AI features
AI support for coding and refusal review
Elle suggests billing and ICD-9 codes from clinical notes and reviews claim refusals. It explains issues, identifies missing information and suggests corrections for your review.
AI coding and refusal review
An example of Elle’s AI workflow using synthetic data. No patient notes are collected on this website.
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
AI refusal review
From a refusal to a clear next step
Elle helps physicians and billing staff spot likely refusal reasons before submission and investigate refused claims.
Identify the issue
Flag likely refusal reasons or interpret a returned assessment, then explain which part of the claim needs attention.
Explain what is missing
Identify the details that need checking or correcting, and explain how they relate to the claim or refusal reason.
Find the information
Suggest where to verify missing details, such as the encounter record, referral documents or the responsible staff member. Use only sources the practice is authorized to access.
Review a suggested fix
Propose corrections supported by the available records and explain the reasoning. A physician or authorized biller reviews changes before submission or resubmission.
The workflow requires uncertainty and missing evidence to be flagged, with corrections supported by documented information and approved by a reviewer. A suggested fix does not guarantee that a payer will accept a claim.
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.
Getting started
Bring Elle to your practice
Elle supports rural Alberta physicians and their billing teams. Talk to us about your workflow and setup.
Define the fit
We review your practice’s billing workflow and needs.
Set up your practice
We agree on data arrangements and configure access and connections.
Start billing
Your team reviews codes, prepares claims and tracks payments in Elle.
Setup and service terms are agreed with each practice.
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.
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