OpenEMR is a medical practice management, electronic medical records, prescription writing, and medical billing application. It is a replacement for medical applications such as Medical Manager, Health Pro, and Misys. It features support for EDI billing to clearing houses such as MedAvant and ZirMED using ANSI X12. Major features include electronic billing (includes Medicare), document management, integrated practice management, e-prescribing, prescriptions by printed script, fax, or email, insurance tracking, multilanguage support, easy customization, easy Windows installation, integration with an external general accounting program (SQL-Ledger), and a built-in scheduler. It is multi-facility capable, voice recognition ready (on Windows), and Web based (secure access with SSL certificates).