When Call-em-all was first demonstrated to us (and we did a return demo) it was "easy." But if you have several offices creating the accounts can be rather nightmarish. Now that we know all of the in's-and-out's of the system we are confident it will work smoothly from start to finish and will be extremely helpful. We had a REAL ISSUE with the payment of one of our clinics--best to contact the office manager directly, and I mean by phone. Our poor manager tried numerous times to get a payment in and we nurses were constantly "hounded" about payment--something not within our scope here. Thanks!