We have advancedmd for 2 month now, It has been very frustrating dealing with this company. The conversion did not work which created a lot claims denied due to their inability to fix problems. They don't have a very strong technical support, you will need to figure it out yourself. Support is terrible, Some of their employees don't know how to do things in their own system. We got lots of duplicate accounts and could not bill New patients because it was not transferring to our EHR system, they could not figure out why. I gave this company 1 star, because they fail to meet expectations. After Using Mysis Tiger Allscripts to ADP was a mistake.