Your Claims Revenue Deserves Better Than a 75% First-Pass Rate
The industry average sits between 75–85%. Our platform delivers 96.7%. That delta — between where you are and where you could be — represents $147,000 to $218,000 in annual revenue your clinic is quietly losing. Since 2013, we've helped 4,800+ provider locations across every Canadian province reclaim that revenue through a single, intelligent claims portal that routes to every major carrier automatically.
One Portal Replacing Six — Here's What That Means for Your Practice
Most Canadian clinics juggle between three and eight separate carrier portals, each with its own login, its own form logic, and its own rejection quirks. Providerclaimconnect collapses all of that into a single submission interface backed by a 10-stage claims lifecycle engineered for accuracy. The result: less time on billing, fewer rejected claims, and faster reimbursement across the board.
Want to understand how each stage works, from pre-submission validation through remittance reconciliation? Explore the full 10-stage claims lifecycle on our Services page.
How Much Should This Actually Cost?
We publish our pricing because we believe you shouldn't need a sales call to find out if you can afford us. (Radical, we know.) Every plan below includes Canadian data sovereignty, PIPEDA compliance, SOC 2 Type II certification, and our pre-submission validation engine with 1,200+ rules that drive our 96.7% first-pass rate. No setup fees. No per-claim surcharges. No annual contracts. Pick the tier that matches your practice size — and if you outgrow it, upgrades are seamless and prorated.
Solo
- 1–2 practitioners
- Up to 400 claims/month
- 3 carrier integrations included
- Pre-submission validation engine
- Email support (24-hour response)
- Basic remittance dashboard
Ideal for: Solo chiropractors, single-provider physio clinics, independent massage therapists, and new practices building their patient base.
Start Solo Plan — Cancel AnytimeClinic
- 3–15 practitioners
- Up to 3,000 claims/month
- Unlimited carrier integrations
- COB & split-billing engine
- Priority support (4-hour response)
- Full analytics dashboard
- Provincial fee guide auto-updates
- PMS integration included
Ideal for: Multi-discipline clinics, dental offices with 3+ hygienists, optometry practices, and physiotherapy groups billing multiple carriers per visit.
Start Clinic Plan — Cancel AnytimeNetwork
- 16+ practitioners / multi-location
- Unlimited claims volume
- Dedicated account manager (Alicia Beaulieu's team)
- Custom PMS & EMR integrations
- WCB & MVA claims management module
- Compliance & audit readiness module
- SLA guarantees (99.95% uptime)
Ideal for: Multi-location networks, hospital-affiliated clinics, provincial health authorities, and enterprise organizations with complex billing workflows including WCB and MVA.
Request Network Pricing — Response in 24 HoursEvery plan includes: Canadian data sovereignty (Calgary & Toronto data centres), PIPEDA compliance, SOC 2 Type II certification, TLS 1.3 + AES-256 encryption, and no annual contracts. Pay monthly, cancel whenever — we keep clients because the platform works, not because of contractual obligation. Our annual retention rate is 94.3%, which tells you everything you need to know. Questions about which plan fits? Browse our FAQ or reach out directly.
What Exactly Do You Get at Each Tier?
Every feature listed below maps directly to a stage in our 10-stage claims lifecycle. The Solo plan covers the essential submission-to-reconciliation pipeline. Clinic adds the intelligence layer — COB resolution, fee guide automation, and full analytics. Network adds enterprise compliance, dedicated human support, and custom engineering.
| Feature | Solo | Clinic | Network |
|---|---|---|---|
| Multi-carrier claims routing | ✓ | ✓ | ✓ |
| Pre-submission validation (1,200+ rules) | ✓ | ✓ | ✓ |
| Remittance reconciliation | ✓ | ✓ | ✓ |
| Provincial fee guide management | — | ✓ | ✓ |
| COB / Split-billing engine | — | ✓ | ✓ |
| WCB & MVA claims module | — | — | ✓ |
| Dedicated account manager | — | — | ✓ |
| Custom integrations | — | — | ✓ |
| Analytics & revenue intelligence | Basic | Full | Advanced |
| Compliance & audit module | — | — | ✓ |
| Onboarding timeline | 4.2 days | 4.2 days | 4.2 days |
| Data sovereignty (Canada-only) | ✓ | ✓ | ✓ |
Real Providers, Real Numbers — Not Marketing Fluff
We could tell you how great our platform is, but you'd rightfully be skeptical. So here's what actual providers — clinicians and practice managers who use the system daily — have to say. These aren't cherry-picked soundbites; they're detailed accounts of measurable impact.
Want to understand the technology behind these results? See how our 10-stage claims lifecycle works, or read the full story of how we got here.
Built by a Team That Understands Claims from the Inside Out
Providerclaimconnect was founded in 2013 in Calgary by Derek Falkner, a former commercial fisherman from Nova Scotia who spent years watching healthcare providers drown in paperwork instead of focusing on patient care. What started as a frustrated side project — a simple claims-routing script — evolved into Canada's most comprehensive provider claims portal.
Today, our team of six specialists manages every aspect of the platform: from clinical validation overseen by Dr. Sarah Olawale (MD, CCFP) to integration engineering led by Marc-Olivier Dufresne, and security and compliance under Jordan Flett (CISA). Each team member brings a specific, deeply technical skill set — no generalists, no filler roles. We're small by design, and that's exactly how we stay fast, accountable, and obsessively focused on the providers we serve.
Our technology processes 3.2 million+ claims annually for 4,800+ provider locations across every Canadian province, with a 96.7% first-pass acceptance rate and a 94.3% annual client retention rate. Those numbers aren't marketing targets — they're audited metrics we publish because we believe transparency is the baseline, not a differentiator.
Questions You're Probably Asking Right Now
These are the five questions we hear most from providers evaluating the platform. For the full list — including questions about specific carrier integrations, provincial compliance, WCB workflows, and data migration — visit our complete FAQ page.
The opposite, actually. Our average onboarding timeline — from signed agreement to your first live claim submission — is 4.2 business days. Here's the exact process:
- Phase 1 (Day 1): We configure your practice profile, practitioners, disciplines, and applicable provincial fee guides. This includes setting up your unique claim-routing rules based on your specific carrier mix.
- Phase 2 (Days 1–3): We initiate or verify your direct-billing registrations with each target carrier, running in parallel. For carriers you're already registered with, we can often complete verification same-day.
- Phase 3 (Days 2–3): We integrate with your existing PMS (Jane App, Cliniko, OSCAR, Juno EMR, Dentrix, ABELDent, Tracker, Universal Office — we support them all). Marc-Olivier Dufresne's Integration Engineering team handles the technical configuration.
- Phase 4 (Days 3–4): Test claims, validation, and a hands-on training session with your billing team. We don't go live until your staff is comfortable and your first batch passes our quality check.
Alicia Beaulieu's Provider Success team personally manages every onboarding — this isn't a self-serve knowledge base situation. You'll have a named point of contact who knows your practice configuration inside and out.
Monthly billing, no annual contracts, no cancellation fees, no 30-day notice requirements. This is a core principle, not a promotional hook — it's written into our Terms of Service.
You can cancel from your account dashboard in approximately 14 seconds. (We timed it.) Your data is exported and available for download for 90 days after cancellation, in compliance with our Privacy Policy and PIPEDA retention requirements.
We retain clients because the platform delivers measurable ROI — not because of contractual entrapment. Our annual retention rate is 94.3%, which we consider the only metric that matters. That number is earned every single month.
All data encrypted in transit (TLS 1.3) and at rest (AES-256). Infrastructure hosted exclusively in SOC 2 Type II-certified Canadian data centres in Calgary and Toronto — no data ever leaves Canadian soil. This isn't optional or configurable; it's how the platform is architected at every layer.
We maintain our own SOC 2 Type II attestation (audited annually by Deloitte Canada, most recent: March 2026). PIPEDA-compliant at federal level with completed compliance reviews under Alberta's HIA, Ontario's PHIPA, BC's PIPA, and New Brunswick's PHIPAA.
Our Director of Security, Jordan Flett (CISA), leads quarterly privacy impact assessments and annual third-party penetration testing. He also serves as our PIPEDA Compliance Officer — you can reach him directly at compliance@providerclmconnect.com. For the full details, read our Privacy Policy.
Yes. Pre-built integrations exist for Jane App, Cliniko, OSCAR EMR, Juno EMR, Dentrix, ABELDent, Tracker, Universal Office, and several others. We use REST/JSON API for real-time connections and encrypted SFTP for file-based exchange, depending on what your PMS supports natively.
If your PMS isn't on the list, Marc-Olivier Dufresne's Integration Engineering team builds custom connectors — they've completed 47+ to date. Each integration is a precision engineering project: no shortcuts, fully tested in a staging environment before go-live. Custom connector development is included at no additional cost for Network-tier clients, and available as a one-time project fee for Clinic-tier clients.
Want to see how integration fits into the broader claims workflow? Our Services page walks through each stage, including where PMS data enters and where reconciliation data flows back.
There isn't one. (We know — suspicious, right?)
The prices listed are the prices you pay. No setup fees, no per-claim surcharges, no hidden carrier pass-through costs, no annual escalation clauses. We've been in business since 2013 and this pricing model has been our approach from day one — read our origin story if you want to understand why transparency matters so much to us.
The only variable: if you exceed your plan's monthly claims volume, we'll reach out to discuss a plan upgrade — not surprise you with overage charges. Upgrades are prorated and take effect immediately. Downgrades are available too, effective at your next billing cycle.
Your Practice Deserves Better Than Portal Fatigue
Join 4,800+ provider locations across every Canadian province. No contracts, cancel anytime, onboarded in 4.2 days. Every plan includes Canadian data sovereignty, SOC 2 Type II certification, and the pre-submission validation engine that drives our 96.7% first-pass acceptance rate.
Important Disclosures
Insurance Disclosures
Providerclaimconnect Inc. is registered as a health technology services vendor under Alberta Health Services Vendor Registration No. AHS-VR-2013-04821.
Claims processing services are facilitated on behalf of underwriting carriers including Sun Life Assurance Company of Canada, Manulife Financial Corporation, Canada Life Assurance Company, and other licensed insurers. Providerclaimconnect Inc. does not underwrite insurance policies.
Coverage terms, conditions, and exclusions apply — see policy documents from your specific carrier for details.
Fee estimates, reimbursement projections, and revenue impact figures referenced on this site are estimates based on historical platform data and actual results may vary based on carrier adjudication decisions, benefit plan specifics, and provincial fee guide changes.
Healthcare Disclosures
The information on this site is for educational purposes and does not constitute medical advice.
Always consult a qualified healthcare provider for diagnosis and treatment.
Platform clinical validation is overseen by Dr. Sarah Olawale, MD, CCFP (CPSA License No. 48271), Chief Clinical Advisor. ICD-10-CA and procedure code mapping are validated against current provincial fee guides but do not replace clinical coding judgment.
CLHIA Associate Member ID: CLHIA-AM-0847. SOC 2 Type II Attestation — most recent audit completed March 2026 by Deloitte Canada.
PIPEDA Compliance Officer: Jordan Flett, CISA — compliance@providerclmconnect.com