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How Do We Bill Companies Accurately for the GP Appointments Their Staff Use?

Private GP clinics with corporate contracts rebuild employer invoices from the diary each month. We match appointments to contracts and draft the bills.

Updated 3 min readBy SpiderHunts Technologies

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Quick answer — TL;DR

Employer billing goes wrong because eligibility, the appointment and the invoice are three separate records joined by hand each month. We keep each company's staff list and contract rules, tag eligible bookings at the time they are made, and draft monthly invoices in Xero with an anonymised appointment schedule for the employer.

Month end, and the diary export

You have contracts with several local firms whose staff can book GP appointments paid for by the employer. At the end of each month, someone exports the diary, filters by the appointment type or note that says 'corporate', and works out which company each patient belongs to.

Some bookings are missing the tag, so they were charged to the patient or not at all. Some staff left the company months ago but are still booking under the contract. One firm pays per appointment, another has a monthly retainer with a cap, a third covers only its directors. The invoices take a day and a half and still contain mistakes the employer's finance team finds first.

Why employer billing is so fiddly

The contract rules live in a PDF and in the head of whoever set it up. Eligibility, meaning who currently works for the company, depends on a staff list the employer sends occasionally, if at all. The practice system records the appointment but not which contract it falls under.

Nothing checks eligibility at booking. Reception assume that if someone says they work for a firm, they do. The check happens weeks later, at invoice time, when it is too late to ask the patient to pay instead.

Confidentiality adds a layer. The employer is entitled to an invoice, not to know which clinical service an employee used, so the schedule has to be built carefully.

The cost of billing from the diary

IssueResult
Untagged corporate bookingsAppointments never billed to anyone
Leavers still bookingDisputed lines on the invoice
Cap exceeded unnoticedWork done outside the contract, unpaid
Manual schedule buildingA day or more of admin every month
Too much detail sharedA confidentiality concern with the employer

How we connect contracts to the diary

  1. Each corporate client gets a contract record: pricing model, caps, who is covered and how eligibility is confirmed.
  2. Staff lists can be uploaded by the employer through a simple secure form, or eligible staff can verify with a company email address when they register.
  3. When a booking is made for an eligible patient, it is tagged to the contract at that point, and reception see a warning if the person is not on the current list or the cap is reached.
  4. At month end, invoices are drafted in Xero or QuickBooks per contract, with a schedule showing only what you agree the employer may see, such as dates and staff reference numbers.
  5. Anything uncertain, such as a booking for someone recently removed from a staff list, goes on a review list for a person before the invoice is sent.

What an employer is allowed to see is your decision, taken with your own adviser. The system enforces whatever you set, consistently.

What month end looks like after

The finance person reviews drafted invoices and a short exceptions list instead of building everything from an export. Reception know at the moment of booking whether the employer is paying. Employers get invoices that match their own staff lists, so there are fewer queries. When a contract is renewed, you have real usage figures from your own data to discuss.

It also makes new contracts easier to take on. Setting up another employer becomes a matter of filling in its contract record and inviting its staff to verify, not adding another set of rules to someone's memory. The more corporate clients you have, the more that matters, because the manual approach gets worse with every one you add.

Is your corporate billing like this?

  • Employer invoices are built from a diary export every month
  • Some corporate appointments have been missed off invoices
  • You rely on patients to say who their employer is
  • Contract caps are checked, if at all, at invoice time
  • Employers query invoice lines you cannot quickly explain

FAQ

Frequently asked questions

The questions readers ask us after this guide.

Still have a question?

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Can employees verify eligibility themselves?

Yes, commonly by confirming a company email address or a code the employer issues. The method is agreed with each client.

Does the employer see clinical information?

Not from the system. The invoice schedule only contains the fields you decide, and we recommend keeping it to the minimum.

What if our contracts are all different?

That is normal. Each contract has its own rules record, so a retainer, a per-visit price and a cap can sit side by side.

Do we have to change accounting software?

No. We draft invoices in the accounting system you use now, provided it has an API or import.

Keep reading

More on Problems We Solve

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Describe your employer contracts, how staff eligibility is checked and how you invoice. We will explain the matching we would build, and whether your practice system can do more of it than you think.

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