We need a database that will allow our users to lookup claimants, import images, invoice, post payments, leave multiple notes on the claim etc. It will require an import from an external file and imported into multiple tables such as insurance carrier, patient, claims, prescription, pharmacy. We would like it to be web based if possible. We are thinking vb.net but don't really care what software is used. We are a small start up company with 5 employees that will probably grow to about 50 employees. The database will be used real time while on the phone with customers.