Care you provided. Never billed.
Unbilled reads a physician's clinical notes, finds services provided but never billed, and prepares the claims. The doctor confirms each one before anything is submitted.
For family physicians in Manitoba. Based in Winnipeg. Doctors in other provinces can still write to us.
The first audit is free. It covers three months of notes for one doctor.
One evening visit, as it was billed. Sample data. Not a real patient.
Seen 18:30. Dysuria and frequency 2 days. No fever, no flank pain. Abdomen soft, mild suprapubic tenderness, no CVA tenderness. Urine dip positive leukocytes and nitrites. UTI. Nitrofurantoin 5 days, urine sent for culture. 10 minutes.
Sample note. Not a real patient.
“The time the service commences must be entered on the claim.”
Evening visit: premium may apply. The visit started at 6:30 p.m. on a Monday. If your clinic meets the manual's conditions for extended clinic hours, tariff 5530 adds 20% to the visit fee. Billed for this visit: tariff 8529 only. 20% of tariff 8529 ($41.02) is $8.20. Source: Manitoba Physician's Manual (General Practice), page A-125.
Most notes do not record a start time. When yours do not, an item like this is listed as not assessable. It is not counted as billable.
The same visit in a full day of billing
- Visit date
- 2026-06-22 Mon
- Provider
- Dr. Sample
- Specialty
- 11 General practice
- Location
- 01 Office
- Payer
- Fee-for-service, Manitoba Health
Line 6 detail
- Tariff
- 8529 Regional intermediate visit
- Fee
- 41.02
- Manual page
- A-119
- Dx
- 599 Urinary tract infection
- Units
- 1
- Premiums on this visit
- None entered
Time of service: 18:30 required for 5530
Swipe sideways to see the rest of the screen. The Tariff column stays in view.
This looks like the billing screen in your EMR. We recreated it with sample data. Not a real patient. The yellow line and the red flag are ours. Your EMR does not show them.
Dx is the diagnosis code. PHIN is the health number, hidden here. EOB is the reason code Manitoba Health sends back with a rejected claim. Prem % is a premium added to the fee. The diagnosis, claim, location and reason codes are examples.
Works from what your EMR already exports or prints
We work from reports your EMR can already export or print. No API and nothing installed on your EMR. Your staff run one small tool on a clinic computer, with our help.
No API means we never connect to your EMR.
For example:
- Accuro
- TELUS Collaborative Health Record
- Clinisys EMR
- LibreMD
- Max-Gold9
- iSBERG Klinik EMR
Your staff export or print the reports from your EMR. Your staff remove patient names and health numbers on your clinic's computer, with our help, before any file reaches the audit laptop.
For example: your chart notes (printed to PDF), your appointment list, your Manitoba Health payment reports and your patient list.
Unbilled is not affiliated with these companies. Names are trademarks of their owners.
How the review works
Software reads the note. Rules written from the fee schedule work out the claim. You decide what is billed.
We read your notes
Software reads your visit notes after patient names and health numbers are removed. It lists the facts that matter for billing, when the note states them. Every fact must be quoted word for word from the note.
We check the fee schedule
Rules we wrote from the Manitoba Physician's Manual turn those facts into claims. The tariff code and the fee come from the fee schedule built into our own software.
You confirm each claim
You see each claim beside the words in your note that support it. You confirm it or decline it. You or your biller submit what you confirmed.
You confirm every claim
You decide.
Nothing is billed without your confirmation. We prepare the claim.
- Each claim shows the tariff code, the fee and the words in your note that support it.
- Some conditions in the fee schedule are often not written in a note. Visit length is one. When the review has to assume one, we say so and mark the item for you to check.
- If a claim needs a detail the note does not state, you add an addendum before it can be billed. It records only what you did and remember. It is dated the day you write it and marked as an addendum. Your original note is not changed.
- We do not submit claims. You or your biller submit them, the way you do now.
How we handle notes
- Your staff remove patient names and health numbers on your clinic's computer, with our help, before any file reaches the audit laptop. The audit laptop is ours and stays at your clinic. The list that links each patient to a code stays on your clinic's computer.
- Our software then checks each note again. It looks for patient names, health numbers, dates of birth, addresses, postal codes and phone numbers. A note that fails is held back. Doctors' names written in a note, such as “Dr. Smith”, stay in it.
- In short: Anthropic's AI model reads the note text and a few visit details on computers in the United States. Its terms say it deletes what we send within 30 days, with the exceptions below. The note text, with patient names and health numbers removed, is sent to Anthropic. Anthropic is a company whose software reads the note. Six details go with it: the visit date, start time and location; the patient's age and sex; a code in place of the patient and one in place of the visit; the enrolment date and diagnoses from your patient list; the claims and questions our rules drafted; and the panel payment lines our rules drafted. Your billing report is not sent.
- Anthropic processes it on computers in the United States. Under its terms, Anthropic deletes what we send, and its replies, within 30 days. Content its safety systems flag is kept for two years at most. The safety scores for that content are kept for seven years at most. Anthropic can keep data longer where the law requires. Under those terms, Anthropic does not use what we send to train its software.
- Nothing is submitted without your confirmation.
Book an audit
The first audit is free. It covers three months of notes for one doctor. Tell us how to reach you and we will reply within one business day.
Book an audit