I love how easy it was for me as an office manager of three doctors' offices in two states (New Jersey & New York)to set up my accounts with this program! It's not perfect but has all we need at present time so far nothing bad about its ease or functionality yet - just get started using what works best for YOU!! We have been able solve our problems by setting things out together rather than doing them one-byone which saves us hours each month compared from before when there were many paper files floating around everywhere.