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Physiotherapy, chiropractic, RMT, naturopathic, mental health, kinesiology — multi-disciplinary or single-modality, single location or a five-clinic group. The patterns are the same: insurance direct billing keeps breaking, the booking flow has too many steps, no-shows eat 25-35% of revenue when reminders aren't running, and client data sits in a soup of EHR + email + a paper intake form somebody photographed. We fix the workflow, not just the software.
What we hear most often
Owner says
“Telus eClaims direct billing fails for one or two insurers every week and we have to bill the patient.”
What it usually means
Provider Connect credential rotation + claim queue monitoring. Usually fixable as a one-week project + an ongoing watch.
Owner says
“No-shows hover around 28% and we can't get under it.”
What it usually means
SMS reminders 48h + 24h + 2h before, plus a one-tap reschedule link. Industry-tested to cut no-shows by 50-60%.
Owner says
“Online intake forms don't sync with Jane / Cliniko and we re-key everything.”
What it usually means
Integration usually exists and is unused. Activation + workflow training takes a couple of days.
Owner says
“We can't get reviews. Patients say they'll leave one and then don't.”
What it usually means
Post-visit automated nudge with a one-click Google review link. 5x typical conversion vs verbal asks.
Owner says
“Our website ranks below clinics that are clearly worse than ours.”
What it usually means
Local SEO. Schema markup + Google Business Profile + named-condition landing pages. Usually shows movement inside 90 days.
How we help / 5 workstreams
Jane App, Cliniko, ClinicSense, Owl Practice, Noterro, PracticeQ — we work with all of them. We don't migrate you for the sake of it. We make the one you're on perform.
Telus Health eClaims, Provider Connect, Pacific Blue Cross, Greenshield — direct billing setups + monitoring. Square or Clover for in-clinic. No more 'we'll bill it later' fallbacks.
SMS + email reminders, recall sequences for ongoing care plans, post-visit review nudges. Built into your existing PMS where possible. Built around it where it has to be.
College of Physiotherapists / Massage Therapists / Chiropractors of BC have specific advertising restrictions. We work inside them — no testimonials that imply outcomes, no comparative claims, no patient-photo gymnastics.
Tools we work alongside
We’ve been deep in 18 of the tools your healthcarecolleagues already use. We don’t make you switch unless your current stack genuinely can’t do what you need. Usually it can — it just isn’t configured to.
Single-clinic optimisation project (PMS tuning + booking rebuild + insurance fixes): \$6,000–\$14,000 one-time. Ongoing managed IT for a 3-5 practitioner clinic: \$450–\$950/month. Marketing retainers (SEO + content + reviews + paid): \$1,800–\$4,500/month. Branding + website rebuild: \$12,000–\$32,000.
Honesty section
If any of those describe you, tell us before booking and we’ll either recommend someone better suited, or scope a smaller engagement that makes sense.
Related work
Regulators in play
FAQ / What people ask first
No. We work on the operations layer — booking, billing, intake, reminders, marketing, IT. Clinical charting stays with your PMS and your practitioners.
They're capable out of the box. They're rarely fully configured. The difference between a 'set up' Jane install and a tuned one is usually 8-15 hours a week of admin time across your front desk.
Yes. We review all advertising copy against the relevant College's marketing guidelines before publish, and we keep a documented trail.
Yes. Shared PMS configuration, centralised reporting, per-location settings where needed. Multi-location is where the operations-layer ROI is highest.
Telehealth is bundled into most modern PMS — Jane, Cliniko, etc. We tune the workflow + the consent forms + the billing reconciliation rather than running our own platform.
Other industries we work in
20 minutes is enough to know whether we’re a fit. We won’t pitch — we’ll ask better questions than the last vendor you spoke to.