A woman wrapped in a green blanket, smiling, wearing a nasal pillows CPAP mask.

Respiratory operations

Respiratory clinic software, from referral to resupply.

Q: What software do Canadian CPAP and home oxygen clinics use to run billing and resupply?

Canadian CPAP, sleep and home oxygen clinics run billing and resupply on clinic software that treats a funding programme or an insurer as a payer on the invoice rather than as a discount. In norvelle, one patient record carries the referral, the equipment and its serial numbers, and a resupply plan that renews every 3, 6 or 12 months, and every invoice is split between the programme, the private insurer and the patient's share, with that share charged to the card or bank account the patient authorized. Reporting keeps resupply revenue separate from new setups, by clinic, company and brand.

The EMR for CPAP, home oxygen and sleep clinics in Canada: patient records, funding and insurers, billing, payments and auto resupply.

Book a demo See the whole journey

8

CPAP parts on a replacement clock

6

resupply cycles, weekly to yearly

22

Canadian payers ready to bill

1

invoice for the insurer share and the patient co-pay

From referral to resupply.

norvelle is the EMR for Canadian respiratory, sleep and home oxygen clinics. One record carries the patient from the referral through the sleep study, the funding decision and the equipment setup, to a resupply plan that bills on schedule.

Everything below is a screen your team works in, in the order a clinic reaches them.

01Referral

Every referral lands on a record.

The referral starts the chart: who sent the patient, which doctor, which clinic, recorded as the file is created.

Seven referral sources captured at intake, plus walk-ins
The referring doctor roster builds itself as your team types
Book the first appointment and the reminder goes out

02Registration

Health cards checked as they are typed.

Format rules for all 13 provinces and territories, plus federal coverage, run before the chart exists.

Ontario numbers are checksum verified, version code and all
Near matches on name and date of birth are flagged before a duplicate is made
Notes, consents and signatures sit on the same record

03Funding

Who pays, before you bill.

Public coverage and private policies sit on the chart, ranked primary, secondary and tertiary, with the payer picked from your directory. Every rule norvelle applies is listed under funding and insurers, and the Ontario split, line by line, is on Assistive Devices Program (ADP) billing for CPAP clinics.

22 Canadian payers to start, from ADP and NIHB to the private insurers
Named coverage rules, such as ADP APAP at 75 per cent
Authorization numbers, approved items and expiry dates on the policy

norvelle

Patients / Dawn Kelleher

Funding

Add policy

Public coverage

Coverage: Ontario
Card number: 1234-567-890
Status: Verified

Insurance policies

Payer	Rank	Coverage rule
Assistive Devices Program	Primary	APAP at 75%
Sun Life Financial	Secondary	Policy 48122-03

Authorization number recorded, with the approved items and the expiry it runs to.

04Equipment

Every serial on the record.

Machines, masks and consumables are dispensed on the invoice line that bills them, so the serial and the sale never drift apart.

Eight parts tracked against their replacement interval
Serial and device number on the line, the chart and the printed invoice
Loaners and trial units kept in their own register
Therapy and compliance data from the device, on the chart

norvelle

Patients / Dawn Kelleher

Current equipment

From purchase history

Item	Serial	Supplied	Status
Auto-adjusting machine	SN 2219-88431	7 months ago	Within interval
Full face mask	SN 7741-0220	5 months ago	Due for replacement
Cushion	Consumable	4 months ago	Overdue by 3 months

Machine, mask, frame, cushion, filter, tubing, water tub and headgear, each on its own replacement interval.

05Billing

One invoice, insurer and patient.

The insurer share subtracts from the patient portion on the same invoice. No second document, no discount line, no reconciliation afterwards.

A percentage of an approved price, or a fixed amount, per line or per invoice
The split is applied when the invoice is issued
Submit the insurer share and bring the remittance back against it

norvelle

Invoices / INV-10482

Who owes this invoice

Add co-payerBill payer

Auto-adjusting machine, mask and tubing$554.00
Tax, zero-rated respiratory supplies$0.00
Invoice total$554.00

Who owns the sale

Assistive Devices Program$415.50
Patient co-pay$138.50

Co-payer	Status	Amount
Assistive Devices Program	Approved	$415.50
Dawn Kelleher	Open	$138.50

06Payment

Paid without chasing the patient.

Card, pre-authorized debit, a pay link or AutoPay, taken against the invoice and settled to the clinic that earned it.

Card details are entered in the processor's own fields and never reach norvelle
Pay links go out with the invoice and expire on their own
AutoPay charges the card or the bank account when the invoice is issued

07Auto resupply

Resupply that bills itself.

Set the cycle and the lines once. Each cycle raises the invoice, sends it, and takes the payment if the patient is on AutoPay. The whole of auto resupply has a page of its own.

Weekly, every two weeks, monthly, or every 3, 6 or 12 months, pinned to a day you choose
Pause, resume or end a plan without unpicking the history
Rentals, home oxygen concentrators included, bill on the same cycle

norvelle

Resupply / Dawn Kelleher

Auto resupply plan

PauseSave plan

Schedule

Cadence: Monthly
Anchor day: 1st
Next cycle: In 12 days
Status: Active

Billed each cycle

Item	Qty	Amount
Mask cushion	1	$42.00
Filters, pack of two	1	$14.00
Tubing	1	$28.00
Per cycle		$84.00

08Follow-up

The numbers, by location.

Revenue split between new setups and resupply, receivables aged across seven buckets, and a collections list that builds itself.

Nine measures, per location or across the group
Every reminder, pay link, call and write-off logged against the invoice
Text, email and fax from one shared inbox

By clinic type

Three clinics, three pages.

Sleep clinics

The referral, the patient, the equipment and the funding on one record, then the resupply that follows.

See sleep clinic software

CPAP clinics

Machines, masks and consumables on the chart that bills them, with the replacement clock running underneath.

See CPAP clinic software

Home oxygen

Concentrators and cylinders tracked by serial, rentals that bill on their cycle, and the programme that pays part of it.

See home oxygen software

Built for every group size

One login for the whole group.

A holding company login rolls up every brand it is granted: revenue, receivables, collections and payment volume, then drills into any one of them.

Every brand in one roll-upRevenue, receivables and aging, collections rate and payment volume, totalled across the brands an executive holds.
Permissions that match the org chart95 permissions across global, tenant and location scope, so a regional manager and a front desk never see the same screen.
An independent runs the same systemOne clinic uses what fifty use. Add a brand or a location and nothing has to be bought again.

95: permissions, across three scopes
5: built-in role templates
4: levels: holding company, brand, legal entity, location

See the platform

norvelle

Meridian Care Group

Group overview

Export

Across three brands

$1.84MRevenue
$212KReceivables
94%Collections rate

By brand

Brand	Revenue	Receivables	Locations
Harborview Respiratory	$880K	$96K	7
Lakeshore Sleep	$612K	$74K	5
Prairie Home Oxygen	$348K	$42K	3

Drill into any brand. Every brand and legal entity keeps its own database.

$0.

migration fees

Switching is free and guided.

$0 migration fees. We migrate clinics off every major EMR and clinic system, from single-owner clinics to national groups, with a norvelle developer from export to go-live.

Export
We bring across your patients, balances and history from your current system.
Map and rehearse
We map your data and rehearse on de-identified records first.
Check the totals
Invoice, payment and receivables totals match your books before go-live.
Go live
Location by location, when each one is ready.

How switching works

Common questions.

What software do Canadian CPAP and home oxygen clinics use to run billing and resupply?

See it running.

Thirty minutes on a working clinic with synthetic patients, from the referral to the resupply invoice.

Book a demo See auto resupply

Respiratory clinic software, from referral to resupply.

From referral to resupply.

The clinic day, screen by screen.

Every referral lands on a record.

Health cards checked as they are typed.

Who pays, before you bill.

Every serial on the record.

One invoice, insurer and patient.

Paid without chasing the patient.

Resupply that bills itself.

The numbers, by location.

Three clinics, three pages.

Sleep clinics

CPAP clinics

Home oxygen

One login for the whole group.

Switching is free and guided.

Common questions.

See it running.