Chiropractic software: how to pick a system for notes, billing and booking

What should chiropractic software do?

A good system covers the full patient visit, from booking to the paid claim. Check that it does these jobs well:

• Scheduling: Patients book online, and staff can see the day at a glance. Repeat visits for a care plan should be easy to set up.
• SOAP notes: You write the visit note in the standard format of subjective, objective, assessment and plan. Templates and quick picks save time on busy days.
• Insurance claims: The system builds claims, sends them through a clearinghouse and tracks denials. A clearinghouse is a service that passes claims from you to the insurer.
• Payments and packages: You take card payments, sell visit packages and run monthly care plans for cash patients.
• Intake forms: New patients fill in history and consent forms online before they arrive.
• Reminders and recalls: Patients get texts before visits, and the system flags people who stopped coming.

How much does chiropractic software cost?

Some vendors publish prices and some only quote after a demo. This table shows what each vendor lists on its own pricing page as of October 2026.

Product	Published starting price	Best suited to	Notes
Jane	$59 a month, billed monthly	Chiropractors, physical therapists and mixed clinics	Balance plan is limited to 20 visits a month. Practice plan is $79 and Thrive is $99
ChiroSpring	$149 a month, billed monthly	Chiropractic offices that bill insurance	Pro is $249 and Pro+ is $299 with 2 providers. Clearinghouse is a $149 add-on
ChiroTouch	Quote only	Larger or multi-location chiropractic offices	Plans are Start, Grow and Scale. AI charting is part of every plan
WebPT	Quote only	Physical therapy clinics	Priced per provider per month or per visit

Jane

Jane serves many kinds of clinics, including chiropractic and physical therapy. Its Balance plan costs $59 a month for one provider, but it caps you at 20 visits a month. Most full-time offices need the Practice plan at $79 a month or the Thrive plan at $99 a month. Each of those includes one full-time provider, and extra providers cost more each month.

Insurance billing is an add-on at $20 a month, plus $5 for each extra full-time provider. Jane's AI Scribe costs $15 a month per provider, and every plan includes 5 free AI notes. Jane lists HIPAA compliance on all plans. It does not offer a free trial, but you can ask for a demo account.

ChiroSpring

ChiroSpring is made only for chiropractors. The 360 plan costs $149 a month for one provider and covers scheduling, SOAP notes, payments and reminders. The 360 Pro plan at $249 a month adds automatic claim creation, online intake and recurring memberships. The 360 Pro+ plan at $299 a month adds a claim scrubber, online scheduling and review requests, and it includes two providers.

Both add-ons below work only with the Pro and Pro+ plans. The clearinghouse add-on costs $149 a month and includes 1,000 claims, then 35 cents per claim. ChiroSpring AI costs $49 a month and adds an AI scribe, chart summaries and a claims assistant. ChiroSpring also offers a no-contract option, so you can cancel at any time.

ChiroTouch

ChiroTouch has three plans, called Start, Grow and Scale, and you get prices from its sales team. Every plan includes a patient portal and basic AI charting with its tool Rheo. Grow adds an AI scribe, advanced Rheo charting and support for more than one location. Scale adds AI review replies, translation and lead tools. ChiroTouch marks reminders and automatic recalls as optional, so ask what they cost.

WebPT for physical therapy

WebPT is built for physical therapy clinics. Its Starter plan suits cash-pay clinics, Enhanced suits clinics that take insurance, and Ultimate suits larger groups. WebPT prices each plan by quote, either per provider per month or per visit. If you run a mixed clinic with chiropractors and physical therapists, compare WebPT with Jane, which handles both in one system.

What does HIPAA mean for your chiropractic software?

HIPAA is the US law that protects health information. Under HHS rules, a health care provider is a covered entity if it sends health information electronically for a standard transaction, such as an insurance claim. Most chiropractors who bill insurance fall into this group.

If you are a covered entity, a vendor that handles patient data for you is usually a business associate. That includes your practice software and any AI scribe. HHS says you need a written business associate agreement with each one. The agreement must say how the vendor may use the data, require security safeguards and require the vendor to report any breach to you.

Ask every vendor for its business associate agreement before you move patient data. A HIPAA badge on a website does not replace the signed agreement.

What Medicare rules should your software support?

Medicare covers very little chiropractic care, so the claim must be right the first time. CMS billing guidance says Medicare covers only manual manipulation of the spine to correct a subluxation. A subluxation is a joint in the spine that is out of its normal position. Every other service a chiropractor provides or orders is not covered.

The rules shape what your notes must show:

• Exact level: The note must name the precise subluxation level for each part of the spine you treat. A note that only says "pain" is not enough.
• AT modifier: You add the AT modifier to the claim for active treatment that aims to improve the problem. Medicare treats a claim without it as maintenance care and denies it.
• Maintenance care: Medicare does not pay once the patient is stable and further gains are not expected. You may need a signed notice from the patient to bill them instead.
• Dates on the claim: The claim needs the date treatment started, and the x-ray date if an x-ray shows the subluxation.

Ask each vendor to show you how its notes prompt for these items. Good software warns you before a claim goes out without them.

What's the real AT modifier trap chiropractors get caught in?

Medicare pays for spinal manipulation only when it is active treatment of a subluxation with a documented plan toward measurable improvement, and the AT modifier is how a claim says so. The trap is that AT is a claim, not proof. If the note does not show active care working toward a goal, the same claim reads as maintenance once a reviewer looks at it, and codes 98940 through 98942 deny for medical necessity, AT modifier or not.

You cannot fix this with an Advance Beneficiary Notice (ABN) after the fact. An ABN cannot be issued just because the documentation might not meet Medicare's bar, it has to reflect a genuine, informed decision by the patient before the visit. If a patient has moved from active care to maintenance, the honest path is to document that shift, move them to a self-pay maintenance plan with a signed ABN on file, and bill with the GA modifier. Software that lets your chiropractors flag active versus maintenance on every visit note, and warns before a claim goes out without one, saves real denial and appeal time later.

What should you ask a chiropractic software vendor?

• Total monthly cost: Add up the base plan, extra providers, the clearinghouse, text messages and AI add-ons.
• Claim limits: Some clearinghouse plans include a set number of claims, then charge per claim.
• Note speed: Time yourself writing a real note during the demo. A system that adds one minute per note costs you hours each week.
• Data export and moving in: Ask if you can download notes, ledgers and patient lists as files. Also ask who moves your old records and what it costs.
• Contract terms: Ask how long the contract runs and how much notice you must give to leave.

How can AI help a chiropractic office?

AI notes from the visit

An AI scribe listens to the visit or reads your quick notes, then drafts the SOAP note for you to check. Jane, ChiroSpring and ChiroTouch all sell AI note tools. You must still read and sign every note, because the note supports your claim.

Claim checks before you send

AI can scan a claim for a missing modifier, a missing date or a code that does not match the note. Catching these before you send the claim means fewer denials and less time on the phone with insurers.

An AI front desk for booking and recalls

Many calls come in while staff are with patients. An AI receptionist can answer common questions and book visits into your calendar. It can also text patients who missed their care plan visits. Any AI tool that sees patient data needs a business associate agreement too. My guide to medical answering services covers phone options for clinics.

When does custom chiropractic software make sense?

Most single offices should buy one of the products above. They cost far less than a custom build and they handle claims, which are hard to build well. Custom work is worth a look if any of these sound like your office.

• You run several clinic types: A group with chiropractic, massage, physical therapy and personal injury cases may need one view across all of them.
• You run many locations: Per-provider fees add up fast across a large group.
• Your tools do not talk to each other: Staff copy data between your notes system, a CRM and spreadsheets.
• You track your own outcomes: Some groups want their own dashboards on recovery scores, care plan completion and referral sources.

Many offices mix the two. Keep a standard system for notes and claims, then build custom tools around it, such as a patient portal or a reporting dashboard. My guide on build vs buy software helps you weigh the choice, and my page on AI for clinics covers wider AI uses.

How would Blur Studio approach a chiropractic project?

I start by mapping how a patient moves through your office, from the first call to the paid claim. Where do people drop off, and where do staff spend time typing? If a standard product plus a few connections fixes it, I tell you to buy it. If custom work fits, I build around the system you already use for notes and claims. Any builder who touches patient data must sign a business associate agreement, so ask for one, including from me. The patient data stays in accounts your practice owns. I start with one problem, such as recalls or reporting, and add more once it works. After launch, I keep the system updated and running.