My local hospital system just set one up for me. It is very cool, BUT there is an ongoing maintenance fee associated with this as well. So even if the lab pays for the initial set-up, e-MDs charges $990/year “annual maintenance” which apparently some labs will pick up and others will not. Just make sure you ask about ongoing fees associated with the lab interface as well as the initial set-up charge. From: [mailto: ] On Behalf Of Ramona G. SeidelSent: Tuesday, February 22, 2011 8:52 AMTo: Subject: clearinghouse and lab interface mainly for eMDs users Hello all:We dove in, started “par” with CareFirst (Blues, here) and Aetna, and now need to start using the “BILL” portion of our EMR which is eMDs. SO, first, I have to choose a clearinghouse. Those of you on eMDs (and any others who would like to chime in), are you all using Gateway or someone else? And how do you find it? Secondly, we are hoping to get the lab interfaces with Quest and LabCorp. Local labcorp rep says we need to have at least 100 patients go there per month to have them pay for the interface or it will cost me $5K! Not yet sure on Quest, but we have about 80/month there, so might be closer to achieving “free” interface. So, my ? is: do your local commercial labs have these restrictions on the interface? If so, does your eMDs vendor pay it or share cost with you? (also wondering if under these CRISP folks, who are supposed to help us achieve meaningful use, might these interfaces be somehow discounted? I think our eRX will be covered under CRISP.) Thanks in advance for any advice you can provide.Ramona Ramona G. Seidel, MDwww.baycrossingfamilymedicine.comArnold, MD410 518-9808

[Guest guest]

Ramona,

LabCorp did pay for a portal for me. They did not give me

specifics of how much business before I qualified. Quest would not as not

enough business other than HMO. I pay for annual support on those portals

though. The EMR vendor is not going to pay, this is a source of ongoing

income for them.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ] On Behalf Of Ramona G.

Seidel

Sent: Tuesday, February 22, 2011 8:52 AM

To:

Subject: clearinghouse and lab interface mainly

for eMDs users

Hello all:

We dove in, started “par” with CareFirst (Blues, here) and Aetna,

and now need to start using the “BILL” portion of our EMR which is

eMDs. SO, first, I have to choose a clearinghouse.

Those of you on eMDs (and any others who would like to chime in), are you all

using Gateway or someone else? And how do you find it?

Secondly, we are hoping to get the lab

interfaces with Quest and LabCorp. Local labcorp rep says we need to have

at least 100 patients go there per month to have them pay for the interface or

it will cost me $5K! Not yet sure on Quest, but we have about

80/month there, so might be closer to achieving “free”

interface. So, my ? is: do your local commercial labs have these

restrictions on the interface? If so, does your eMDs vendor pay it or

share cost with you? (also wondering if under these CRISP folks, who are

supposed to help us achieve meaningful use, might these interfaces be somehow

discounted? I think our eRX will be covered under CRISP.)

Thanks in advance for any advice you can

provide.

Ramona

Ramona G. Seidel, MD

www.baycrossingfamilymedicine.com

Arnold, MD

410 518-9808

CyberDefender has scanned this email for potential threats.

Version 2.0 / Build 4.03.29.01

Get free PC security at http://www.cyberdefender.com

[Guest guest]

Ramona,

LabCorp did pay for a portal for me. They did not give me

specifics of how much business before I qualified. Quest would not as not

enough business other than HMO. I pay for annual support on those portals

though. The EMR vendor is not going to pay, this is a source of ongoing

income for them.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ] On Behalf Of Ramona G.

Seidel

Sent: Tuesday, February 22, 2011 8:52 AM

To:

Subject: clearinghouse and lab interface mainly

for eMDs users

Hello all:

We dove in, started “par” with CareFirst (Blues, here) and Aetna,

and now need to start using the “BILL” portion of our EMR which is

eMDs. SO, first, I have to choose a clearinghouse.

Those of you on eMDs (and any others who would like to chime in), are you all

using Gateway or someone else? And how do you find it?

Secondly, we are hoping to get the lab

interfaces with Quest and LabCorp. Local labcorp rep says we need to have

at least 100 patients go there per month to have them pay for the interface or

it will cost me $5K! Not yet sure on Quest, but we have about

80/month there, so might be closer to achieving “free”

interface. So, my ? is: do your local commercial labs have these

restrictions on the interface? If so, does your eMDs vendor pay it or

share cost with you? (also wondering if under these CRISP folks, who are

supposed to help us achieve meaningful use, might these interfaces be somehow

discounted? I think our eRX will be covered under CRISP.)

Thanks in advance for any advice you can

provide.

Ramona

Ramona G. Seidel, MD

www.baycrossingfamilymedicine.com

Arnold, MD

410 518-9808

CyberDefender has scanned this email for potential threats.

Version 2.0 / Build 4.03.29.01

Get free PC security at http://www.cyberdefender.com

[Guest guest]

HI Ramona,

We use Gateway EDI. You have to tell

e-MDs that you want to add it, and they will walk you through setting it

up. There are forms to fill out with Gateway also. I strongly

recommend getting EOB’s electronically, which will also mean additional paperwork,

but worth it for sure! The Gateway setup is an additional $250 per year

thru e-MDs plus an annual fee (I think $200) to Gateway, plus monthly useage

fees. We are EXTREMELY happy with Gateway and recently added the credit

card “Patient Pay” option. You can always get someone on the

phone at Gateway after not too much waiting, who can help you understand

denials, etc. I typically have fewer than 2% of my claims rejected, which

means faster payment. Please feel free to contact me off-list if you have

any other specific questions.

As far as lab interfaces, we were told by

labcorp that we don’t have enough volume. And Quest said that they

would pay for our interface only if we promised to send them 100% of our

business. We won’t do that because we have patients with insurance

that requires them to use LabCorp (we also have patients with insurance that

requires them to use Quest). For now, we are thinking of doing the

flowsheets manually (hiring our son to do the data entry – he wants cash

to pay for gas and insurance when he gets his driver’s license) to

achieve Meaningful Use.

Surescripts (e-rx) was not all that

expensive to set up (one time fee to e-MDs), and is working great ever since we

went from the in-house server to the ASP thru Tangible Solutions. I think

our IT guy had the VPN tunnel configured incorrectly.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of Ramona G. Seidel

Sent: Tuesday, February 22, 2011

5:52 AM

To:

Subject:

clearinghouse and lab interface mainly for eMDs users

Hello all:

We dove in, started “par” with CareFirst (Blues, here) and Aetna, and now need to start using the “BILL”

portion of our EMR which is eMDs. SO, first, I have to choose a

clearinghouse. Those of you on eMDs (and any others who would

like to chime in), are you all using Gateway or someone else? And how do

you find it?

Secondly, we are hoping to get the lab interfaces with Quest and

LabCorp. Local labcorp rep says we need to have at least 100 patients go

there per month to have them pay for the interface or it will cost me

$5K! Not yet sure on Quest, but we have about 80/month there, so

might be closer to achieving “free” interface. So, my ?

is: do your local commercial labs have these restrictions on the

interface? If so, does your eMDs vendor pay it or share cost with

you? (also wondering if under these CRISP folks, who are supposed to help

us achieve meaningful use, might these interfaces be somehow discounted?

I think our eRX will be covered under CRISP.)

Thanks in advance for any advice you can provide.

Ramona

Ramona G. Seidel, MD

www.baycrossingfamilymedicine.com

Arnold, MD

410 518-9808

[Guest guest]

HI Ramona,

We use Gateway EDI. You have to tell

e-MDs that you want to add it, and they will walk you through setting it

up. There are forms to fill out with Gateway also. I strongly

recommend getting EOB’s electronically, which will also mean additional paperwork,

but worth it for sure! The Gateway setup is an additional $250 per year

thru e-MDs plus an annual fee (I think $200) to Gateway, plus monthly useage

fees. We are EXTREMELY happy with Gateway and recently added the credit

card “Patient Pay” option. You can always get someone on the

phone at Gateway after not too much waiting, who can help you understand

denials, etc. I typically have fewer than 2% of my claims rejected, which

means faster payment. Please feel free to contact me off-list if you have

any other specific questions.

As far as lab interfaces, we were told by

labcorp that we don’t have enough volume. And Quest said that they

would pay for our interface only if we promised to send them 100% of our

business. We won’t do that because we have patients with insurance

that requires them to use LabCorp (we also have patients with insurance that

requires them to use Quest). For now, we are thinking of doing the

flowsheets manually (hiring our son to do the data entry – he wants cash

to pay for gas and insurance when he gets his driver’s license) to

achieve Meaningful Use.

Surescripts (e-rx) was not all that

expensive to set up (one time fee to e-MDs), and is working great ever since we

went from the in-house server to the ASP thru Tangible Solutions. I think

our IT guy had the VPN tunnel configured incorrectly.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of Ramona G. Seidel

Sent: Tuesday, February 22, 2011

5:52 AM

To:

Subject:

clearinghouse and lab interface mainly for eMDs users

Hello all:

We dove in, started “par” with CareFirst (Blues, here) and Aetna, and now need to start using the “BILL”

portion of our EMR which is eMDs. SO, first, I have to choose a

clearinghouse. Those of you on eMDs (and any others who would

like to chime in), are you all using Gateway or someone else? And how do

you find it?

Secondly, we are hoping to get the lab interfaces with Quest and

LabCorp. Local labcorp rep says we need to have at least 100 patients go

there per month to have them pay for the interface or it will cost me

$5K! Not yet sure on Quest, but we have about 80/month there, so

might be closer to achieving “free” interface. So, my ?

is: do your local commercial labs have these restrictions on the

interface? If so, does your eMDs vendor pay it or share cost with

you? (also wondering if under these CRISP folks, who are supposed to help

us achieve meaningful use, might these interfaces be somehow discounted?

I think our eRX will be covered under CRISP.)

Thanks in advance for any advice you can provide.

Ramona

Ramona G. Seidel, MD

www.baycrossingfamilymedicine.com

Arnold, MD

410 518-9808

[Guest guest]

HI Ramona,

We use Gateway EDI. You have to tell

e-MDs that you want to add it, and they will walk you through setting it

up. There are forms to fill out with Gateway also. I strongly

recommend getting EOB’s electronically, which will also mean additional paperwork,

but worth it for sure! The Gateway setup is an additional $250 per year

thru e-MDs plus an annual fee (I think $200) to Gateway, plus monthly useage

fees. We are EXTREMELY happy with Gateway and recently added the credit

card “Patient Pay” option. You can always get someone on the

phone at Gateway after not too much waiting, who can help you understand

denials, etc. I typically have fewer than 2% of my claims rejected, which

means faster payment. Please feel free to contact me off-list if you have

any other specific questions.

As far as lab interfaces, we were told by

labcorp that we don’t have enough volume. And Quest said that they

would pay for our interface only if we promised to send them 100% of our

business. We won’t do that because we have patients with insurance

that requires them to use LabCorp (we also have patients with insurance that

requires them to use Quest). For now, we are thinking of doing the

flowsheets manually (hiring our son to do the data entry – he wants cash

to pay for gas and insurance when he gets his driver’s license) to

achieve Meaningful Use.

Surescripts (e-rx) was not all that

expensive to set up (one time fee to e-MDs), and is working great ever since we

went from the in-house server to the ASP thru Tangible Solutions. I think

our IT guy had the VPN tunnel configured incorrectly.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of Ramona G. Seidel

Sent: Tuesday, February 22, 2011

5:52 AM

To:

Subject:

clearinghouse and lab interface mainly for eMDs users

Hello all:

We dove in, started “par” with CareFirst (Blues, here) and Aetna, and now need to start using the “BILL”

portion of our EMR which is eMDs. SO, first, I have to choose a

clearinghouse. Those of you on eMDs (and any others who would

like to chime in), are you all using Gateway or someone else? And how do

you find it?

Secondly, we are hoping to get the lab interfaces with Quest and

LabCorp. Local labcorp rep says we need to have at least 100 patients go

there per month to have them pay for the interface or it will cost me

$5K! Not yet sure on Quest, but we have about 80/month there, so

might be closer to achieving “free” interface. So, my ?

is: do your local commercial labs have these restrictions on the

interface? If so, does your eMDs vendor pay it or share cost with

you? (also wondering if under these CRISP folks, who are supposed to help

us achieve meaningful use, might these interfaces be somehow discounted?

I think our eRX will be covered under CRISP.)

Thanks in advance for any advice you can provide.

Ramona

Ramona G. Seidel, MD

www.baycrossingfamilymedicine.com

Arnold, MD

410 518-9808

[Guest guest]

This may be another good reason for some to consider AC... We got Quest Free, as Quest Paid the $500 fee for our interface (one time only too) to AC to activate it and nobody said a thing about numbers from day one. Upkeep for both is Quests problem for 360 and AC's for the EMR side of it.... All of this is included in our annual support fee to AC which also includes annual support and updates for the MidMark ECG, and now E-Rx is Free and included our annual support fee as well. It seems that Jon (Dr Bertman) has made it his goal to make sure he has good relations at reasonable prices for us little guys who are his bread and butter customers...

I think he got it early that not just having the interface but the needed relationship and price structure was vitally important in keeping us his customers and his Product Amazing Charts viable and so it seems he has made a good and successful effort in establishing and maintaining these kinds of business relationship for both ours and his own best interests... So even though our annual fee has gone up a good amount, I do have to say it's the first increase in all the years we have used their product, they are keeping up with all this PIA gov't garbage and they really do seem to establish great relationships for us with all these other vendors that really keep other associated costs way down.....

To: Sent: Tue, February 22, 2011 10:00:12 AMSubject: RE: clearinghouse and lab interface mainly for eMDs users

Ramona,

LabCorp did pay for a portal for me. They did not give me specifics of how much business before I qualified. Quest would not as not enough business other than HMO. I pay for annual support on those portals though. The EMR vendor is not going to pay, this is a source of ongoing income for them.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From: [mailto: ] On Behalf Of Ramona G. SeidelSent: Tuesday, February 22, 2011 8:52 AMTo: Subject: clearinghouse and lab interface mainly for eMDs users

Hello all:We dove in, started “par†with CareFirst (Blues, here) and Aetna, and now need to start using the “BILL†portion of our EMR which is eMDs. SO, first, I have to choose a clearinghouse. Those of you on eMDs (and any others who would like to chime in), are you all using Gateway or someone else? And how do you find it?

Secondly, we are hoping to get the lab interfaces with Quest and LabCorp. Local labcorp rep says we need to have at least 100 patients go there per month to have them pay for the interface or it will cost me $5K! Not yet sure on Quest, but we have about 80/month there, so might be closer to achieving “free†interface. So, my ? is: do your local commercial labs have these restrictions on the interface? If so, does your eMDs vendor pay it or share cost with you? (also wondering if under these CRISP folks, who are supposed to help us achieve meaningful use, might these interfaces be somehow discounted? I think our eRX will be covered under CRISP.)

Thanks in advance for any advice you can provide.

Ramona

Ramona G. Seidel, MD

www.baycrossingfamilymedicine.com

Arnold, MD

410 518-9808

CyberDefender has scanned this email for potential threats.Version 2.0 / Build 4.03.29.01Get free PC security at http://www.cyberdefender.com

[Guest guest]

This may be another good reason for some to consider AC... We got Quest Free, as Quest Paid the $500 fee for our interface (one time only too) to AC to activate it and nobody said a thing about numbers from day one. Upkeep for both is Quests problem for 360 and AC's for the EMR side of it.... All of this is included in our annual support fee to AC which also includes annual support and updates for the MidMark ECG, and now E-Rx is Free and included our annual support fee as well. It seems that Jon (Dr Bertman) has made it his goal to make sure he has good relations at reasonable prices for us little guys who are his bread and butter customers...

I think he got it early that not just having the interface but the needed relationship and price structure was vitally important in keeping us his customers and his Product Amazing Charts viable and so it seems he has made a good and successful effort in establishing and maintaining these kinds of business relationship for both ours and his own best interests... So even though our annual fee has gone up a good amount, I do have to say it's the first increase in all the years we have used their product, they are keeping up with all this PIA gov't garbage and they really do seem to establish great relationships for us with all these other vendors that really keep other associated costs way down.....

To: Sent: Tue, February 22, 2011 10:00:12 AMSubject: RE: clearinghouse and lab interface mainly for eMDs users

Ramona,

LabCorp did pay for a portal for me. They did not give me specifics of how much business before I qualified. Quest would not as not enough business other than HMO. I pay for annual support on those portals though. The EMR vendor is not going to pay, this is a source of ongoing income for them.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From: [mailto: ] On Behalf Of Ramona G. SeidelSent: Tuesday, February 22, 2011 8:52 AMTo: Subject: clearinghouse and lab interface mainly for eMDs users

Hello all:We dove in, started “par†with CareFirst (Blues, here) and Aetna, and now need to start using the “BILL†portion of our EMR which is eMDs. SO, first, I have to choose a clearinghouse. Those of you on eMDs (and any others who would like to chime in), are you all using Gateway or someone else? And how do you find it?

Secondly, we are hoping to get the lab interfaces with Quest and LabCorp. Local labcorp rep says we need to have at least 100 patients go there per month to have them pay for the interface or it will cost me $5K! Not yet sure on Quest, but we have about 80/month there, so might be closer to achieving “free†interface. So, my ? is: do your local commercial labs have these restrictions on the interface? If so, does your eMDs vendor pay it or share cost with you? (also wondering if under these CRISP folks, who are supposed to help us achieve meaningful use, might these interfaces be somehow discounted? I think our eRX will be covered under CRISP.)

Thanks in advance for any advice you can provide.

Ramona

Ramona G. Seidel, MD

www.baycrossingfamilymedicine.com

Arnold, MD

410 518-9808

CyberDefender has scanned this email for potential threats.Version 2.0 / Build 4.03.29.01Get free PC security at http://www.cyberdefender.com

[Guest guest]

Fortunately they never did bill me.....that was the quoted price.

tcp/ip connection over SSL is Greek to me!

I am blessed to have cable in my little office as most everyone else in the neighborhood must use dial up.

A volunteer is coming from the school district to look at it the last Saturday in March and see if it is fixable. I'll let you know.

To: Sent: Tue, February 22, 2011 6:48:34 PMSubject: Re: clearinghouse and lab interface mainly for eMDs users

Labcorp won't do the interface for me -- too small.

Quest did the interface but I never ended up using it because it turns off my regular fax....

Fax?? That sounds as though they had a dial up modem system .. I would think most modern systems would use a tcp/ip connection over SSL.

I think it was 500 for me to pay for the interface so 500 sounds pretty steep.

Sounds as though you should ask for your $500 back ... since they saddled you with an unworkable system.

Good luck.

My clearing house is Office Ally and is free.

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

Fortunately they never did bill me.....that was the quoted price.

tcp/ip connection over SSL is Greek to me!

I am blessed to have cable in my little office as most everyone else in the neighborhood must use dial up.If you have cable internet, there is no excuse for them not providing this over your broadband connection.

Labcorp provides an application that sits in your system tray and connects over a secure internet connection aka SSL to fetch results.My health network provider does the same thing.  And all the labs I use ( about 5 or so ) use this for messaging me results.

 

A volunteer is coming from the school district to look at it the last Saturday in March and see if it is fixable.  I'll let you know.

To:

Sent: Tue, February 22, 2011 6:48:34 PMSubject: Re: clearinghouse and lab interface mainly for eMDs users

 

Labcorp won't do the interface for me -- too small.

Quest did the interface but I never ended up using it because it turns off my regular fax....

Fax??  That sounds as though they had a dial up modem system .. I would think most modern systems would use a tcp/ip connection over SSL.

 

I think it was 500 for me to pay for the interface so 500 sounds pretty steep.

Sounds as though you should ask for your $500 back ... since they saddled you with an unworkable system.

 

Good luck.

My clearing house is Office Ally and is free.

-- Graham Chiuhttp://www.compkarori.co.nz:8090/

Synapse - the use from anywhere EMR.

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

We also use Gateway and recommend them. They also do our statements.There is a current movement to form HIE's- Health Information Exchanges- basically local databanks for hospital and lab results. The perceived future is for everyone's office to have a single bidirectional interface to their local HIE which would include Quest, Labcorp, and local hospitals. Some HIEs are already in existence, and many others are already being created with ARRA money. I would recommend looking into whether or not this process has started in your area before committing time or money to any individual interface. Even if an individual interface is free to you, it can still be time intensive to set up, and may be obsolete a year or two down the road.Subject: clearinghouse and lab interface mainly for eMDs usersTo: Date: Tuesday, February 22, 2011, 5:52 AM

Hello all:We dove in, started “par†with CareFirst (Blues, here) and Aetna, and now need to start using the “BILL†portion of our EMR which is eMDs. SO, first, I have to choose a clearinghouse. Those of you on eMDs (and any others who would like to chime in), are you all using Gateway or someone else? And how do you find it? Secondly, we are hoping to get the lab interfaces with Quest and LabCorp. Local labcorp rep says we need to have at least 100 patients go there per month to have them pay for the interface or it will cost me $5K! Not yet sure on Quest,

but we have about 80/month there, so might be closer to achieving “free†interface. So, my ? is: do your local commercial labs have these restrictions on the interface? If so, does your eMDs vendor pay it or share cost with you? (also wondering if under these CRISP folks, who are supposed to help us achieve meaningful use, might these interfaces be somehow discounted? I think our eRX will be covered under CRISP.) Thanks in advance for any advice you can provide.Ramona Ramona G. Seidel, MDwww.baycrossingfamilymedicine.comArnold, MD410 518-9808