Our patients prepay our practice's fees at the time of service to circumvent Patient Collections entirely. We don't like tracking down Patient AR and patients can get stressed when receiving these messages. Instead and as a courtesy, we submit their claims on their behalf so they get reimbursed directly from their insurance carriers. It's been one of the biggest factors in our practice's success. However, DrChrono is severely lacking in supporting this workflow. The system only allows for "Accept Assignment" or "No Accept Assignment" at the Insurance Payer level. This does not allow for any nuance. Example One: We either have to accept assignment or not accept assignment for one of our services based on the Insurance Payer. All or Nothing. Example Two: a BCBS PPO plan we ARE in contract with is treated the same as BCBS plan we ARE NOT in contract with. Box 13, 14, 15, and 19 on a HCFA Claim can be adjusted at the patient-level in a patient's chart for this reason, but Box 27 (Accept Assignment or No Accept Assignment) is at the insurance-level? Even when adjusting the Box 27 designation at the insurance level, we've found out that this isnt reflected with the ClearingHouse for multiple days. We've had to deal will payments that should have gone to the practice go to the patient, and vice versa. We are desperate for better support for Courtesy Billing workflows.