We recently ran in to an issue with Radiology. We use Meditech for administration and Epic for everything, but ADT. When radiant users are checking-in patients it shows every account number for that patient since Epic went live 2 plus years ago. Simple solution is for Meditech to send a purge message (A03) for the inactive accounts and accounts older than 6 months. This would clean up options in the drop down and not allow users to select an old account number at check-in.
The problem is: Meditech