Billing & insurance
Clean claims, fewer denials, faster reimbursements.
Get paid faster — on every claim, every payer, every clinic. Clinicmaster is Canadian clinic billing software that automates the entire revenue cycle — eligibility checks at booking, claim submission, payment matching, and real-time financial reporting — with direct integrations to the insurers and payment systems your clinics already use.
Clinic billing & insurance software
Clinic billing and insurance software automates a clinic's revenue cycle — verifying coverage, submitting claims to payers, posting payments, and reporting on revenue. Clinicmaster handles Canadian billing end to end, with real-time eligibility checks, claim submission and payment matching across OHIP, MSP, Teleplan, CNESST, HCAI, WSIB and private insurers, plus direct payment integrations.
One platform from booking to bank deposit.
Six capabilities that replace the patchwork of EMR, billing service, payer portal and spreadsheet your team is stitching together today.
Automated claims processing
Submission, tracking, and payment posting in one workflow. Claims generated automatically from clinical encounters.
Real-time eligibility verification
Check eligibility and benefits with supported payers (BC MSP/Teleplan, OHIP, GreenShield) before you bill — catch coverage issues early.
Intelligent payment tracking
Payments matched to claims automatically. Patient accounts updated in real time, exceptions flagged for review.
Financial dashboards & analytics
Customizable dashboards for collections, denial trends, and outstanding claims. Make data-driven decisions.
EMR & scheduling integration
Connect clinical, scheduling and billing workflows. No duplicate entry — one source of truth across your network.
Secure, compliant processing
Encrypted transactions, role-based access. Built to meet HIPAA, PIPEDA and SOC 2 Type II requirements.
The whole billing workflow, simplified.
Streamlined claims submission
Claims are generated automatically from clinical encounters, with built-in validation before they go out — fewer rejections, faster reimbursements.
- Auto-created from completed encounters
- Pre-submission validation & error flagging
- Direct submission across 12+ payers
Faster reimbursements, fewer errors
Real-time eligibility checks and claim validation cut rejections at the source. When a claim is rejected, the explanatory code is surfaced so your team can act on it fast.
- Real-time eligibility for supported payers
- Rejection & explanatory-code tracking
- AI reconciliation for select payers (CNESST)
Centralized billing across locations
One system for individual providers, departments, or multi-site networks — consistency and oversight without forcing every location into the same workflow.
- Provider, department & location views
- Shared rules with per-location overrides
- Single audit trail across the network
The billing workflow, screen by screen.
From claim submission to bank deposit — every step happens inside Clinicmaster. Scroll to walk through it.
Bill any payer in a few clicks.
Charges flow straight from the appointment into a funder invoice. Map service codes once, validate before you send, and submit electronically — no re-keying into a payer portal.
- Auto-built from completed encounters
- Pre-submission validation
- Direct electronic submission
Let AI read the payment advice.
For CNESST, Clinicmaster uses Azure AI Document Intelligence to extract each line from the avis de paiement, match it to the right open invoice, and post the payment — automatically. Exceptions are flagged for review.
- AI extraction of payment documents
- Auto-matched to open invoices
- Posted to client ledgers
Know what’s covered before you bill.
Run a real-time eligibility check with supported payers — BC MSP/Teleplan, OHIP and GreenShield — and see active coverage, valid-to dates, subsidy and visit limits in seconds.
- Real-time payer response
- Coverage valid-to & limits
- Catch issues before service
Payments matched to claims, automatically.
Provincial remittance advice (OHIP, Teleplan) is matched to your submitted claims and posted to client ledgers. Explanatory and rejection codes are tracked line by line, so exceptions surface instead of hiding.
- Auto-matched remittance
- Explanatory-code tracking
- Exceptions flagged for review
Every policy, payer and limit in one place.
Track each client’s coverages and payers — policy numbers, percentage covered, co-pay, annual maximums, visits remaining and coverage end dates — so the split across payers is always right.
- Primary & secondary payers
- Visit & dollar limits
- Per-case balances
Take payment — secure and tokenized.
Collect the patient portion against open invoice lines by card on file, Clover terminal, cash or cheque. Card payments are processed through Bambora — PCI-compliant and tokenized, with no card data stored in Clinicmaster.
- Card on file, terminal, cash
- Allocated to invoice lines
- PCI-compliant via Bambora
See the whole revenue cycle.
Track collections, outstanding A/R and claims in flight at a glance. Billed-versus-collected trends, A/R aging buckets and collections by payer turn billing data into decisions.
- Collections & A/R aging
- Billed-vs-collected trend
- Collections by payer mix
Stop chasing claims. Get paid on every payer.
See how Clinicmaster automates your entire revenue cycle — real-time eligibility, claim submission, AI-assisted reconciliation and payment posting — across OHIP, MSP, Teleplan, CNESST, HCAI and private insurers.
Direct integrations with the insurers your clinics already bill.
Provincial systems, private insurers, and multi-payer hubs — connected at the protocol level, not bolted on with a CSV import. Built for the multi-payer reality of Canadian clinic networks.
Plus the rest of your stack.
Payments, communications, telehealth and clinical tools — pre-built integrations across the systems that touch every claim.
Six problems your billing team complains about every Monday.
Built for the way your clinics actually bill.
Private practice & group clinics
A complete billing system without hiring a billing service. Set it up once, scale as you add providers.
In-house billing teams
High claim volumes, multiple payers, denial workflows. Built for the people who actually live in this software.
Canadian healthcare providers
Provincial systems, private insurers, multi-payer environments — all under compliant Canadian billing software.
Multi-location & networks
Centralized revenue tracking with per-location autonomy. One dashboard, every clinic, every payer.
Questions billing leaders ask us.
Scale your Organization with Clinicmaster.
30-minute working session with a solutions engineer. Bring your current numbers — we'll show you the gap.