You’re actually saying it costs millions to hand off data to a legacy system? A system that has probably had to consume something like XML or JSON in the last 20 years?

There is no excuse for this kind of cost for things as simple as tracking g appointments and completions regardless of data transformations and storage. There are no magical new protocols or data formats it’s using, it’s just a lot of people charging too much for them to have week long meetings to talk about their area of expertise. It’s an embarrassment.