9 Top-Rated Chiropractic Billing Services: Expert-Tested Results 2025

Chiropractic billing services can boost a practice's collections by up to 30% and maintain a 99.9% claim acceptance rate. These numbers show why more chiropractic clinics now choose specialized billing solutions.

Modern chiropractic software offers solutions to practitioners' daily challenges. These complete systems deliver more than simple billing features. They come with integrated electronic health records, customizable workflows, and patient portals that optimize operations. Today's chiropractic billing companies take care of time-consuming administrative work so practitioners can dedicate their time to patient care.

This piece looks at the 9 top-rated chiropractic billing services for 2025. We evaluate their features, pricing, advantages, and limitations. Our expert-tested comparison will help you find the ideal option, whether you need a complete chiropractic EHR solution or reliable medical billing services.

Top 9 Chiropractic Billing Services: Comprehensive Analysis

1. Right Medical Billing

Right Medical Billing stands out with proven experience in both short-term and long-term care facilities. They work with stand-alone hospitals and multi-facility healthcare systems. Their strategic collaborations with major health organizations like Altus Health System, Memorial Hermann Health System, and Houston Methodist show they know how to handle complex billing scenarios.

Key Features:

• 24/7 expert support to answer questions and provide timely billing services
• 20% reduction in front-end denials
• Dedicated account managers for each client
• Out-of-network negotiations expertise
• Simplified payment posting and refund adjustment processes
• Better collection accuracy through optimized RCM systems

Pricing: Base fee ($200-$600) plus 3-7% of collections. Setup fees range from $200 for simple service to $2000+ for enterprise installations.

Best For: 5-year-old chiropractic practices generating over $50,000 annually that want to improve their collection ratios and reduce administrative work.

2. ChiroTouch

ChiroTouch helps over 12,500 chiropractic practices across the nation with its cloud-based electronic health record (EHR) and practice management software. The platform is 25 years old and has learned from more than 36,000 providers to build a system that fits chiropractic workflows perfectly.

Key Features:

• 15-second SOAP notes with customizable macros that reduce documentation time by a lot
• Built-in clearinghouse features for simplified insurance claims processing
• Patient management dashboard from check-in to checkout
• Live analytics and practice performance tracking
• Access from any device (mobile, tablet, desktop), anywhere, anytime
• Online appointment scheduling to boost patient bookings
• Automated insurance processing with built-in claims management

Pricing:

• ChiroTouch Core: Starts at $159 monthly, perfect for cash-based practices
• ChiroTouch Advanced: Starts at $299 monthly, built for insurance-based practices

Best For: Medium-sized chiropractic practices with 1-10 providers and insurance-billing practices that want simplified claims management.

3. Soundry Health

Soundry Health blends AI-powered technology with individual-specific billing expertise. Their chiropractic billing services boast a 97% claim success rate. The company's platform merges EHR and billing into one solution built for healthcare providers of all types, with a focus on chiropractors.

Key Features:

• A dedicated biller who knows chiropractic coding inside out
• AI-generated SOAP notes through dictation
• Complete revenue cycle management and claim denial follow-ups
• US-based support team available by call, text, or email
• Direct in-app communication between practitioners and billers
• Works with many existing EHR systems
• Easy-to-read dashboards for up-to-the-minute data analysis of claim status

Pricing: 7% of successful insurance claims plus $99.00 monthly subscription. $99.00 credit applies each month with 10+ successful claim remittances.

Best For: Healthcare providers of all types, especially chiropractors who want better insurance billing and need less administrative work but want to retain control.

4. ACOM Health

ACOM Health provides a complete solution built specifically for chiropractic practices. Their system combines billing services with practice management software. The U.S.-based chiropractic billing service helps maximize insurance reimbursements. Practices receive payments in just 16 days from the service date on average.

Key Features:

• A complete solution that connects front and back office operations
• Paperless patient admission and electronic billing
• Insurance payments post automatically for faster processing
• SOAP notes with pre-set and custom templates
• Automated email and text reminders for appointments
• Standard and custom reporting options
• Full automation for non-insurance patients

Pricing:

• RAPID Software Only: Starts at USD 329.00 monthly
• Chiropractic Billing Service: Fees use percentages based on practice size and payer mix

Best For: Practices that don't deal very well with long insurance payment cycles and chiropractors who need less administrative work.

5. Holbie

Holbie stands apart from regular medical billing providers. They focus on holistic healthcare practitioners and give tailored solutions to acupuncturists, chiropractors, and massage therapists. Their platform smoothly combines electronic health records, insurance billing, and practice management software into one complete system.

Key Features:

• Chiropractic-focused EHR templates that optimize documentation and treatment planning
• Deep knowledge of chiropractic billing codes and insurance requirements
• Smooth appointment scheduling with custom booking options
• Smart inventory management for chiropractic equipment and supplies
• Protected storage of patient records, including X-rays and diagnostic images
• Insurance verification with one-button claim submission

Pricing:

• Monthly Subscription: USD 25-50 per month per provider
• Collection-Based: 10% of net collections for billing services

Best For: Small to medium-sized chiropractic practices that need specialized billing services and practices handling multiple holistic therapies beyond chiropractic care.

6. Genesis Chiropractic Software

Genesis Chiropractic Software, created by chiropractors for their peers, ranks #1 among EHR and practice management systems in 2024. The software serves more than 9,000 users and remains one of the easiest systems to set up in chiropractic practices.

Key Features:

• SOAP note templates you can customize to save documentation time
• Billing workflows that handle insurance eligibility checks automatically
• Care Plan Management to create personalized treatment plans
• Mobile Physician Portal that lets you access data anywhere
• Patient kiosks that speed up check-in
• Appointment reminders sent through SMS, email, or voice

Pricing:

• Cash: $97-$177 per month for unlimited visits
• Claim Control: $177 per month
• Claim360: $327 per month
• Bundled Pricing: $500 per month

Best For: Small to medium-sized chiropractic practices and solo practitioners who want to automate office work.

7. Providers Medical Billing

Providers Medical Billing delivers detailed revenue cycle management services to chiropractic practices that need dedicated billing expertise. The company manages everything from patient registration to payment posting.

Key Features:

• Insurance eligibility verification to check patient coverage and benefits
• Accurate claim submission to commercial and government payers
• Proper coding using appropriate CPT and ICD diagnosis codes
• Reimbursement posting to patient accounts
• Accounts receivable follow-up for unpaid, denied, or underpaid claims
• Appeals assistance for improper claim denials

Pricing: Monthly base fee ranges from $200-$600 plus collection fees between 3%-7% of monthly claim revenue.

Best For: Practices with annual revenue over $50,000 that feel overwhelmed by billing management and chiropractors who prefer focusing on patient care instead of paperwork.

8. Park Medical Billing

Park Medical Billing stands as a trusted partner for chiropractic practices in New Jersey, New York, and across the United States. The company brings 25 years of medical billing experience and 15 years of IT expertise to the table.

Key Features:

• EMR integration automatically transfers data to billing software and eliminates manual entry errors
• Insurance verification and authorization support
• Claims submitted accurately within 24 hours
• Aggressive follow-up on unpaid claims through denial management
• Immediate reporting available 24/7 through a secure online portal
• HIPAA-compliant billing processes that protect patient privacy

Pricing: The company bases its fees on a percentage of collected revenue from both insurance and patient payments.

Best For: Chiropractic practices that need to cut administrative overhead and staffing costs and want fewer underpayments and billing compliance issues.

9. PGM Billing

PGM Billing brings over thirty years of expertise in chiropractic medical billing and has consistently helped improve practice revenue. Their skilled application of modifiers helps practices avoid billing mistakes that could lead to rejected claims.

Key Features:

• Certified medical coders who manage all chiropractic billing aspects
• Reimbursement specialists who review payment posting line by line
• Software that tracks claims using payer-specific rules
• Strong denial management with dedicated follow-up
• Custom statement sequences for patient balance billing
• Advanced financial reports through PGM's online portal

The numbers tell the story. Practices see an 8% average boost in collections. PGM processes 61 million accessions yearly and reduces denials by up to 50%. The company handles about $1 billion in gross claims each year.

Best For: Practices looking for experienced billing specialists and those dealing with complex coding requirements.

Conclusion

Choosing the right chiropractic billing service can significantly impact your practice's financial performance and operational efficiency. Here are the essential insights from our comprehensive analysis:

• Specialized billing services can boost collections by up to 30% while maintaining 99.9% claim acceptance rates, making them a worthwhile investment for most practices.
• Pricing typically ranges from $200-600 monthly base fees plus 3%-7% of collections, with some services offering percentage-only models that align their success with yours.
• ChiroTouch leads for integrated solutions at $159-299/month, while Soundry Health excels with 97% claim success rates and AI-powered documentation features.
• Practices generating over $50,000 annually benefit most from outsourced billing, as professional services typically reduce administrative tasks by 40 hours monthly.
• Consider your practice size and needs carefully - smaller practices may prefer percentage-based pricing, while larger practices often benefit from fixed monthly fees with dedicated account management.

The key to success lies in matching your practice's specific needs with the right service provider. Whether you prioritize integrated EHR systems, specialized chiropractic expertise, or maximum collection rates, there's a solution designed to help your practice thrive financially while allowing you to focus on patient care.

FAQs

Q1. What is the typical cost structure for chiropractic billing services?

‍Most chiropractic billing services charge a monthly base fee ranging from $200 to $600, plus a percentage of collections, usually between 3%-7%. Some providers offer percentage-only models that align their success with your practice's performance.

Q2. How can outsourcing billing services benefit a chiropractic practice?

‍Outsourcing billing services can boost collections by up to 30% while maintaining high claim acceptance rates. It also reduces administrative tasks by approximately 40 hours per month, allowing practitioners to focus more on patient care.

Q3. Are integrated EHR systems important for chiropractic billing?

‍Yes, integrated EHR systems like ChiroTouch can significantly streamline operations by combining patient management, documentation, and billing into a unified platform. This integration can reduce errors and improve overall efficiency.

Q4. What should small chiropractic practices consider when choosing a billing service?

‍Small practices should consider percentage-based pricing models, which can be more cost-effective for lower patient volumes. They should also look for services that offer specialized chiropractic expertise and can handle all aspects of the billing process.

Q5. How do AI and automation impact chiropractic billing services?

‍AI and automation in chiropractic billing services, like those offered by Soundry Health, can improve claim success rates, streamline documentation processes, and provide real-time analytics. These technologies can lead to faster reimbursements and reduced administrative burden.