Freedom Clinics Canary Wharf
Improved cashflow by reducing aged debt by 90%
25days
Median appointment-to-payment time90%reduction
In debt aged more than 90 days40hours saved
Every month across finance and administrationCompany overview
Freedom Clinics is a network of multi-disciplinary private clinics offering affordable back and joint care, and health care. They specialise in osteopathy, chiropractic, sports massage, physiotherapy, podiatry & chiropody, acupuncture and sports medicine.
What was going wrong
A well established clinic in Canary Wharf using a billing company whose errors resulted in unpaid invoices, bad debt, overdue insurance invoices and unpaid patient excesses which had a negative effect on cash flow.
- Sector
- Private GP, MSK, Fitness & Wellness
- Team
- 30+ Clinicians
- Annual Insured appointments
- 10,000+
- Sites
- Single-site Multidisciplinary Clinic
- Go-live to First Claim Submission
- <12 hours
- Practice-Management System
- Jelly
- Insurers
- BUPA & AXA
"Effra has been simply wonderful. It has helped our cash flow, reduced bad debt, admin & my team find it very easy to use."
A successful clinic that had outsourced billing which then backfired
The clinic was growing but it had outsourced their billing ,like many clinics do, to a large billing company which over-promised and under-delivered.
Finance staff often had to redo the work the billing company was being paid to, due to numerous errors being made which resulted in unpaid invoices, bad debt, overdue insurance invoices and unpaid patient excesses which had a negative effect on the clinic's cash flow.
The billing company also had very poor reporting, which meant the clinic had poor visibility, so they often didn't know how much they were due to get paid by insurers.
Automation without replacing the systems the clinic already trusted
Effra connects to the practice-management system the clinic already runs and works across major UK health insurers. Nothing was migrated, and clinicians were not asked to maintain another portal.
- No replacement of the practice-management system
- No new portal for clinicians to maintain
- End-to-end visibility of every invoice
- Automated remittance allocation
- Automated patient shortfall and excess collection
- Reconciliation through to cleared funds
- Human support during implementation and for exceptions
- Works across major UK health insurers
- Weeks 1–2ConnectEffra was connected to the clinic’s existing practice-management and billing workflow.
- Weeks 3–4ValidateThe teams reviewed insurer details, invoice rules, historic balances and exception scenarios.
- Weeks 5–6AutomateClaims, remittances, patient excesses and reconciliation moved into one monitored workflow.
How Effra changed the workflow
Effra submits the invoice while the appointment is still fresh, follows its progress, processes the remittance and checks that payment reaches the clinic’s bank account. Staff only need to intervene when Effra identifies a genuine exception.
- 01Appointment completedPMS
- 02Invoice submitted automaticallySubmitted · same day
- 03Insurer response monitoredAccepted
- 04Remittance allocatedMatched to invoice
- 05Patient excess collectedCard on file
- 06Payment reconciled to bankCleared funds
03 The impact
Six months, measured against the six months before
idk25days
Median appointment-to-payment time fell by X days. Invoices were submitted immediately instead of waiting for the next manual billing run, and payment issues became visible much earlier.
90%reduction
Debt aged over 90 days fell from £40,000 to £4,000 after X months. This is down to Effra automatically resubmitting dropped claims, saving patient's card details on file and reconciling what's been paid to their bank account vs what hasn't.
40hours saved every month
Time spent submitting claims, processing remittances, chasing patient excesses and reconciling payments fell from X hours to X hours per week.
Alsosignificantly improved cashflow
Fewer missed, delayed and incorrectly submitted invoices increased the payment collection for work the clinic had already completed.
Granular visibility of finances to help forecast cashflow
"Effra has been a game changer and will be a market disrupter. They’ve made great efforts to correct & improve any rejected insurance billing issues & we can track and see absolutely everything £ for £!"
Jason PatelOwnerWhat the clinic plans next
With insurer billing running in one monitored workflow, the clinic is extending the same process to the revenue it still handles by hand, starting with self-pay patients.
It also expects to open a second site without adding billing headcount, and is using insurer payment behaviour — now measurable for the first time — in contract discussions and cash forecasting.