Auto-generated invoices
Finish a SOAP note and the invoice is already drafted. Diagnoses, medications, and procedures map to your fee schedule, review, adjust, send.
No re-typingBittsi is the smart PIMS that turns clinical notes into invoices automatically, and gives every member of your team a Sage-powered chat so the work happens in one place, not five tabs.
Acute otitis externa, AD; mild gingivitis grade 1.
Start Mometamax 4 drops AD bid × 7d. Recommend dental cleaning at recheck. Apply flea preventive dose.
From paper sheets to a fully connected workflow.
From SOAP note to draft invoice
Per visit, on average billing time
Charge capture across audited visits
Bittsi removes the disconnect between what you wrote in the chart and what shows up on the bill. Every line item is connected back to a clinical decision, and updates in real time as the visit unfolds.
Finish a SOAP note and the invoice is already drafted. Diagnoses, medications, and procedures map to your fee schedule, review, adjust, send.
No re-typingBuild estimates in the same surface as the chart, send for client approval, and convert approved items into the invoice with a single confirm, no wizards.
1-click conversionAdd a treatment to the chart and it's already on the bill. Techs document care once, billing, inventory, and the audit trail update together, live.
One source of truthFrom the moment a client books to the moment the receipt lands in their inbox, Bittsi is the only surface your team touches.
Online or phone, appointment lands on the schedule with patient context pre-loaded.
ScheduleBuild, share, and approve. Client sees the breakdown before the visit even starts.
ApprovalSOAP, vitals, treatments, meds. Written once, Sage helps when typing is slow.
SOAPDrafted automatically from the chart. Reviewed, adjusted, and sent in seconds.
Auto-billedBuilt-in Bittsi Payment closes the loop, receipts, refunds, and reconciliation in one place.
SettledForget complex training manuals. If your staff can text, they can use Bittsi. Ask Sage anything in plain English and it works inside the patient's actual record, no tab-hopping, no rummaging.
Here's Max Whitaker's vaccine record (Lab Mix · 4y).
The difference between a traditional PIMS and Bittsi isn't a few extra features, it's a flow that respects the way veterinary visits actually unfold.
Cedar Valley Vet · live since MarchWe stopped re-typing line items at the end of every visit. The SOAP note is the invoice now, and our charge capture jumped almost overnight.
Don't see yours? A 30-minute demo answers most of these faster than a doc could.
Each SOAP element, assessments, plans, medications, procedures, is mapped to your fee schedule. As you finish a section, those line items appear on a draft invoice in real time. You stay in charge: review, adjust, or remove anything before sending. Nothing is sent automatically without a clinician's approval.
Most teams are productive on day one. Sage AI works as your in-product trainer, staff ask questions in plain English ("how do I refund a deposit?") and Sage walks them through it. Most clinics skip formal training entirely and onboard new hires in under an hour.
Yes, labs (Idexx, Antech, Heska), imaging, controlled-substance logs, payment terminals, and most reference labs are supported out of the box. We also offer a documented API and have built custom integrations for clinics with specialty workflows.
Sage drafts; clinicians decide. Invoices are built from the structured items you already entered (medications, procedures, lab requests) and matched to your fee schedule, there's no guessing involved. The AI scribe pass for SOAPs is reviewed and signed by the doctor before it leaves the chart.
Yes. Build an estimate in the same surface as the chart, share it for digital approval, and convert approved items to a working invoice in one click. Adjustments mid-visit (added or removed treatments) propagate live.
All data is encrypted in transit and at rest, scoped to your tenant, and never used to train shared models. Bittsi is HIPAA-ready and SOC 2-aligned, with audit logs for every action and role-based access for your team.
See Bittsi run a live workflow on a real chart in 30 minutes, SOAP to invoice, with Sage in the room.

No credit card · 30-min walkthrough · live in 14 days