/ Industries / Healthcare

Software that sits beside your EMR.

For Ontario clinics (physio, massage, chiro, dental, medical, wellness) losing revenue to rejected OHIP claims and uninsured services that never get invoiced, and losing hours to booking and intake friction. We build the billing dashboards, patient portals, and PHIPA-aware tools that close those gaps. We do not replace your EMR, and we work with your privacy officer rather than around them.

Talk through your clinic → All services
/ The reality

Your EMR was not built for this.

Most clinic EMRs chart well and bill OHIP adequately. The gaps show up at the edges, and that is where the money and the hours go.

Billing leakage

Rejections nobody reworks

OHIP claims get rejected, held, or underpaid, and the rework queue has no owner, so they quietly expire. Your EMR shows you what you submitted, not what actually landed and what is still owed.

  • Rejections that age out unworked
  • No clear view of submitted versus paid
  • AR that nobody is watching
Uninsured services

Delivered but never invoiced

Notes, forms, no-show fees, third-party assessments, and product sales get delivered and then never billed or collected. Uninsured-services revenue is real money your EMR often does not chase for you.

  • Services done off the OHIP path
  • No invoice, no follow-up, no payment
  • Revenue that leaks one visit at a time
Booking & intake

Friction at the front desk

Patients call to book, fill paper intake in the waiting room, and your staff keys it in twice. Every step is manual, error-prone, and a drain on front-desk time, all of it touching health information that has to be handled carefully.

  • Phone-only or clunky booking
  • Paper intake re-keyed by hand
  • PHI moving in ways you cannot audit
/ What we build

Tools beside the EMR, not a new one.

Each of these reads from or writes to your existing EMR where its API or exports allow, and lives next to it. None of them is a replacement system of record.

Rejection and AR dashboards beside your EMR
Patient billing portals for uninsured services
Provider-level P&L and billed-versus-paid views
PHIPA-aware AI and RAG over your own documents
Online booking wired to your schedule
Digital intake that stops double data entry
Role-based access and query logging
Integration via EMR API or scheduled exports

Not a replacement EMR

To be unambiguous: none of this is an EMR. Your team keeps charting where they chart today. We surface the billing your EMR leaves on the table, give patients a way to pay for uninsured services, take booking and intake off the front desk, and keep PHIPA-aware AI inside infrastructure you control. The EMR stays your system of record, and we build the layer around it that the EMR was never meant to be.

/ Straight talk

We work with your EMR and your privacy officer.

Two things we will not pretend to be. We are not your EMR vendor, and we are not your privacy officer or your lawyer. We build software that sits beside the EMR you already pay for, against whatever its API or exports actually support, and we coordinate with your vendor rather than try to rip them out.

On the privacy side, we build the technical controls (data kept inside boundaries you control, role-based access, logging on what touches health information) and your privacy officer and counsel own the compliance decision. PHIPA obligations sit with you as the custodian. We describe how we build; we do not promise a compliance outcome, and nothing here is legal advice. If a feature is better off inside the EMR, or better off not using AI at all, we will say so on the call.

Get an honest read →
/ Related reading

The thinking behind it.

We have written up the specifics, including where billing recovery and the PHIPA line actually sit. Worth a read before you decide.

/ Blog

PHIPA-compliant AI

How Ontario clinics can use AI over patient data while staying inside PHIPA, and where the technical line sits.
/ Blog

Medical billing software

The OHIP and uninsured-services billing patterns that leak revenue, and what software beside your EMR can recover.
/ Service

Local AI deployment

Open-weight models on infrastructure you control, for clinics that cannot send patient data to a third-party API.
/ Service

E-commerce & booking

Booking systems and payment flows for uninsured services and products, with an admin panel your staff can use.
/ Common questions

FAQ.

Are you replacing our EMR?
No. Your EMR stays exactly where it is, and your team keeps charting in it. We build software that sits beside it: billing dashboards, patient portals, intake, and reporting that read from or write to the EMR through its API or exports. We are not an EMR vendor, we do not want to be your system of record, and we will tell you when a feature genuinely belongs inside the EMR rather than in a tool next to it.
How do you handle patient data and PHIPA?
We design around the principle that personal health information stays inside boundaries you and your privacy officer control, with role-based access and logging on anything that touches it. We build the technical controls; we do not sign off on your compliance. PHIPA obligations sit with you as the health information custodian, and your privacy officer and legal counsel make the final call. We work with them, we do not stand in for them. This page describes how we build and is not legal advice.
Where does the billing leakage actually come from?
Usually three places. OHIP claims that get rejected or held and never reworked because nobody owns the rejection queue. Uninsured and third-party services (notes, forms, no-shows, products) that get delivered but never invoiced or collected. And no per-provider view of what was billed versus what landed. We build dashboards and portals that make each of those visible so the money stops falling through. We do not publish recovery numbers because they depend on your mix; the billing post linked below walks through the patterns.
Do you integrate with our specific EMR?
It depends on what your EMR exposes. Some offer a documented API, some offer scheduled exports, some offer very little. On the first call we look at what yours allows and tell you plainly whether a clean integration is possible, whether it has to run off exports, or whether a particular idea is not workable. We would rather scope it honestly than promise a connector that the vendor does not support.
Can the AI parts stay private?
Yes, that is the point of how we build them. PHIPA-aware AI and retrieval over your own documents can run so that patient information stays inside infrastructure you control, with access controls and query logs, rather than being sent to a public model. Whether AI belongs in a given workflow at all is a separate question, and we will say so if a plain form or a report does the job without it. See the PHIPA AI post linked below for where the technical line sits.
● connect@aurabyt.com

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