
The reason why it was so difficult was because of the way they structured the pricing. Instead of charging per document, they charge per transaction. And that’s fine if you have a large number of transactions to send. However, once we went above 50 transactions, it became impossible to manage without creating new accounts for each patient. And once you have 50+ patients, it becomes extremely expensive to transfer funds between accounts. It was only after contacting their billing department that we realised that the fee structure is entirely opaque and buried in their terms & conditions. This caused huge problems for us, as we had no idea how much money we would be paying. I contacted them to ask about fees and received an automated response saying that the charges are £0.01 per transaction. However, when I asked them to explain further, they said that there are no fees, it’s just a way to make sure that people don’t send multiple transactions at the same time (which could potentially cause errors).