Physician billing recovery · Built in Canada

It was never a fair fight —
one billing team against a system built to say no.
We even the odds.

Last year, 9 in 10 Canadian physicians surveyed had claims rejected. The average doctor is missing $50,000 to $200,000 in payments for care they've already delivered. We built the tool that gets it back.

Claims recovery
Live · this quarter
X090 CT abdomen · Radiology
Recovered $412
A007 Periodic health exam · Family med
Recovered $89
Q040 Chronic disease mgmt · Family med
Re-submitted
E078 After-hours read · Radiology
Recovered $96
Recovered for this group
$147,320
Illustrative sample · fee codes shown are placeholders
Auditing claims for Canadian health authorities, hospital billing teams, and physician groups.

The problem, in numbers you can check.

Linked to the source. Not our marketing.

90%
of Canadian physicians surveyed had billing claims rejected in 2024
OMA survey of 2,500+ doctors
$50K–$200K
in earned payments per physician that go uncollected every year — reimbursement, when it comes, can take months or years
Consistent with what our claim audits find
1.16M
claims a year stuck in manual review in Canada's largest provincial plan — over 1,000 every week
OMA

The game is rigged.

Even the best billing teams lose money to it.

01
Money the schedule hides
Thousands of codes. Premiums that stack in ways nobody documents clearly. Rules that change every year. The fee schedule isn't written to help anyone find the money — and money hidden that well doesn't announce itself when it goes missing. This isn't about anyone missing something. It's about a system designed to be missed.
02
Rejected claims that die in review
Canada's largest provincial plan alone has 1.16 million claims a year sitting in manual review. Most can be won — but each one takes time your team is already spending running the practice. That's not a staffing problem, and it's nobody's failure. It's arithmetic no clinic can hire its way out of.
03
The time it steals
10.4 hours a week of physician admin (CMA, 2025) — evenings and weekends that belonged to patients, or to you. Across Canada, 18.5 million hours a year. Nobody went to medical school for this, and nobody joined a billing team to re-key faxes.
How SapienBilling works

Every claim, checked. Every dollar, chased.

We audit all of your claims against the fee schedule, find what the system buried, and fight to get it paid — with your billing team in control of every decision.

Your claims
As submitted
Every code, every physician, every payer.
SapienBilling
01Audits 100% against the fee schedule
02Finds under-billing, premiums & rejections
03Resubmits & follows until it's paid
Your billing team approves every move
Recovered
Paid to you
No recovery, no fee
You did the work. We make sure it's paid.
SapienBilling

Physicians earn it. We make sure they get it.

SapienBilling audits every claim against your provincial fee schedule and finds what the system hid — the winnable rejections, the under-billed codes, the premiums buried three cross-references deep. Then it does something no report ever did: it fights for them. Automatic resubmission, followed until it's paid — with your billing team in charge of every decision.

We hand them the found money and the finished paperwork; they stay the ones who run your revenue. Built for groups, hospitals, and health authorities — by people who know Canadian billing because they've lived it, not a US tool bent to fit Canada.

Your data stays in Canada — PIPEDA and provincial health-privacy compliant, with Canadian data residency.

Practices that complete a billing audit and optimization review typically see a 10–30% improvement in collections. Recovered, not projected.
Performance-based pricing. We're paid on what we recover. No recovery, no fee.
100%
of claims audited against fee schedules
Auto
re-submission of recoverable rejections
Every
schedule
every provincial fee schedule, kept current
Weeks
to live — not quarters

Plenty of tools make billing faster. We're in your corner until you're paid.

Four reasons it matters who's in your corner.

Built by physicians
We're doctors too. We lived the rejections and the waiting, and we built what we kept wishing someone would build for us — not a software vendor's guess at how medicine works.
Live in weeks, invisible to your physicians
We start with a look-back audit of your historical claims, so you see the recoverable number before anything touches live workflow. Your physicians keep practicing exactly as they do today; we work in the background, on your behalf.
Canadian, all the way down
Built here, for provincial fee schedules. Your data stays in Canada, encrypted end to end, under PIPEDA and provincial health-privacy law. There isn't a CPT code anywhere in this product.
We only win when you do
No license fee, no setup fee, no minimum. We take a percentage of what we recover for you, and nothing else. If that sounds like we're betting on your side of the fight — we are.

Outcomes, not promises.

Real clients. Real numbers. Published with permission.

A BC health authority
30%
drop in claim rejections
15%
lift in captured revenue
And that was on just one-fifth of report volume.
A Vancouver imaging group

"They found revenue we'd written off as lost. It paid for itself in the first month."

VP, Operations

The questions you should be asking.

Straight answers. If one of these is why you're hesitating, read it before you book.

What does "no recovery, no fee" actually mean?+
Exactly what it says. We take a percentage of what we recover — no license fee, no setup fee, no minimum. If we find nothing, you pay nothing, and you'll still have a complete audit of your claims. We only make money when you do.
Will this disrupt our physicians?+
No — and this is by design, not promise. SapienBilling reads from the billing systems you already run. Your physicians don't log into anything, learn anything, or change anything. Most of them won't know we're there until the recovered revenue shows up.
Won't aggressive recovery increase our audit risk?+
The opposite. SapienBilling flags over-coding as well as under-coding — the goal is claims that match the work performed, exactly, with the documentation to prove it. A claim we resubmit is a claim we can defend.
Where does our data live? Who sees it?+
In Canada, full stop. Canadian data residency, end-to-end encryption, PIPEDA and provincial health-privacy compliance. Your data is never sold, shared, or used to train anything outside your deployment.
We already have a billing team. Why do we need you?+
You do — and if they're good, this makes them look better, not worse. Your team knows your physicians and your payer relationships, and no software replaces that. What no team on earth can do by hand is audit 100% of claims against the full fee schedule and chase every single rejection — not because of skill, because of volume. We take that weight off them, so they can do the parts of the job that actually need a human.
Honestly, we think our billing is in good shape. Is this for us?+
Probably — and the look-back settles it either way. Well-run clinics recover less than messy ones, but the fee schedule is too big and changes too often for any team to hold all of it. If the audit comes back clean, you've paid nothing and you've got independent proof your team is as good as you believed. If it doesn't, the recovered money goes to the people who earned it. Either way, your team wins.
How is this different from Dr.Bill or other billing apps?+
Those tools make submitting claims faster and easier — and they're fine at it. They don't go looking for the money you've already lost. We start where they stop: rejected claims, under-billed codes, missed modifiers, work that was never submitted at all.
How does it start? What's the commitment?+
With a look-back: we audit your historical claims and show you the recoverable number before anything touches your live workflow. You see the money first, then decide. And some of it is on a clock — resubmission windows expire, so a claim that's recoverable today may not be next quarter.
Which provinces? Which specialties?+
Our deepest experience is with MSP, OHIP, and AHCIP — each built natively for its fee schedule, not one schema stretched across three provinces. But the engine reads fee schedules, wherever they're written: we can work with every province and territory. If yours isn't one of those three, let's talk — you won't be the first. Every specialty, for the same reason: the engine reads fee schedules, not specialty conventions.
Is an AI deciding what gets billed? And are you a US product?+
No, and no. The fee schedule decides what gets billed — the AI is what makes checking every claim against it possible. Nothing is resubmitted that doesn't match the documented work, and every change is logged and traceable. And we're not a US company adapting a US product: built in Canada, by practicing Canadian physicians, for provincial fee schedules. There is no CPT code anywhere in this product.

Built by the people who lived the problem.

Sapien was founded by two practicing radiologists and an engineer. We lived the rejections, the waiting, the money quietly walking out the door — and we chased these claims ourselves, alongside the billing specialists who do it every day.

We know what it feels like to be told no for work you did well, and to be too busy caring for patients to argue about it. So we built what we kept wishing existed: something on the doctor's side of the table.

The problems aren't radiology problems. Every physician who bills a province lives them. We just happened to be the ones who got angry enough to fix it.

Find out what you're owed.

A 20-minute demo on your own claims data. We'll show you the recoverable revenue sitting in your current claims — and the number is yours to keep whether you work with us or not. No pressure, no obligation. You've earned the right to know.

Calendly booking · hello@sapiensecure.io
Being in your corner doesn't stop at billing. SapienProtocol catches the wrong exam before it's ordered. SapienReq takes the intake burden off your team.

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