That would depend on your software and its capabilities. For example, in order for me to go direct with my current software I had to buy a separate electronic program which costs a little bit of money. If I only had a couple of clients it wouldn't be worth it. But with the number of clients I have, it's more than worth it. There are free clearing houses out there, like Availity, which makes sense for someone starting out, if your software is compatible. If you have a way to go direct that is not too costly, that would be great.
Hope that helps!
Michele