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.
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.
Jane for insurance, Cliniko for solo and Xero

The pick for Canadian clinics that bill insurance. TELUS eClaims direct billing, discipline-specific charting, telehealth, and Vancouver-based support in one platform.
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.
Jane App vs Cliniko, feature by feature
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.
Which one should you choose?
- You bill extended health insurance (RMT, physio, chiro, counselling)
- You run a multi-practitioner or multi-disciplinary clinic
- You want discipline-specific charting and Canadian data residency
- You want Canadian, Vancouver-based support
- 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
Most Canadian clinics should pick Jane
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.
More on clinic software and bookkeeping
Jane App vs Cliniko, answered
Going with Jane App? Start with a free month
Use code LEDGERLOGIC1MO for your first month free, then let our CPAs wire Jane into Xero so your books stay clean from day one.