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(I)NSURANCE COMPANIES This is the section of the system where you will establish and maintain documentation on insurance companies you normally do business with. Selecting the (I)nsurance company option from your MASTER MENU will give you the INSURANCE COMPANIES - SUB-MENU. The first time you use this option you should select '(M)aintenance' from the sub-menu where you can create your file of insurance companies. DISPLAY INSURANCE COMPANIES ON FILE After you've created your insurance companies file, you can select (D)isplay from your sub-menu, which will give you a list of companies on file. If you want to make a change or an update of information on a particular company, you can move the cursor through the list until it's highlighting the desired company and then press <ENTER>. Upon selecting a specific insurance company you will automatically enter into the (I)nquiry mode of the (M)aintenance function. (I)nquire - In this mode you will be displayed the total information you have on file for the selected insurance company. (A)dd new - Enter the (A)dd new function, and type in the information. The 'code' information needed here is the abbreviation of a particular insurance company that you assigned in creating your 'tables'. ie, BX = Blue Cross. The rest of the information needed is standard. When you setup new insurance company masters take care to assign meaningful codes. These codes should be an abbreviation of the insurance companies name and possibly a number to identify that will distinguish between various agencies that coverage through this insurance company. After you have defined the code to be used for identifying the insurance company you can then enter all remaining information. (C)hange - With this option you can modify any information on file for a specific insurance company record on file. The only field you cannot change is the code field you setup to identify this specific insurance company record. Once you have retrieved the desired insurance company record you can move from field to field until you are on the field you need to change. Type in the changes and move to the end. A 'prompt' will appear in the message line on the bottom of your screen: INFORMATION CORRECT (Y/N) Y Page 51 Press <ENTER> if the information is correct. (D)elete - The (D)elete function of (M)aintenance is used to delete any insurance companies you no longer do business with. Entering the (D)elete function will request the code number of the company you want to delete. Type in the code number and you will receive a 'prompt' on the message line on the bottom of your screen: DELETE THIS RECORD (Y/N) N This prompt is provided so that you do not accidentally delete and insurance company master from your files. (+)skip / (-)skip - The (+/-)skip options allow you to step through your insurance company master file one record at a time - (+)skip = to the next insurance company record on file, (-)skip = back to the previous insurance company record on file. You can then select any of the displayed insurance company records for (C)hange or (D)elete actions. (L)ist to printer With this option you can list all of your insurance company master records to the printer. This master listing of your insurance companies will be printed in ID. code sequence. Depending upon the number of insurance companies you have setup this listing could take a few minutes. Page 52 (D)OCTORS The (D)octors section is used for keeping records of the dentists associated with your practice and referring dentists and doctors. Those records will be accessed during other functions of the system. Selecting the (D)octors option from the MASTER MENU will give you the DOCTORS - SUB-MENU (screen). (D)isplay The (D)isplay option from the sub-menu will give you a list of the dentists and doctors on file. You can select a specific record for further processing by highlighting the desired displayed dentist/doctor and pressing the <ENTER> key. Once you have selected a doctor for processing you will be immediately taken into the dentist/doctor (M)aintenance function and that record will be displayed to you in the (I)nquiry mode. You can then select any of the maintenance sub-menu functions for further processing of the displayed information. DOCTOR MAINTENANCE (I)nquire - The (I)nquire option allows you to request the display of a specific dentist/doctors record. This is the mode you will be placed in upon selecting a specific dentist/doctor from the (D)isplay function. After the requested record has been displayed you are returned to the (M)aintenance sub-menu for selection of the next action to be taken. (A)dd new - The '(A)dd new' function of (M)aintenance will create space for you to type in information for a particular dentist/doctor. When you first setup your file we suggest that you assign the default dentist the ID. code of '00'. Use of this number will reduce the number of key strokes required by the operator to assign this dentist to a patient, or while posting transactions. The rest of the information is standard. (C)hange - The (C)hange option allows you to request a specific dentist/doctor's record for retrieval and maintenance. Once you have the desired record displayed on the screen you can step down through the displayed fields by pressing the <ENTER> key and change the field in error. Page 53 (D)elete - The (D)elete option allows you to request a specific dentist/doctor's record for retrieval and possible deletion. Once you have the desired record displayed you will be presented with a prompt to confirm your deletion request. DELETE THIS DENTIST (Y/N) N A response of 'Y' will delete the displayed dentist/doctor record in your doctor data base. A response of 'N' will terminate your delete request. After you have responded to the prompt the desired action will be taken and you will be returned to the dentist (M)aintenance sub-menu with a message displayed at the bottom of the screen for the results of the action taken. (+)skip / (-)skip - The (+/-) skip options allow you to sequentially advance forward (+), and backward (-), one record at a time in your dentist/doctor file. Page 54 LIST TO PRINTER The (L)ist function will list all dentist/doctors in your doctor data base to the printer in sequence by the assigned ID code. While this option may not seem to be of value in a small practice keep in mind that although this function is provided for maintaining your dentist/doctor information you can also us it to maintain information on any other member of your staff. Page 55 (T)ABLES This section of the system contains all your charge codes and codes for adjustments and receipts for your billing purposes and other financial transactions. It has multi-level capabilities, and with it, you can set up as many as 100 different tables, 00-99. Selecting the (T)ables option from the MASTER MENU will give you the CHARGE TABLE - SUB-MENU (screen). (NOTE: Since the other sections of this system rely on the availability and accuracy of information in this section, you MUST set up your tables first.) For the benefit of the first-time computer users, we will take you through this section in detail. More experienced users can take a coffee break. (D)isplay tables Once you've been working with the system for some time, the most efficient use is to take the first option from the sub-menu to (D)isplay tables. It will list tables by name and code number. From there, you can select a table by highlighting it and pressing <ENTER>. After you have selected the table you are requested to identify the sequence in which to display the code by. This sequence is either by code, or by alpha description. Following the sequence selection you are provided the option to identify a starting value for section of the table you wish to display. If you enter no value then your display starts with the first entry in the table. Your table is then displayed to you so that you can select the code entry you wish to do maintenance on. Nest you are taken into the (C)harge code display. (C)harge code display When you first request this function you are asked if you wish to display by (D)escription or (C)ode. If you request (D)escription your table entries will be listed in alphabetical order by the description you gave it. If you requested (C)ode your table entries will be listed in code sequence. Within the (C)harge code display, you can highlight the table record you want to access, press <ENTER>, and that table record will be brought up under the (I)nquiry mode of the (M)aintenance function. Page 56 CHARGE TABLE MAINTENANCE Following the initialization of your system you go directly to the (M)aintenance option of your CHARGE TABLE - SUB-MENU. Enter (M)aintenance by moving the cursor until that option is highlighted and press <ENTER>, or by just pressing the 'M' key. This will give you the CHARGE TABLE - MAINTENANCE (Screen). (I)nquire - The (I)nquire function allows you to request the display of a specific charge code within a specific charge table. If you selected a specific table code from the table display routine it will be passed to the maintenance function and initially displayed in the (I)nquire mode. Once a specific table code has been displayed you are returned to the (M)aintenance sub-menu from which you can select the next desired action to be taken. (A)dd new - You can add new tables and codes by entering the '(A)dd new' function. First identify the table by entering its assigned number. (For setting up your standard, or 'DEFAULT', table we encourage you to use the code of '00. This will save you key strokes in setting up patients and assigning them to this table.) The 'DEFAULT' table will be used most of the time. You can use the UTILITIES to copy any existing table on file for use for setting up other tables. SETTING UP YOUR CODE TABLES (Note: you must setup - WITHIN EACH TABLE - codes for 'C = Charges, R = Receipts, and A = Adjustments'. DENTAL#1 uses a common posting screen for entering of charges, receipts, and adjustments and all of these codes can be posted in the same posting cycle.) The system is setup so that you can either enter the standard ADA charge codes, or define your own. These codes can be any combination of numbers or alphabetic characters. For your charge codes you have two formats within a single code structure. The first five characters are your primary code, the last three characters are for an optional modifier. You can setup standard codes with modifiers that will be retrieved when you enter that eight position code in your transaction posting cycle. If in the transaction posting cycle you enter codes having modifiers not already setup in your tables the DENTAL#1 system will look for a table entry that matches the first five characters entered. In this manner you do not have to setup codes in your tables for all possible modifiers you may use. When you are in the transaction posting Page 57 cycle you have the option to key over the description and rate returned for valid codes. After you have entered the code the system checks for the possible existence of that code already on file for this table. You cannot setup duplicate codes within a given table. If there is no duplicate code on file you are requested to enter the 'description' field. (Note - For setting up codes for receipts and adjustments we suggest that you use codes that are easy to remember such as: PAYCASH = for a cash payment, etc. YOU DO NOT NEED TO SETUP RECEIPT CODES FOR EACH CHARGE CODE. For setting up your charge codes you can use the standard five digit ADA codes followed by up to a two position modifier separated with a hyphen.) The 'Code description' is a free form field. In it you can use whatever designation you want, but for uniformity you may want to use a code description from the standard ADA codes. ADA CODE TABLE(S) There are three types of codes to set up; charge, adjustment and receipt in each of these tables. This is what the 'Type (C,A,R)...' field is asking for. TYPE 'C' = Charge For charge's enter the actual charge amount in the 'Rate' field. This field is passed over for adjustments and receipts. When you post charge transactions you have the option to override this rate with any value you wish. 'Taxable (Y/N)...:N' has an automatic default for the 'no' response since most services are not taxable. But you can select 'yes' for those few occasions when a charge is taxable. (NOTE: There is a built in flexibility in the system which allows you to override the 'Taxable' designation when you're working in the (P)atients section of the main system. So if you designate non-taxable here, and at a later point it becomes a taxable service, you can change it at the time of transaction posting. It will change on individual billing and not alter your main charge table.) The 'G/L Account...:' field is an optional field for use if you have an outside General Ledger account you want this system to interface with. If you do, just type in the GENERAL LEDGER CODE this charge item should be posted against. The system will group them when Journal Reports are posted based on that number. The 'Insurance (Y/N): N' field is for identifying whether transactions posted using this code are insurance related. The system assumes a default of 'Y' for all charge codes, and a default of 'N' for all adjustments Page 58 and receipts. For all charge codes this must be a 'Y' and also the patient assignment flag must be a 'Y' before the transaction is automatically flagged for insurance posting. For adjustments and receipts only the flag in this record is used to determine if the transaction being posted is insurance related and therefore automatically flagged for insurance posting upon entry. The following table summarizes this relationship: Patient Coded for Transaction assigned insurance flagged for ins. Charge Codes: N N N N Y N Y N N Y Y Y * (* = transaction is automatically flagged for insurance upon posting.) In the 'History (Y/N)...: N' field you have the ability to flag a charge transaction as being something you want to be part of the patient's permanent record. If you answer 'yes', then during transaction posting a mini-screen is called up where you can enter that information for history. This eliminates the need to remember to call up a separate function for entering patient history information. The 'Recall (Y/N)...: N Letter:' field will let you set up a recall letter for follow up visits pertaining to this charge. Answering 'yes', at time of transaction posting, will give you a mini-screen where you can setup the next patient recall for this service. (Note - You must have already setup the recall letter format before you enter a 'Y' for recall request.) Page 59 TYPE 'R' = Receipts and TYPE 'A' = Adjustments The 'G/L Account...:' field is an optional field for use if you have an outside General Ledger account you want this system to interface with. If you do, just type in the GENERAL LEDGER CODE this charge item should be posted against. The system will group them when Journal Reports are posted based on that number. The 'Insurance (Y/N): N' field is for identifying whether transactions posted using this code are insurance related. The system assumes a default of 'Y' for all charge codes, and a default of 'N' for all adjustments and receipts. For all charge codes this must be a 'Y' and also the patient assignment flag must be a 'Y' before the transaction is automatically flagged for insurance posting. For adjustments and receipts only the flag in this record is used to determine if the transaction being posted is insurance related and therefore automatically flagged for insurance posting upon entry. The following table summarizes this relationship: Patient Coded for Transaction assigned insurance flagged for ins. Adjustment & N N N Receipts N Y Y * Y N N Y Y Y * (* = transaction is automatically flagged for insurance upon posting.) (C)hange - The (C)hange option allows you to change information for a specific code within a specific table. (Note - If you need to setup multiple tables that have only minor variances with the standard, 'DEFAULT', table use the function in the UTILITIES section for making a copy of an existing table. After you have made a copy of the standard table you can then use this '(C)hange' function to modify it as needed.) (D)elete - The (D)elete options allows you to delete a specific table code from a specific charge table. (Note - If you wish to delete an entire table use the routine in the UTILITIES section.) (S)how - This option will take you back to the table display screen where you can select another code for maintenance. Page 60 (+)skip / (-)skip - The (+)skip and (-)skip options allow you to sequentially step forward, and backward, through the codes of a selected table. LIST TABLES TO PRINTER The (L)ist tables option can be used for printing out copies of existing tables for review or filing purposes. Upon requesting this option you are asked to identify the sequence that you wish to list your tables code in. This sequence is either by code, or by alpha description. After selecting the sequence you are provided with the opportunity to either list all tables on file, or to select a specific table for listing. If you request to list only a specific table you will then be displayed a list of the tables you have on file from which you can make a selection from. Page 61 (U)TILITIES This section of the system is designed to assist you in modifying and maintaining the overall DENTAL#1 system to meet the unique needs of your individual practice. Selecting the (U)tilities option from the MASTER MENU will give you the UTILITIES - SUB-MENU (screen). There are two major grouping of utilities provided in the DENTAL#1 system: (A)pplication support and (S)system support. Application support utilities directly affect your data files and information posted to them. System support utilities cover all other areas. (A)pplications support - UTILITIES Select the (A)pplication support utilities option first, which will give you the UTILITIES - APPLICATION SUPPORT (Screen) with the following options: (U)pdating practice data - allows you to make informational changes when necessary to keep your system personalization current. This is the same screen presented to you during system initialization. (P)urge old invoicing - will clear information no longer needed to give you room for new information. Again, you can enter by highlighting and pressing <ENTER>, or by pressing 'P'. (Note - Only invoicing that has a zero balance as of the requested purge date will be flagged for deletion. In this manner active accounts that have open balances as of the requested date will retain all of their transactions.) (C)reate new charge table from existing - gives you the opportunity to save code table setup time by copying the contents of an existing table an creating a new table. You can then limit your maintenance to only those codes within the new table that need adjusting. Use the same process for entering this function. (D)elete existing charge table - allows you to eliminate an out-dated charge table without going through an involved process of changing information on-screen. (F)inance charge-calculations/posting - is the function that handles the charges for past-due accounts. It gives you the flexibility of varying the charges or applying a standard minimum rate. (Note - Only those accounts/patients that were setup to receive finance charges, and have a positive balance on last statement charges after current payments/adjustments have been Page 62 applied, will receive a finance charge. Finance charges are a system generated transaction and will show up in the account ledger. (T)ransfer patient data to new account - will be the most used of all the utilities. With this function you can transfer all patient transactions, history, recall, and notes to another patient account. An example of the need for this utility is when a child becomes old enough to have responsibility for their own bills. Before you can use this utility you must set up a new patient master record. Then you can call up this utility and by just entering in the old patient account number and the new patient account number all patient information is placed under the new account. You can then delete the old patient master record. (L)edger code transaction update post - This utility allows you to post new ledger codes to all transaction already on file. Normally when you setup a new system you do not assign general ledger codes to the codes you setup in your charge code tables. Also later you may want to assign new ledger codes so that you can better group your transactions for ledger postings. THIS UTILITY CAN NOT BE INTERRUPTED ONCE STARTED. ALL TRANSACTIONS ON FILE WILL BE PROCESSED AGAINST YOUR CHARGE CODE TABLES AND THE NEW LEDGER CODES FOUND WILL BE TRANSFERRED INTO THE TRANSACTION RECORD. Page 63 (S)ystem support - UTILITIES The '(S)ystem support utilities' function is where you fit the system to your computer and maintain it. These utilities are: (R)eindex data files - will 1. physically remove all records flagged as deleted (except transactions) and return the space to your system, 2. rebuild all file pointers. (NOTE: If you restore your data files from a backup, you must run the 're-indexing' function before you use them. Failure to do this will corrupt the restore data files, requiring you to reload them from the same backup and start over.) (P)rint registration form - is the function you use to print the registration form you must send in to register you as a user of DENTAL#1 add remove you from the 100 patient limit. (C)hange printer codes - allows you to setup those decimal codes necessary to allow your printer to switch between NORMAL and COMPRESS print when printing your ADA- 1985 insurance form. (M)onographics color: N - provides the option of using a color screen or black and white. DENTAL#1 normally automatically tests your computer to see if it supports a color monitor and if it does you will see all displays in color. Some computers have color capabilities but use a monochrome monitor. If you are testing DENTAL#1 on a laptop computer you may wish to force the color to monochrome display. Currently most laptops only display in shades of gray and use of the color display option will make reading your screens difficult. (S)et default values - This utility provides you with the ability to 1) identify the ADA-1985 forms supplier you are using so that proper forms alignment can be obtained, 2) enter values that will control the format of the Super Bill you will print, and 3) change the content of the message printed at the bottom of the Super Bill. (A)djust date format - Although there is only one date format for all dates entered into DENTAL#1 you have the option to select the format that this date will be displayed and listed in. This function allows you to select the desired date format you wish to use. Page 64 GLOSSARY BUFFER The space in the computer's memory where text is temporarily stored while the computer is on. CONFIG.SYS A file used to modify the parameters of machine operation. DBF Data base files. DEFAULT Word used to designate 'standard', most common. In DENTAL#1, 'default' is 00 unless specified otherwise. DOS Disk operating system. FIELDS Specific areas for receiving information. FLAG An instruction put in one function that cross references with another function requesting an activity. FREEFORM FIELD A field that doesn't require information every time the function is used. INITIALIZATION Bringing up the system and customizing it to create DBF. INSTALLATION Physically putting the software on disks by copying. MESSAGE LINE Space at the bottom of the screen for 'prompts' and 'help'. PROMPT A question or request that appears on screen which has to be answered before continuing with the function. PURGE Remove outdated information and create space for new information. Page 65 DATA FILES USED The following data files are created, and used, by DENTAL#1. PATIENT - Contained in this file are all of your account/patient master records. Accounts and patient masters have the save data structures and therefore share the same database. This makes it easy to locate both patients and accounts by searching on account no., last name, or first name. While an account can be a patient, any patient master having a patient number greater than '00' cannot be an account. There can be 100 patients per account '00' - '99'. Accounts contain the information parameters that control the billing cycle that affects all patients within the account. COMMENTS - This is an optional file that can be related to individual patient masters. Contained within this file are any notes that you setup that you wish to remain with the patient record. Each of these notes are date related. You are not limited to the number of notes you enter per patient (other than available disk space). DHISTORY - Each patient can also have associated with it an unlimited number of history records. These records differ from COMMENTS. You are prompted to setup this information whenever you are posting specific charges to a patient. RECALLS - Patients can have have an unlimited number of recalls scheduled. These recall requests are prompted for setup for specific charges contained within your charge table. Each recall can be for different dates, follow up action, and can reference a unique recall letter. These records stay on file until you post a follow up action charge or specifically delete the given patient recall request. CHGTABLE - Your charge tables are the heart of your system. You can have up to 100 unique charge tables '00' - '99'. You must setup at least one charge table before you can setup any patients. Each patient is assigned a default charge table for the posting of all transaction. In this manner you can have various rates for the same treatment depending upon the table assigned to the patient. At time of transaction posting you many override the default table assignment with another table. At the end of day you can recap your daily activity by table. Page 66 DOCTOR - You must setup at least on dentist/doctor in this file before you can setup any patients. Each patient is assigned to a specific dentist/doctor for care and follow up. You may also use this file to maintain the names of all referring dentists/doctors. INSCO - This file contains basic information related to the various insurance companies your patients may file claims with. The only true limit to the number of insurance companies you can setup is disk space. To make things manageable we suggest that you structure the identification code for each insurance company from some common name abbreviation and number. The use of a number in the key will allow you to setup several records for the same insurance company even though there are several agencies supplying that coverage. Each patient can have reference to two insurance companies. LETTERS - This set of files (LETTER.DBF and LETTER.DBT) contain all of your RECALL letter formats. The LETTER.DBT file is a special structure file that carries the body of the recall letter. The LETTER.DBF file contains the letter ID. code and description and points to the LETTER.DBT file for the letter body. DTRAN - The transaction data base contains all charges, adjustments, and receipts posted to your patient. DENTAL#1 maintains this file in date order for each account and patient. Aged account/patient balances are recalculated each time by reading this file for each account/patient in date sequence. NO BALANCE FORWARD RECORD IS MAINTAINED IN THE DENTAL#1 SYSTEM. TAG_INS - This file is a temporary file created to identify those patients that are to receive an insurance claim form. Once the claim form has been printed the record in this file related to that patient is deleted. In this manner you can print insurance claim forms in batch mode at the end of the day, week, or any time schedule you wish to use. TAG_RCAP - This file is a temporary file created to identify those patients that require a printed patient profile recap. An entry in made in this file for each patient having a posting made to their HISTORY data base. In this manner you can batch print patient profile updates in batch mode at the end of day, week, or any time schedule you wish to use. DENGL - This file is a temporary file created whenever you request a General Ledger Journal listing. Not only is this file used for the printing of your G/L Journal listing, but you can also use it to interface to any external G/L system you may have. Page 67 SERVICE / SUPPORT MEDshare provides service and support to the user on a "Pay As You Go" type arrangement. Under this method you pay only for the time and services needed to answer your questions. The rate is $60.00 per hour, billed in 15 minute units, with a minimum billing of $15.00. All service and support is provided over the phone, Monday - Friday, 9:00 am to 4:00 pm cst. Phone:(214) 736-3668 (Note: MEDshare does not, and will not, provide any assistance with hardware, and operating system, problems. We recommend that you establish support for these items from within your local area.) MEDshare also encourages local VAR's and DEALERS to promote and service DENTAL#1. Authorized VAR'S and DEALERS provide a more personal level of support and in many cases may be in your area. Their rates for their support are not controlled by MEDshare and in most cases will be less. For the name and phone number of an authorized VAR or DEALER in your area call: Phone:(214) 736-3668 (no charge for this call) MEDshare is always looking for VAR's and DEALERS to support the DENTAL#1 family of products we offer to the medical practitioner. We offer an interesting, if not unique, market participation plan to all VAR's and DEALER's that wish to become authorized support centers for our products. If you know of a VAR or DEALER in your area that would be interested in becoming an authorized support center for our products have them call us at: Phone: (214) 736-3668 Page 68 UPGRADES There are two types of UPGRADES to be considered: 1. Upgrades due to errors detected in prior releases of MEDshare products. FOR ALL CURRENT REGISTERED USERS OF DENTAL#1 this type of upgrade is free. When we are notified of a problem we will make all effort necessary to correct it in the shortest time possible. When the correction is made we will provide all CURRENT registered users with a copy of the corrected program at no cost. (BY CURRENT WE MEAN REGISTERED USERS OF THE CURRENT VERSION THAT THE ERROR WAS IDENTIFIED IN. IF YOU ARE NOT A USER OF THIS CURRENT VERSION YOU MAY PURCHASE THIS UPGRADE FOR A NOMINAL FEE.) If you encounter an error in your program please do the following: A. Write down the error message - exactly as displayed. B. Call MEDshare immediately at (214) 736-3668 and describe the problem and read to use the error message. C. If possible capture to the printer a copy of the screen that is displaying the error message. This can be done by turning on your printer and pressing (at the same time) the Shift and the 'PrtSc' keys on your printer keyboard. 2. Upgrades due to improvements and new features being incorporated into MEDshare products. MEDshare is constantly in the process of evaluating and improving the DENTAL#1 and related software products provided to our users. While we cannot give any hard dates for releasing new versions of our programs we hope to have about two major releases per year. Some of these releases will be new programs and not upgrades to existing programs. All new programs will be offered to registered users at a special price. If you are not a current registered user your price will be considerably higher. Registered users: We encourage you to install all upgrades when received. Some upgrades may require the creation of new fields within your database. If you fail to install all upgrades these fields will not be available for the next upgrade that we send you. Page 69 Users that have failed to purchase upgrades: If you have failed to purchase upgrades as they become available you may purchase them later at a nominal cost. The cost of each upgrade will be determined by the new features it incorporates and will vary. Please request a price listing of all upgrades. You will need to purchase all upgrades released that have a higher version number than the current version you are using (if you wish to carry your current data up into the new formats). Some upgrades may require the creation of new fields within your database. If you fail to install all upgrades as they are released these fields will not be available for the next upgrade that we send you. TO ALL USERS ______________ NEW REGISTERD USERS RECEIVE A. A newsletter informing you of what's new, etc., B. A special price the purchase of special purpose programs developed to enhance our products features, C. The access to our telephone support. (Sorry but we can only support our registered users.) Page 70 NEW RELEASES New releases are not to be confused with upgrades. Upgrades are improvements in a specific product. New releases are new products and may have a new name or a new version number series. MEDshare is dedicated to providing you, the medical practitioner, with the best program to manage your practice with. We realize that one program cannot address all needs. As we grow MEDshare will be creating new programs for various specialities and methods of practice management. As these programs become available we will be notifying all current users of our products of their availability. Current registered users will be offered the opportunity to purchase these products at a reduced rate. Page 71