CPA-reviewed · Updated September 2026

Jane App vs Cliniko for Canadian clinics

Both are excellent practice management platforms. We compared them on what actually matters for a Canadian clinic: insurance direct billing, charting, accounting integration, and price. Here is which one to pick.

Reviewed by a licensed CPA
Independent: we test, then recommend
CPA-verified Canadian pricing

Disclosure: our Jane App link is an affiliate link. We may earn a commission at no extra cost to you. We only recommend tools we would use ourselves.

The short answer

Jane for insurance, Cliniko for solo and Xero

Best overall
Jane App
Jane App
4.9

The pick for Canadian clinics that bill insurance. TELUS eClaims direct billing, discipline-specific charting, telehealth, and support across North America in one platform.

Insurance billingCanadian-built
$54/mo to start
Get Jane with our code
Code LEDGERLOGIC1MO = 1 month free
Cliniko
Cliniko
4.4

The pick for a solo or cash-pay practice on a budget, or a clinic that wants a direct Xero accounting sync. Clean, affordable, lighter on Canadian insurance.

Best for soloSyncs to Xero
From $45/mo USD, solo tier
Visit Cliniko
No affiliate relationship
Head to head

Jane App vs Cliniko, feature by feature

Feature
Jane App
Cliniko
Canadian insurance direct billing
TELUS eClaims
Limited
Charting / SOAP notes
Discipline-specific
Generic
Telehealth built in
Add-on
Direct Xero / QBO sync
CSV export
Yes, Xero
Canadian data residency
Yes, for new accounts
Starting price
From $54/mo CAD
From $45/mo USD
Best suited to
Insurance-billing clinics
Solo / cash-pay

How we compared: we evaluated both as a CPA managing bookkeeping for Canadian clinics, checking insurance billing workflows, charting, the path to Xero or QuickBooks, and data residency. Pricing verified on each vendor site in June 2026; Cliniko quotes in non-CAD currency.

The verdict

Which one should you choose?

Choose Jane App if
  • You bill extended health insurance (RMT, physio, chiro, counselling)
  • You run a multi-practitioner or multi-disciplinary clinic
  • You want discipline-specific charting for every practitioner in the clinic
  • You want a Canadian-built platform with support across North America
Choose Cliniko if
  • You are solo or cash-pay and want the lowest cost
  • You want a direct Xero integration with no manual export
  • You do little or no Canadian insurance direct billing
  • You prefer a lighter, simpler interface
The switch

Switching from Cliniko to Jane

These are Jane’s published terms, from the FAQ at jane.app/faq, read on September 25, 2026. The advice underneath is ours.

What Jane says it does

  • Free data imports from most major practice management systems. Jane brings over appointments, patient profiles, clinical notes and documents.
  • Most imports are completed within a few business days, with no work required on your end. Jane’s pricing page adds that imports are booked around 10 days ahead.
  • Month to month, with no long-term contract, no setup fee and no cancellation penalty.
  • If you leave, Jane helps you export everything in a portable format, with no exit fees.
Our advice, as the CPA who keeps clinic books

Sign up a couple of weeks before your go-live date and book the import the same day. That leaves time to set up services, fees and insurers and to train the front desk before the first full day on Jane. Save your old system’s billing and payment reports for your own records before you cancel it, and reconcile open invoices at the cutover. New clinics enter LEDGERLOGIC1MO in the Grace code field at signup for one month free.

The CPA verdict

Most Canadian clinics should pick Jane

SP
Sebastien Prost, CPA
Founder, LedgerLogic

If you bill insurance, Jane App wins decisively: the TELUS eClaims direct billing and Canadian focus save real hours every month, and that is what most clinics here need.

Cliniko is the smarter pick for a lean, cash-pay solo practice that values a direct Xero sync over insurance features. Whichever you choose, pair it with Xero and a monthly bookkeeper so the numbers stay clean.

FAQ

Jane App vs Cliniko, answered

Going with Jane App? Start with a free month

New clinics get one month free with code LEDGERLOGIC1MO, entered in the Grace code field at signup.

Get Jane with our code See the full Jane App dealCode LEDGERLOGIC1MO · 1 month free

Jane App

Code LEDGERLOGIC1MO · 1 month free

Get Jane with our code