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.

SOC 2 Type II · HIPAA · PIPEDA · PHIPA · Law 25 OHIP · MSP · Teleplan 12+ insurance & billing integrations
Clinicmaster billing — a claims dashboard with submitted, first-pass-accepted and reimbursed totals, and recent claims across OHIP, Teleplan, Telus eClaims, Pacific Blue Cross, GreenShield, CNESST, HCAI and WSIB showing paid, submitted, in-review and rejected statuses.
Trusted by 1,000+ clinics & 10,000+ practitioners across Canada
12+ payer & billing integrations SOC 2 Type II · HIPAA · PIPEDA · PHIPA · Law 25 Bilingual EN / FR
What Is

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.

96%
First-pass claim acceptance
Faster reimbursement cycles
72%
Reduction in billing errors
SOC 2 Type II Certified
Fully compliant with HIPAA, PIPEDA, PHIPA & Quebec Law 25
Core capabilities

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.

How it works

The whole billing workflow, simplified.

01 / Submit

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
02 / Reconcile

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)
03 / Centralize

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
See it in action

The billing workflow, screen by screen.

From claim submission to bank deposit — every step happens inside Clinicmaster. Scroll to walk through it.

Clinicmaster billing — a Pacific Blue Cross funder invoice with billable service lines, pre-submission validation checks, and an estimated payer-portion breakdown.Clinicmaster billing — a CNESST avis-de-paiement processed by AI: a pipeline from received to extracted to matched to posted, with extracted payment lines auto-matched to invoices.Clinicmaster billing — a real-time eligibility result confirming active BC MSP coverage with coverage end date, subsidy group, restrictions and visit limits.Clinicmaster billing — an OHIP remittance advice with claims matched to invoices, submitted-versus-paid amounts, explanatory codes and posting status.Clinicmaster billing — a client coverages screen showing a primary Manulife policy and a secondary Sun Life plan with amount and visit balances, percentage covered and coverage end date.Clinicmaster billing — a take-payment screen allocating a card-on-file charge across open invoice lines, with payment-method options and a Bambora security note.Clinicmaster billing — a financial dashboard with collected, outstanding A/R, claims-in-flight and first-pass-acceptance cards, a billed-versus-collected bar chart, A/R aging and collections-by-payer breakdown.
Claim submission

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
AI reconciliation

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
Eligibility & coverage

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
Payment posting

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
Coverage tracking

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
Patient payments

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
Financial analytics

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
From booking to bank deposit

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.

96%first-pass claim acceptance
12+payer & billing integrations
faster reimbursement cycles
Insurance & payer network

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.

OHIP
Ontario — Provincial
MSP / Teleplan
BC — Provincial & WorkSafeBC
CNESST
Québec — Workplace
HCAI
Ontario — Auto
WSIB
Ontario — Workplace
WCB
AB · SK · NS — Workplace
Greenshield
Private insurer
Telus eClaims
Multi-insurer hub
Pacific Blue Cross
Private insurer
Connected tools

Plus the rest of your stack.

Payments, communications, telehealth and clinical tools — pre-built integrations across the systems that touch every claim.

Clover Payments
In-clinic POS & payment processing
Twilio Comms
SMS reminders & patient messaging
Telnyx Comms
Secure cloud calling & messaging
Microsoft Teams Telehealth
Secure telehealth & care-team collab
Progi Referrals
Insurer-referred appointment booking (auto/SAAQ)
Lumino Health Network
Online-booking provider directory
Allomia Engagement
Virtual care & patient engagement
InputKit Feedback
Automated patient experience surveys
See all 18+ partner integrations
Problems we solve

Six problems your billing team complains about every Monday.

Challenge
Our solution
Delayed reimbursements
Automated claims & payment posting
High rate of billing errors
Real-time validation & error flagging
Poor visibility into receivables
Financial dashboards & reporting
Manual, time-consuming billing
Integrated, automated workflows
Switching between multiple systems
Unified integration dashboard
Complex insurance claims process
Direct integrations with 12+ payers
Who it's for

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.

FAQ

Questions billing leaders ask us.

Ready when you are

Scale your Organization with Clinicmaster.

30-minute working session with a solutions engineer. Bring your current numbers — we'll show you the gap.