They are very nice and convincing in their "we will keep you updated" every 30 days- however- I look and there is nothing being done. When I signed up they said even though my business was small that they could help me, but nothing is done and it has been 3 months. One of my accounts with them they actually closed without my knowledge after collecting nothing and another one simply says that the patient refuses to pay. I got the same response and that is why I sent the person to them. SAVE YOURSELF SOME TIME AND DO NOT USE THEM!