Reconcilium is a private, practice-grade ledger for South African clinicians. It follows every clinical encounter from the patient's first hello to the moment the money clears your bank — every consultation, procedure, invoice, remittance and receipt, auditable to the cent.
| № | DATE | PATIENT | PROCEDURE | BANKED | STATE |
|---|---|---|---|---|---|
| 0142 | 05 IV | Mr T. Radebe | Right THR · GEMS | R 32 410.50 | Banked |
| 0141 | 03 IV | Mrs K. Masango | Ankle arthroscopy | — | Lodged |
| 0140 | 02 IV | Mr J. Du Plessis | Bipolar hip · right | R 28 940.20 | Banked |
| 0139 | 01 IV | Ms Z. Mhlongo | Consultation · new | R 1 185.00 | Banked |
| 0138 | 01 IV | Mr F. Venter | Hip dislocation · MUA | — | Hello |
Between the theatre slate and the bank statement, there are ten hand-offs. A procedure is coded, an invoice lodged, a remittance issued, a deposit made under a reference that looks nothing like the patient's name. It adds up.
Each encounter advances through a short, well-worn sequence. No step is skipped; every step leaves a mark on the ledger.
Every feature earns its place. No enterprise bloat, no cloud dependencies, no SaaS taxonomy that doesn't belong in a consulting room.
The patient encounter — not the invoice — is the unit of truth. Every document, payment and note attaches to the case it belongs to.
Drag in a Discovery ERA, a GEMS remittance, a bank statement CSV. Reconcilium resolves references, splits tranches and flags mismatches to the cent.
The day you assisted is as accountable as the day you led. JBSAF codes, self-billing exceptions, all of it.
GEMS, Discovery, Medshield, Momentum, Bonitas. Know which schemes pay, which delay, which short-pay — quarter by quarter.
Runs on your own machine. Your patient ledger never touches a third-party server. Export, back up, or migrate at will.
Reconcilium produces year-end summaries, funder-mix reports and case-level audit trails that satisfy SARS, your bookkeeper, and your own standards — in the same calm, typeset language.
I built it for myself, first. Six years of billing, three data losses, and one very close miss of a hundred-thousand-rand tranche convinced me that a surgeon who cannot read his own bank statement against his own theatre book is not running a practice — he is running a hope.The clinician behind Reconcilium · Orthopaedic Surgeon
Reconcilium is being opened to a handful of South African clinicians for the Q3 2026 cohort — orthopaedic, surgical and specialist practices running their own billing. No enterprise sales, no onboarding fee.
Reconcilium opens to a small cohort of South African specialist practices this winter. Onboarding is personal, by introduction. If you keep your own billing and want to see the tool in motion, write in — briefly, with a line about your practice.
hello@reconcilium.co →No. Reconcilium sits alongside your billing system — GoodX, Elixir Live, Altron HealthTech, whatever you use — and gives you the second set of eyes that practices almost always lack: the ledger that reads your bank statement back against your theatre book.
On your machine. Reconcilium is a locally hosted application. Your patient names, bank statements and remittances never leave your device unless you explicitly export them.
Both. Every chargeable encounter — a ward round, an in-rooms consult, a theatre case — is treated as a first-class ledger entry with its own reconciliation state.
First-class support. Both the days you led and the days you assisted (JBSAF codes, assistant lists, self-billing arrangements) are tracked distinctly, so your fee reconciliation is never ambiguous.
Proven. Reconcilium is the productised successor to a reconciliation engine that has been running in the founder's own surgical practice since 2020 — now extended to every clinical encounter, not just surgery.
Hospital-scale billing departments with enterprise RCM needs. Reconcilium is for the private practice that runs its own books and wants them to be watertight.