Thank you for your responses @philsq @appalenia, they have been very helpful. Prior to a month ago this issue only came up once, and in the last 30 days we have had several cases come up. We have tried to handle these issue through our a la carte pricing, as @appalenia has mentioned, but have had one family not understand the difference between the monthly membership and the workman's comp claims. On that note since we are new at processing Workman's comp claims, is there something that has to be filed seperately with the state, or does the workman's comp processor take care of this once we submit our claim? Also, we previously had been approached by a couple of small companies about covering workman's comp claims if we became their DPC provider. I initially did not know how to handle the question, and just let it go along with the potential buisness, but if we were to negotiate workman's comp as as part of the covered expenses in our fees for a particular company, how and who would I submit the "zero fee" to?