Billing for rural practice
Built for rural physicians
Clinic, emergency and inpatients all land on one sheet, already priced, with potential billing issues flagged for review. You check the flags and prepare your claims. Built for rural practice, even without a billing office.
- Canadian hosting
- Encrypted connections
- Review before submission
- Claim activity tracked
Your billing workflow
Bill the way you work
Start an ER shift, a hospital week or a one-off session. Keep the patients, codes and claims for that work together.
Choose a billing session
ER shift
Import patients and bill each visit
Hospital week
A Monday-to-Sunday patient grid
One-off session
Visits outside a worked shift
- 1Add patients
- 2Add codes
- 3Review claims
Your patient list, ready each morning
Elle brings in patients from ConnectCare automatically every night. You can also import a spreadsheet or add patients manually.
ConnectCare · Nightly intake
Patients added automatically overnight
Amrita Bhalla
Details complete
Owen Marchetti
Details complete
Nadia Osei
Check service date
Review patient details and resolve any flags before billing.
Compare codes with confidence
Compare your selected code with Elle’s suggestion and see why it fits the visit. You review the differences and choose the code that reflects your care.
From your encounter note
Office follow-up with history and examination. No separate family conference.
Selected code
03.05JB
Family conference
Not supported by this note
Elle suggests
03.03A
Limited assessment
Matches the documented visit
Why this suggestion? The note supports an office assessment, without a separate conference. You review and approve the code.
Know what needs fixing
Check patient details, codes and shift hours before sending claims for review. Elle flags missing information and hours that don’t match your shift.
Claim readiness
- Patient details
- Billing code added
- Diagnosis code added
Shift hours don’t match
- Shift · 8 am–4 pm
- 8 hours
- Total hours entered
- 6 hours
Your shift is 2 hours longer than the total hours entered. Review your times before submitting.
Sending for review is separate from submission to the payer.
Recover missed payments
Follow an underpaid claim from Elle’s message to a code correction and additional payment. See what changed and how much you recovered.
Example claim · Payment recovered
$40 → $60 paid
Underpayment flagged
$40 paid. The code doesn’t fully reflect the documented care.
Elle messaged you
“Please review the suggested code correction for this visit.”
Code corrected · Additional payment received
You approved the correction. The claim was resubmitted and the payer paid another $20.
See your billing picture
Track payments, follow outstanding claims and see what needs attention. Your dashboard brings your billing work into one view.
Your billing at a glance
Billed & paid
See what you’ve billed and what payers have paid.
Outstanding payments
Keep track of claims still awaiting payment.
Needs your attention
Find unfinished claims and work ready to resubmit.
Payments and open work, together in one dashboard.
Simplified platform examples · Demo data
Across care settings
From clinic to hospital
A rural day can span a clinic, an emergency department and inpatient care. Finding codes and correcting claims adds another job at the end of it. Elle brings coding and claim review into one workflow.
One workflow
A coding workflow that reflects care across settings and communities.
Fewer lookups
Code suggestions keep your focus on what needs judgement.
Built in Alberta
Alberta billing experience, a rural family physician and an applied AI team.
AI-assisted coding
Your notes.
Suggested codes.
Elle suggests billing and ICD-9 codes from clinical notes, flags likely refusal reasons and recommends fixes. You review and approve changes before submission.
AI coding and refusal review
AI assistance with physician review at every step.
Interactive example · AI coding workflow
An encounter, step by step
Example encounter note
Office follow-up for established essential hypertension. Relevant history reviewed, cardiovascular examination completed and home blood-pressure readings discussed. Continue current treatment and follow-up plan. Daughter attended the same visit. No separate family conference documented.
Example setting: an in-person office visit billed under Alberta’s fee-for-service schedule.
Example draft claim
03.03A + 03.05JB
Diagnosis code missing
Synthetic example · Nothing is submitted
Claim review
Keep claims moving
Keep your focus on patients. Elle helps with the billing that follows.
- Skip the code search
- Get billing and diagnosis code suggestions from your clinical notes.
- Catch issues early
- Review missing details and billing flags before you submit.
- Resolve refusals
- See what needs correcting and review a suggested fix.
- Stay in control
- Accept, edit or reject suggestions. You approve every claim.
The platform
From shift to payment
Patient intake, claim checks and payments in one place.
Automatic ConnectCare intake
Code and charge checks
Corrections and rejections
Invoices and payments
ConnectCare
Nightly intake
Arrived 05:42
Thu, 20 Aug 2026
Pine Coulee Health Centre · Night
14
Patients
11
Ready
3
Flagged
Wed, 19 Aug 2026
12 patients
Bring Elle to your practice
See how Elle fits your billing workflow.
Get startedPayer integrations
Connected and growing
Elle integrates with all the major payers, and we’re adding more every day.
Ask about your payer
Privacy and security
Patient data stays in Canada
Your patient information is protected with encryption, restricted access and a record of who accessed it. Privacy is part of how we handle your billing.
Privacy and data handlingCanadian storage
The billing platform stores patient information in Canada, with encryption protecting it in storage and in transit.
Private patient information
We never sell patient information. Sharing is limited to authorized billing services or legal requirements.
HIA compliance
Our billing service complies with Alberta’s Health Information Act (HIA).
Access and accountability
Role-based permissions restrict access to patient information. Audit records track activity in the platform.
Any use of patient information for evaluation or model training requires a separate agreement before work begins.
The people behind Elle
Meet the team
Linda Chacko
Founder and CEO
Rural Alberta billing specialist. Leads strategy and billing operations.
Kody Van Sloten
Platform development
Full-stack developer. Leads the platform and infrastructure.
Gavin Lau
CTO and AI lead
MDSA, University of Calgary. Leads the billing algorithm and AI development.
Jacob Chacko
Clinical lead
Family physician in Innisfail. Leads clinical quality assurance.
A few useful answers
Common questions
Are the AI features available now?
Yes. Elle suggests billing and ICD-9 codes from clinical notes, reviews refusal reasons and recommends corrections. You review changes before submission. The website demo uses a fixed synthetic example.
Does Elle choose codes or diagnoses for me?
Elle suggests billing and ICD-9 codes for documented care. You accept, edit or reject each suggestion. Elle assists with coding; it does not make diagnoses or recommend procedures.
How does Elle help with refused claims?
Elle explains refusal reasons, highlights missing information and suggests corrections. You review the changes before resubmitting.
How does our practice get started?
Contact Elle for a walkthrough and a discussion of your billing workflow. We review setup and data arrangements with your practice. Please don’t send patient information by email.
Get started with Elle
See Elle in action
Take a walkthrough tailored to your practice’s billing needs.
Please don’t send patient information by email. Walkthroughs use synthetic examples.
(403) 488-3069