Reconcilium is a private, practice-grade ledger that 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 Dr Chivers 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, Dr Chivers lists, self-billing arrangements) are tracked distinctly, so your fee reconciliation is never ambiguous.
Yes. Reconcilium is the next-generation of the Operations Tracker that's been running in my own 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.