DSM recently acquired the necessary infrastructure and connections to accommodate direct Medicare transmissions via high bandwidth connection. In addition DSM has received 5010 Approval from both Palmetto and Cahaba for direct transmissions. Transmitting claims through this new infrastructure eliminates the typical 3-day wait to get claims to Medicare through one of the large clearinghouses improving the turn-around time from claim transmission to payment. This in effect makes DSM your clearinghouse and removes one level of complexity as DSM provides the claim build and posting software as well as the transmission infrastructure. Only a few customers can take advantage of this direct connection at the moment but soon all customers will have this option.