Elle
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Billing for rural practice

Bill the whole day before you drive home.

Clinic, emergency and inpatients all land on one sheet, already priced, with the claims that would’ve come back refused already flagged. You check the flags and press send. No billing office required, because most of you don’t have one.

Book a walkthroughSee how it works
  • Patient data stays in Canada
  • Encrypted the whole way
  • Nothing sends without you
  • Every action logged

One day of billing, six screens.

Your day, already priced

Every patient you saw, already matched up and already priced, whether the bill goes to Alberta Health Care or WCB. Tick the ones you want to send and Elle totals them at the bottom.

  • Already priced
  • AHCIP and WCB
  • You choose what sends

Day sheet

20 Aug 2026

PatientPayerStatusFee
Amrita BhallaAHCIPFlagged$38.03
Owen MarchettiWCBReady$74.50
Rosalie FontaineAHCIPReady$52.15
Nadia OseiWCBReady$96.40

3selected ·$223.05

Send 3 claims

Payers and systems

  • AHCIPAlberta Health Care Insurance Plan
  • ConnectCareYour day arrives on its own
  • WCB AlbertaWorkers’ compensation
  • Medavie Blue CrossPlanned

Live today. New payers get added inside Elle, so there’s never a second system for your staff to learn.

1
Day sheet, AHCIP and WCB
A farm injury, a shift worker and a walk-in can all be on the same afternoon. Alberta Health Care and WCB claims come off the same sheet and go out together, and sorting them was never your job.
4
Ways a claim comes back
Paid, refused, held and underpaid. Underpaid is the one that costs you quietly, because a claim paid short isn’t refused and nothing puts it in front of you.
0
Claims sent without you
Elle does the pricing, the checking and the paperwork. Nothing goes to a payer until you press send, wherever you happen to be when you do it.

How it works

From the day sheet to the money, without you chasing it.

Six things have to happen before you get paid, and in a rural practice most of them land on you. Elle does the tedious ones and stops where it actually needs you.

  1. 01

    The day shows up on its own

    ConnectCare sends over the day’s patients overnight and Elle has them ready before you’re in. Each one is matched to the patient and opened as a draft claim. You don’t export anything, download anything or retype anything.

  2. 02

    Everything gets priced

    Every visit is priced against the fee schedule of whoever owes it, with the codes, the modifiers, the call-back premiums, and the right location and department for wherever you actually saw the patient.

  3. 03

    Elle catches the refusals first

    Every claim gets checked against that payer’s own rules before it can go anywhere. Health number, coverage on the day, referring doctor details, WCB claim number and injury date. The things that bounce back three weeks later, caught this morning.

  4. 04

    You look at what got flagged

    Each flag says what’s wrong and what Elle would put there instead. Take the fix, correct it yourself, or wave it off and move on. Elle won’t change your claim behind your back and won’t stop you sending it.

  5. 05

    You press send

    Elle puts the claims together the way that payer wants them and sends them the way that payer accepts them. Every claim gets stamped with the batch number it went out on. You get a confirmation, not a spinner.

  6. 06

    The money comes back tracked

    When the payer answers, every claim moves on its own to paid, refused, held or underpaid, with the reason attached and the amount you were actually paid sitting next to the amount you billed.

Claim states

One glance, and you know where every claim stands.

A claim moves left to right and only ever sits in one of these. The colour tells you which without you reading a word.

Draft
Coded off the day sheet, not checked yet.
Flagged
Something would get this refused. The fix is sitting next to it.
Ready
Checked and priced. Waiting on you.
Submitted
Sent, waiting on the payer.
Paid
Paid in full, the amount you billed.
Underpaid
Paid, but less than you billed. The difference is still yours.
Refused
Turned down, with the payer’s reason attached.

What Elle does

Where billing quietly costs you money.

Every one of these started as a claim somebody had to chase down by hand.

One system, AHCIP and WCB

Your day doesn’t arrive sorted into Alberta Health Care and WCB, so Elle doesn’t make you sort it either. Both come off the same sheet, both get priced, both get checked against their own payer’s rules, and both go out together. When we add a payer, nothing changes at your end. No second login, no separate routine, nothing new for your staff to learn.

Your day arrives before you do

ConnectCare sends the day’s patients overnight and Elle has them priced and waiting before you’re in. You don’t export anything, and nobody retypes a list off a screen. Elle records every day sheet the moment it arrives, so if a day doesn’t come through you see it that morning instead of at month end. If a day comes in on paper instead, scan it or type it and it lands in the same place.

Every attempt on one claim

A refused claim isn’t a new claim, and you shouldn’t have to rebuild it. Elle keeps the visit and stacks each attempt underneath it: the date it went, the batch number, what came back and why. The whole story reads top to bottom on one page, including the attempt that finally paid.

Flag it, don’t block it

Elle won’t rewrite your claim behind you and won’t refuse to send it. A flag tells you which rule the claim tripped and what Elle would put there instead, and you can wave it off. You know things the rule doesn’t.

Out-of-province, sorted

Rural Alberta sees a lot of out-of-province patients: crews on rotation, truckers, people passing through. Those claims need things Alberta never asks for on its own: the referring doctor’s full address back in their own province, that province’s registration number, and a different set of refusal reasons coming back. Elle asks for them while you’re entering the claim, not three weeks later when it bounces.

The money you would never have noticed

A claim paid at less than you billed isn’t refused, so it doesn’t land anywhere you’d think to look. The difference is yours and you never see it. Elle marks those claims underpaid on their own, so they turn up in a list you can work through instead of disappearing into a deposit total.

More than one site, more than one town

If you cover more than one community, every claim still carries the right location and department for wherever you actually saw the patient, and a locum’s claims carry the arrangement they were working under. Set each site up once and stop thinking about it, even when this week’s schedule looks nothing like last week’s.

One payer’s rules never hold up another

Farm, oilfield and forestry work means WCB claims are a normal part of a rural day, and WCB wants a claim number and an injury date that can’t fall after the visit. Alberta Health Care wants a valid health number and coverage on the day. Elle only holds a claim against its own payer’s rules, so one missing WCB detail never stops the rest of your day going out.

When a claim comes back refused

Somebody has to work the refusals. It doesn’t have to be you.

Refusals are where billing actually eats your evening. Not the sending, the coming back. In a rural practice there’s usually nobody down the hall to hand them to, so Elle gives you two ways to deal with that, and you can change your mind later.

Included

Work them yourself, in minutes

Refused claims land in one list with the payer’s reason already attached, not a code you have to go look up. Open one and the whole history is there: what went, when, and what came back each time. Fix what’s wrong and send it again. You’re editing a claim, never rebuilding one.

  • Every refusal in one list, with the reason in plain words
  • The full history of the claim on the same page
  • Edit and resend without starting over
Premium

Or hand them to us

On our premium package, our billing team works your refusals for you. We read the reason, correct what can be corrected, and resubmit. When a refusal turns on something only you can answer, a clinical detail or what actually happened in the room, we come to you with one specific question and the claim in front of us. You answer it in a sentence, from the truck if that’s where you are, and we take it from there. It’s the billing office a rural practice doesn’t have.

  • Our billers work them, not you at 10pm
  • We only come to you when the answer is clinical
  • One question, one answer, we handle the resubmission

Either way, every attempt stays on the claim. You can always see what was sent, what came back, and who touched it.

Security and privacy

Your patients’ information doesn’t leave the country.

Elle holds health information, so this part came first and everything else was built on top of it.

It stays in Canada

Patient records, claim history and every backup are held in Canadian data centres. Nothing crosses the border, including the copies.

Encrypted the whole way

Patient information is encrypted while it moves and while it sits, including the documents and the backups. The keys are held separately from Elle itself.

Every action is logged

Who opened a record, who changed a claim, who sent claims, when, and from where. Nobody can edit that history from inside Elle, whatever their role.

People see only what they should

A doctor sees their own patients and their own claims. Anyone who needs to see wider than that has to be given that access on purpose, and every time it’s given, it’s recorded.

Built to what Alberta’s Health Information Act requires of anyone holding health information: controlled access, a full record of who did what, encryption, and rules about how long things are kept.

Common questions

What people ask before they switch.

What is Elle?
Elle is billing software built for rural Alberta physicians and the people who bill for them. Every morning it picks up the day’s patients from ConnectCare, prices each visit against the fee schedule of whoever owes it, checks every claim against that payer’s rules, and shows you anything that would come back refused. Nothing is sent until a person presses send.
Which payers can Elle bill?
Elle bills Alberta Health Care (AHCIP) and workers’ compensation (WCB), both off the same day sheet, and applies each payer’s own rules to its own claims. Elle wasn’t built around a single payer, so adding another doesn’t mean a second system or a second login for your staff. Medavie Blue Cross is planned and isn’t built yet.
Does Elle work with ConnectCare?
Yes. ConnectCare sends over the day’s patients overnight and Elle picks them up on its own, so nobody exports a list or retypes one. Elle records every day sheet the moment it arrives, so you can always see what came in and when. You can have Elle collect the day as it arrives, or once a day at a time you set.
Can I bill AHCIP and WCB from the same day sheet?
Yes. Alberta Health Care claims and WCB claims come off one day sheet and go out together, and Elle applies each payer’s own rules to its own claims. A WCB claim needs a claim number and an injury date that can’t fall after the visit. An AHCIP claim needs a valid health number and coverage on that date. One payer’s missing detail never holds up the rest of your day.
Does Elle submit claims automatically?
No. Elle prices the day, checks it and gets it ready, and sending it is always a decision a person makes. What Elle finds sits beside the claim, with the fix it suggests and the option to ignore it. Nothing gets changed behind you, and nothing stops you sending a claim you know is right.
What happens when a claim is refused?
A refused claim isn’t a new claim. Elle keeps one record for the visit and stacks every attempt against it: the date it went, the batch it went in, what came back, and the payer’s reason for refusing it. The whole history reads top to bottom on one page, including the attempt that finally paid.
How does Elle handle a claim that is paid for less than the amount billed?
Underpaid is a status of its own in Elle. A claim paid for less than you billed is neither paid nor refused, so the shortfall is easy to lose inside a deposit total and never look at again. Elle tracks four outcomes: paid, refused, held and underpaid. The underpaid ones turn up in a list you can work through.
Does Elle handle out-of-province claims?
Yes. An out-of-province patient needs details Alberta doesn’t ask for on its own claims, including the referring doctor’s full practice address back in their own province, that province’s registration number format, and a different set of refusal reasons on the response. Elle asks for those while you’re entering the claim rather than after the refusal comes back.
Where is patient data stored?
In Canada. Patient records, claim history and backups are held in Canadian data centres and don’t leave the country. Health information is encrypted while it moves and while it sits, every action is recorded independently of the person who did it, and each person only sees what their job needs.
Who deals with a claim after it gets refused?
You can, or we can. Refused claims come back into one list with the payer’s reason attached in plain words, and the full history of the claim on the same page, so fixing one and sending it again takes minutes rather than an afternoon. On our premium package our billing team works your refusals for you: we correct what can be corrected and resubmit, and we only come to you when the answer is clinical, with a specific question and the claim in front of us. Either way every attempt stays on the record.
Does Elle replace my biller?
No, and plenty of rural practices don’t have one to replace. Where there is a biller, Elle is the tool they work in: it does the pricing, the checking and the chasing, so their time goes to the claims that need judgement rather than the ones a rule could have caught. Where there isn’t one, our premium package puts our billing team on it, which is usually the point for a practice that was never going to hire for this.
Who is Elle for?
Rural physicians above all: the ones covering a clinic, an emergency department and inpatients in the same day, often across more than one community, and doing their own billing at the end of it. It also fits the locum agencies and billing staff who work with them. If your day carries a lot of patients across more than one payer and there’s nobody in the building whose job is billing, Elle was built for you.

Bring us a day you’ve already billed.

Pick any day off your own schedule, whichever payers were on it. We’ll run it through Elle and show you what it flags, what it prices differently, and what it would’ve sent. It takes about twenty minutes, and you’ll know quickly whether this is worth your time. If it isn’t, we’ll say so.

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