diff --git a/Entities/EXAMPLE/entity.json b/Entities/EXAMPLE/entity.json
index 0561842..7c90396 100644
--- a/Entities/EXAMPLE/entity.json
+++ b/Entities/EXAMPLE/entity.json
@@ -1,5 +1,6 @@
 {
   "workflow": "insurance+patient",
+  "insurance_file_type": "pdf",
 
   "ftps": {
     "host": "ftp.example.com",
diff --git a/README.md b/README.md
index a7571ae..d93e7cc 100644
--- a/README.md
+++ b/README.md
@@ -83,6 +83,7 @@ leave its login and every other path alone.
 | Setting | What to put |
 |---------|------------|
 | `workflow` | `insurance` if no patient files, `insurance+patient` if both |
+| `insurance_file_type` | Optional, defaults to `pdf`. Set to `tif` for an entity whose imaging system exports the daily insurance/PT STMT files as TIFs instead of PDFs (e.g. CAMBS, RMI, CONSENSIO, INLAND) |
 | `ftps.host` | FTP server address |
 | `ftps.username` | FTP username (shared across all practices) |
 | `ftps.password` | FTP password |
diff --git a/engine.ps1 b/engine.ps1
index 9259475..68defc4 100644
--- a/engine.ps1
+++ b/engine.ps1
@@ -63,6 +63,7 @@ if (-not (Test-Path $entityConfigFile)) {
 
 $entityConfig = Get-Content $entityConfigFile -Raw | ConvertFrom-Json
 $workflow     = $entityConfig.workflow
+$insuranceExt = if ($entityConfig.insurance_file_type) { $entityConfig.insurance_file_type.TrimStart(".") } else { "pdf" }
 $export1      = Join-Path $EntityDir "Export1"
 $entityName   = Split-Path -Leaf $EntityDir
 
@@ -222,9 +223,9 @@ foreach ($practice in $practices) {
         Write-Host "    No $today\ folder - skipping insurance." -ForegroundColor Gray
         Write-Info "SKIP entity=$entityName practice=$pracName reason=no date folder"
     } else {
-        $allPdfs  = Get-ChildItem -Path $dateDir -Filter "*.pdf" -File
-        $ptStmts  = $allPdfs | Where-Object { $_.Name -imatch 'pt[\s_]*stmt' }
-        $insFiles = $allPdfs | Where-Object { $_.Name -notmatch 'pt[\s_]*stmt' }
+        $allInsuranceFiles = Get-ChildItem -Path $dateDir -Filter "*.$insuranceExt" -File
+        $ptStmts  = $allInsuranceFiles | Where-Object { $_.Name -imatch 'pt[\s_]*stmt' }
+        $insFiles = $allInsuranceFiles | Where-Object { $_.Name -notmatch 'pt[\s_]*stmt' }
 
         $insPath = Expand-Path $config.ftps.insurance_path $pracName
         $pdfPath = Expand-Path $config.ftps.pdf_path $pracName
@@ -236,7 +237,7 @@ foreach ($practice in $practices) {
             $insResult.Ok += $r.Ok; $insResult.Fail += $r.Fail
         }
         if ($ptStmts.Count -gt 0) {
-            Write-Host "    PT STMT PDF ($($ptStmts.Count)) -> $pdfPath" -ForegroundColor White
+            Write-Host "    PT STMT ($($ptStmts.Count)) -> $pdfPath" -ForegroundColor White
             $r = Invoke-FTPSUpload $config.ftps $ptStmts $pdfPath $entityName $pracName
             $insResult.Ok += $r.Ok; $insResult.Fail += $r.Fail
         }
@@ -250,8 +251,8 @@ foreach ($practice in $practices) {
         } elseif ($insResult.Fail -gt 0) {
             Write-Host "    $($insResult.Fail) failed - $today\ left for retry." -ForegroundColor Yellow
         } elseif ($totalUploaded -eq 0) {
-            Write-Host "    No PDFs in $today\." -ForegroundColor Gray
-            Write-Info "SKIP entity=$entityName practice=$pracName reason=no PDFs in date folder"
+            Write-Host "    No .$insuranceExt files in $today\." -ForegroundColor Gray
+            Write-Info "SKIP entity=$entityName practice=$pracName reason=no .$insuranceExt files in date folder"
         }
 
         $totalOk += $insResult.Ok; $totalFail += $insResult.Fail