Chiropractic billing that holds up to every review. Spinal regions, active and maintenance care, exams and Medicare’s documentation rules, each billed to its payer’s rules.
The AI drafts the codes from the visit note and your chiropractor approves them. From there our billing team takes the claim to the deposit.
- Practices of 1–20 chiropractors
- Works inside your EHR
- Commercial, Medicare, Medicaid
What we fix
What chiropractic practices miss. We bill all of it.
Every claim, start to finish
From your note to your bank. Every step on the record.
You see who touched each claim, and when.
Your dashboard
Every number, live. Down to each visit.
Collections, denials, days to payment and open AR.
Try the live demo
Denials and appeals
We fight every denial. Even the $58 ones.
In chiropractic, the usual ones are visit limits and Medicare’s active-versus-maintenance rule.
How we fight denials- 01Fix and resendSame claim
- 02Appeal with the recordsBilling manager signs
- 03Chase claims with no replyStatus, then a call
- 04Check what was paidAgainst your contract
Start with a free chiropractic audit.
Free · no obligation · no patient data in the form.
Start the audit- Sign a short BAAWe email it to you.
- Upload two reports12 months of 835s and your AR aging.
- Get your practice profileDenials ranked by dollars, walked through on a call.
The rules we bill by
Medicare pays one thing from a chiropractor, and checks it closely.
These are the Medicare rules our team bills by. Commercial plans usually pay more services, often with visit limits or a review vendor in between.
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98940–98942
Spinal manipulation only
Medicare pays chiropractors only for manual manipulation of the spine to correct a subluxation, coded by regions treated. Extraspinal manipulation (98943) isn’t covered.
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AT
Active treatment modifier
Each covered manipulation needs AT to show active, corrective care. Without it, Medicare treats the visit as maintenance and denies it.
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GA · ABN
Maintenance care, billed fairly
When care is maintenance, a signed Advance Beneficiary Notice lets the visit be billed to the patient, with GA on the claim.
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PART
What the note must show
The subluxation is shown by two of four findings (pain, asymmetry, range of motion, tissue changes), and one must be asymmetry or range of motion.
Sources: Medicare Benefit Policy Manual, ch. 15, §240 · CMS Advance Beneficiary Notice (ABN). Rules as of November 2026; commercial plans and Medicaid set their own.
Questions owners ask.
Do you handle maintenance patients?
Yes. We make sure a signed ABN is on file before a maintenance visit, bill Medicare with the right modifier, and collect the patient’s share without surprises.
Will Medicare documentation hold up to an audit?
Our checks look for the regions, the findings and the treatment plan every covered visit needs before the claim goes out. Your chiropractor approves every code.
Do you bill no-fault and workers’ comp?
Not yet. We bill commercial plans, Medicare, Medicare Advantage and Medicaid today. Workers’ comp and no-fault come later, state by state, New York first.
What will this cost us?
3.5–5.5% of collections · annual agreement · 45-day opt-out. Payers pay you directly, into your bank account. We invoice our fee monthly from posted collections. See pricing.
How long does switching take?
About 30–45 days, with a parallel run before go-live. Your EHR, bank account and payer contracts stay the same. See how switching works.
What if it isn’t working for us?
If it isn’t working in your first 45 days, you can leave, no questions asked. After that it’s an annual agreement, which sets out the notice and how your files come back to you.
Every adjustment, billed right. Let’s look at yours.
3.5–5.5% of collections · annual agreement · 45-day opt-out
Rather start with your numbers? Get a free billing audit.