Why this exists for veterinary operators.
Completed care gets charted and then never makes it onto a bill. In a single-site practice that's a rounding error. Across a multi-site specialty or ER group running more than one system, it compounds — and no one tool sees all of it.
What the leak looks like.
It is rarely theft and rarely laziness. It is the seam between systems and the seam between shifts:
- A case crosses from the overnight ER to a specialty service, and an item charted in emergency never reaches the specialty invoice.
- A patient transfers between sites, and a charge entered at one location never posts to the other's ledger.
- An anesthesia or imaging line gets documented in the record but dropped at checkout.
- Referral records arrive from a referring vet, but the charges attached to them never post at all.
Why software doesn't fix it.
Every practice-management system already prevents missed charges inside itself, at entry — Cornerstone's Patient Visit List, ezyVet's billing triggers, ImproMed's travel sheets, Instinct's treatment-sheet links. That's real, and it works for the system it runs in.
What none of them does is measure the leakage that's left over, after the fact, across multiple systems and sites, in one comparable number. And each PMS has a structural incentive to report the leak as small — it's a mark against its own product. The older system at the site you acquired last year often has no charge-capture discipline at all, and it's invisible to the system at headquarters.
What we measure.
Industry estimates put missed charges at 5–10% of revenue. AAHA's audit figure puts 17% of lab tests as never billed at the average clinic. The one survey that asks specialty and ER operators directly — Instinct's 2024 State of Emergency & Specialty report — found about a third still flag completed services left off final billing. On a $10M book, the band is $500,000 to $1,000,000 a year. Specialty and ER sit on the worse side of that, not the better, because the handoffs are exactly where charges fall off.
We are not building this for consolidators. Their incentives are different.