About

Why We Built This

We didn't come from healthcare. We came from watching small business owners lose money to administrative systems they couldn't navigate, and building software that fixed it.

Clinic Claims was founded by two Ontario entrepreneurs with backgrounds in economics and engineering. Before healthcare, we built AI automation for regulated industries where accuracy, auditability, and privacy mattered. OHIP billing had the same pattern: smart operators, complex rules, and quiet financial leakage that no one had time to find.

We brought on certified OHIP billing specialists as clinical validators because software alone is not enough. The result is a focused audit service for Ontario IHFs operating under Bill 60 and ICHSCA.

Principles

How we work when money, medicine, and compliance overlap.

AI flags. Humans confirm.

We never recommend a code change without a certified billing specialist reviewing it first.

Your data never leaves Canada.

Azure Canada East. PHIPA-compliant workflow. Patient data de-identified before any AI processing.

We eat what we cook.

Our fee is a percentage of what we recover. If we don't find money, you don't pay.

Team

Built by founders, validated by billing specialists.

Co-Founder

Economics, operations, and Ontario small business systems.

Co-Founder

Engineering, automation, and privacy-aware software for regulated industries.

Medical Billing Consultant

OHIP certified review and validation for every clinic recommendation.

We work with certified OHIP billing specialists and healthcare privacy lawyers to ensure every recommendation is clinically sound and legally defensible.

Free Audit

Put the process under review.

We will show you what your current billing workflow may be missing.

Book Free Audit →