AI and automation that eliminates administrative burden for Canadian healthcare professionals. Starting with RAMQ billing in Quebec, expanding nationwide.
The Problem
Quebec's RAMQ billing system is one of the most complex in North America. Thousands of procedure codes, each with specialty-specific rules, time-based modifiers, combination restrictions, and remuneration mode adjustments.
Physicians either spend hours each week wrestling with billing themselves, or pay billing agents who still miss codes and leave money on the table. The rules change quarterly. The penalty for errors is clawbacks and audits.
The cost isn't just financial. Every hour spent on billing is an hour not spent with patients, on research, or on rest. It is a systemic problem that has gone unsolved because the domain expertise required is immense.
Products
A suite of AI and automation tools built from the ground up for Canadian healthcare professionals. Each product eliminates one category of administrative burden.
RAMQ billing powered by a proprietary AI architecture that combines multiple reasoning layers. Validates every code, catches missed supplements, and flags errors before submission — accuracy no conventional rules engine can match.
Clinical note-taking and patient correspondence. Dictate naturally, get structured notes and professional letters formatted to institutional standards.
Continuing medical education credit tracking. Automatically logs eligible activities, tracks progress toward Royal College requirements, and alerts before deadlines.
Your AI personal assistant. Answers and triages calls, summarizes voicemails, sends texts, organizes scheduling, and manages email — so you never miss what matters outside the OR.
The platform grows with you. We build the tools healthcare professionals actually need, informed by daily clinical practice.
Why Nicole
Dr. Eve Simoneau is an HPB surgeon at the Centre hospitalier de l'Université de Montréal. Nicole is built from inside the clinical workflow, not from the outside looking in.
CHUM · Université de Montréal · Hepato-pancreato-biliary surgery
Nicole's accuracy comes from a proprietary AI architecture that goes beyond conventional rules engines — combining multiple reasoning layers in a way no existing solution has achieved for Canadian medical billing.
Multiple reasoning layers with full policy provenance and citation tracking
We are building deep expertise in Quebec's RAMQ system first, then expanding province by province across Canada. Depth before breadth. The same architecture adapts to OHIP, MSP, and every provincial system.
RAMQ → OHIP → MSP → all provinces
Team
A small, focused team combining deep technical expertise with frontline clinical experience.
More than a decade of experience in data and AI. Previously led AI initiatives at scale in regulated industries. Focused on building software that meets the precision and trust requirements of healthcare.
HPB surgeon at the Centre hospitalier de l'Université de Montréal (CHUM). Faculty member, Université de Montréal. Brings the clinical perspective that ensures Nicole solves real problems, not imagined ones.
Join the healthcare professionals building the future of clinical productivity with us.
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