It's 10 pm pst and I just read this whole topic and found it to be VERY helpfull. I am mad though that Xena charges $149 and I was going to go with NueMed whichs charges $1500 to set up and train and then $100 or so per provider. I like the fact that it had unlimited users but I am mad that I almost paid that price. I started my business last may and due to funds have been putting everything together slowly. I am working on website content, contracts and busness assoc agreements. I think I will be goin with Xena.