MacIntyre, Customer SuccessDoing that across Canada requires knowledge of provincial billing rules. Petal supports 14,000 physicians across 40 specialties and says it is Canada’s largest medical biller by volume and physicians served. Local teams understand provincial requirements, with some bringing more than 30 years of billing experience.
“We hear from physicians regularly that once they hand over their billing sheet or uploaded it into our system, they don’t really have to worry about it anymore,” says Jenna MacIntyre, Customer Success. “The review, submissions, reconciliations, and reporting are just done, and physicians love the simplicity.”
Petal starts by understanding physicians’ needs, then matches its involvement to those gaps.
From Billing Sheet to Payment
Some physicians need the platform and occasional expert guidance. Others choose white-glove service and send billing information to Petal. This flexible model allows physicians to decide how much of the billing workload Petal manages.
Petal’s medical billing model combines technology with specialist expertise. Technology supports workflow and scale, while local billing specialists provide knowledge and judgment. Petal provides end-to-end billing support—from onboarding and required authorizations, to claim submission, rejection management, payment reconciliation, and reporting.
Specialists do more than process submissions. They interpret how billing codes interact and identify when work performed requires a different coding approach to be appropriately compensated. They also investigate rejected and unpaid claims, applying their provincial billing expertise to help physicians receive the compensation they’ve earned.
Payment is never guaranteed by a provincial payer once a claim is submitted, making follow up review processes essential. Investigating rejected or unpaid claims takes time and knowledge of provincial rules and code combinations, while unresolved claims can leave revenue uncollected. Petal handles that work so physicians can direct their time elsewhere.
When Trust Changes Hands
Handing billing to an outside organization means entrusting part of a physician’s financial livelihood to someone else. Moving a group from an established billing process raises the stakes. A recent emergency department transition shows what such a transfer can require.
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Once I’ve handed over my billing sheet to you or uploaded it into your system, I don’t really have to worry about it anymore.
A large emergency department of more than 100 physicians had been using a cumbersome in-house operation with considerable overhead. Petal worked with the group through onboarding and transition. According to Petal, approval rates and submission speeds exceeded those of the previous process. Performance can establish confidence, as local familiarity helps sustain it.
Petal’s billing specialists work within local markets and build relationships with physicians. In some communities, team members joke that they could run into those physicians at the grocery store. Such familiarity reflects the local presence behind Petal’s national scale.
“The peace of mind that physicians see in not only knowing they have offloaded a significant part of the cognitive load of managing their practice and that they have the reporting and results on top of that is clear,” says Jenna.
Confidence also depends on how sensitive information is handled. Petal adheres to SOC2 compliance. Data ownership remains with the physician or customer and its data-residency practices keep information in Canada.
Connecting Physician Administration
Billing is one part of Petal’s work to reduce physician administration. The company began with physician scheduling and has expanded into services supporting patient navigation and secure communication. Physician and healthcare organization feedback guides how those services evolve.
For physicians, two fundamental questions are when they work and whether they got paid. Connecting scheduling, billing and other services matters when it removes administrative work that would otherwise follow them after patient care. Supporting physicians remains Petal’s North Star, with billing central to giving them more time for patients and life outside medicine.


