Your billing stack is
leaking revenue.

Find out exactly how much — before you scroll another pixel. Three inputs. Your real numbers, in 10 seconds.

Revenue Recovery Estimator

Clinic Size

Monthly Invoices

Claim Denial Rate

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Estimates based on 847 veterinary practices onboarded 2023–2025 · No account required

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PIMS-Native Integration·94% First-Pass Acceptance·Cornerstone · AVImark · eVetPractice·Multi-Location Sync·$38K Average Annual Recovery·SOC 2 Type II Certified·Shepherd · Impromed · DVMAX·11 Minutes Saved Per Invoice·Zero-Touch Reconciliation·PIMS-Native Integration·94% First-Pass Acceptance·Cornerstone · AVImark · eVetPractice·Multi-Location Sync·$38K Average Annual Recovery·SOC 2 Type II Certified·Shepherd · Impromed · DVMAX·11 Minutes Saved Per Invoice·Zero-Touch Reconciliation·

Head-to-Head Comparison

Every billing stack, measured
on the metrics that move margin.

Manual processes. Generic invoicing tools. Ledger. One table, no footnotes.

Feature	Manual Billing	Generic Software	LedgerRecommended
Claim Submission SpeedEfficiency	3–5 days	24–48 hrs	Under 4 hrs
First-Pass Acceptance RateRevenue	~58%	~71%	94%
Denied Claim RecoveryRevenue	Manual follow-up only	Basic alerts	Automated re-submission
Multi-Pet Household SplittingAccuracy			Per-patient line items
Wellness Plan ReconciliationAccuracy			Auto-applied credits
PIMS IntegrationIntegration	Copy-paste	CSV export only	6 PIMS, live sync
Multi-Location SyncScale			Real-time across all sites
QuickBooks / Xero ExportIntegration	Manual journal entries		One-click, zero gaps
Cost per InvoiceCost	$4.20–$8.50	$2.80–$4.00	$1.85
End-of-Day Close TimeEfficiency	45–90 min	25–40 min	Under 8 min
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Data sourced from internal benchmarks across 847 practices, 2023–2025. Manual billing costs include staff time at $22/hr average.

Measured Outcomes

first-pass claim acceptance

Industry average sits at 58%. Ledger pre-validates every claim against payer rules before submission — eliminating the most common rejection reasons before they cost you a week of follow-up.

0 min

saved per invoice, every invoice

Across 847 practices, front-desk staff reclaimed an average of 11 minutes per invoice that was previously lost to manual entry, PIMS tab-switching, and end-of-day reconciliation.

$0K

average annual revenue recovered per clinic

That's denied claims re-submitted, unbundled line items caught, and wellness plan credits correctly applied — revenue that was already earned but never collected under your old stack.

All figures represent median outcomes across active Ledger practices, January 2023 – December 2025. Individual results vary based on clinic size, PIMS, and payer mix.

See the full benchmark report

Practice Managers on Ledger

The drawer matched.
First time in three years.

$41,200recovered in year one

Cornerstone·4 DVMs

"We were running a 22% denial rate on pet insurance claims — mostly Trupanion and Nationwide. After 90 days on Ledger, we're at 6%. The pre-submission validation caught every coding mismatch we didn't even know we were making. Our end-of-day close went from an hour of reconciliation arguments to eight minutes of sign-offs."

Melissa HargrovePractice Manager · Riverside Animal Hospital

3 locationssynced in under 2 hours

AVImark·9 DVMs

"We have three locations and billing was a nightmare of copy-paste between AVImark and QuickBooks. Ledger synced all three sites in one dashboard on day one. The multi-pet household splitting alone saved my billing coordinator twelve hours a week — she now handles accounts receivable instead of chasing line-item errors."

Dr. James OkonkwoOwner & Medical Director · BluePaw Veterinary Group

SOC 2 Type IICertified

HIPAACompliant

847Active Practices

99.97%Uptime SLA

Get Started

Your revenue is already there.
We just help you collect it.

No commitment. No credit card. See Ledger reconcile your actual invoices in a 20-minute setup call — or start async.

Practice Qualification

Takes 60 seconds

Your billing stack isleaking revenue.

Every billing stack, measuredon the metrics that move margin.