Direct Billing 101: What You Need to Know to Get Paid Faster

For many RMTs, chiropractors, and physiotherapists in Canada, direct billing can feel overwhelming—but it doesn’t have to be.

When done right, it can dramatically improve your cash flow, reduce cancellations, and deliver a better experience for your patients.

Here’s everything you need to know to streamline your billing process and get paid faster in 2025.

1. Why Direct Billing Matters More Than Ever

• Patients expect convenience
• Clinics offering it have a competitive edge
• It minimizes out-of-pocket costs and increases rebooking rates

Offering direct billing isn’t just a service—it’s a sales tool.

2. Who You Can Bill Directly In Canada

Top insurance providers include:

• TELUS Health eClaims (Sun Life, Manulife, Canada Life, Desjardins, iA, Blue Cross, and more)
• ProviderConnect (Green Shield, BPA, Equitable Life)
• ClaimSecure and GroupHEALTH (via third-party portals)

✅ Tip: Always verify eligibility before the first visit using your provider portal

3. What You Need to Get Started

• An active license (RMT, DC, PT, etc.)
• A registered clinic address and tax number
• Consent forms signed by patients
• A reliable internet connection and secure billing software

✅ Tools like JaneApp, Noterro, and ChiroSUITE have built-in eClaims compatibility

4. Common Pitfalls to Avoid

🛑 Submitting without patient consent
🛑 Assuming coverage instead of verifying it 🛑 Not keeping detailed treatment records for audits 🛑 Delayed submission windows (many plans require same-day or within 7 days)

5. Best Practices for Smoother Billing

• Batch submit at the end of each day
• Train admin staff on platform workflows
• Communicate clearly with patients about what’s covered
• Use checklists to avoid missing fields or forms

✅ Consider adding a “Direct Billing Available” badge to your website and intake forms

Bonus: Get Paid Faster With the Right Systems

If you’re still printing receipts and waiting on reimbursement—you’re losing time and money.

Modern billing integrations can:

• Auto-validate policies
• Track pending claims
• Reconcile payments with zero paperwork

Sign up for our billing masterclass — and learn how to optimize your claims, tools, and patient communication

🧠 Final Thought from Henry:

Direct billing isn’t a burden—it’s a business upgrade.

Let’s turn billing into a streamlined, stress-free system that supports your clinic’s success.

RMTClinic.Net — Helping You Get Paid Faster, Smarter, and With Confidence.

Author: Henry Tse