5 Best Chiropractic EHR Software of 2025

Keeping up with patient charts, insurance claims, and appointment reminders can feel like more work than the actual adjusting you trained for. Most chiropractors didn’t go to school so they could chase missing signatures or re-enter the same SOAP note a dozen times. The right EHR should fade into the background, doing the busywork while you stay hands-on with patients.

In 2025 there are plenty of “all-in-one” systems promising the moon, but only a handful truly make life easier in a chiropractic office. After sifting through vendor demos, chatting with real clinic owners, and weighing price tags against everyday headaches, I landed on five EHR platforms that actually deliver. If you’re tired of clicking through cluttered screens or watching reimbursements stall in limbo, this roundup is for you.

TL;DR

• Lowest starting cost: Jane.app at $54 for tiny workloads.

• Most robust insurance tools out of the gate: Genesis Claim 360 or ChiroTouch Advanced.

• Best if you want to own your servers: EZBIS on-prem licence.

• Mac-friendly with fancy claim scrubber: ChiroSpring.
  Pick the one that lines up with your clinic size, budget, and whether you’d rather keep things lean or hand off insurance grunt work.

Quick-Glance Comparison

Why Specialized EHR Software Matters for Chiropractors in 2025

Electronic health-record platforms built specifically for chiropractic workflows now handle far more than SOAP notes and scheduling. In 2025 they underpin remote patient-monitoring, automated outcome-tracking, and friction-free insurance billing, core capabilities that drive both better patient results and stronger practice revenue.

How We Chose the “Best” Platforms, And Why That Matters to You

EHR shopping can feel like staring at a giant cereal aisle: everything looks the same until you read the fine print. Here’s the plain-English checklist we used to separate the real problem-solvers from the flashy “me-too” apps, plus what each filter means for your day-to-day practice.

1. Chiropractic-Specific Functionality

We dug into whether a system knows chiropractic inside out, things like adjustment charting that matches your technique style, subluxation diagrams you can mark up in seconds, and built-in outcome assessments such as the Oswestry or Neck Disability Index.
Why it helps you: Less time clicking generic musculoskeletal templates, more precise notes that actually reflect what you just adjusted, so audits and malpractice insurers stay happy.

2. Billing & Compliance

ICD-10-CM code sets update every year, HIPAA rules get stricter, and payers bounce claims for the smallest mismatch. We checked that each platform auto-updates codes, encrypts data at rest and in transit, and talks to clearing-houses in real time.
Why it helps you: Fewer denied claims and fines, quicker deposits, and the peace of mind that patient data is locked down like Fort Knox.

3. Patient Experience

A great visit starts before the adjustment. We looked for mobile intake forms that shave minutes off front-desk lines, two-way texting so patients get reminders (and you get instant reschedule replies), plus built-in telehealth for follow-ups.
Why it helps you: Happier patients show up on time, leave glowing reviews, and stick to their care plans—which drives repeat visits and referrals.

4. Automation & AI

From spotting empty slots in tomorrow’s schedule to auto-building care-plan reminders, good software should do the grunt work. We graded vendors on how much busywork they can lift off your shoulders without you lifting a finger.
Why it helps you: Lower no-show rates, cleaner schedules, and an extra hour back each day to treat patients, or head home on time.

5. Interoperability

We checked for FHIR-ready APIs and out-of-the-box integrations with digital X-ray, surface EMG, labs, PT notes, and insurance portals.
Why it helps you: You won’t outgrow the system as your clinic adds new services. Data flows where it needs to go, so you’re not re-typing a patient’s birth date five different times.

6. Pricing Transparency & User Feedback

Sticker shock is real. We combed through contract fine print, onboarding fees, and per-claim charges, then cross-referenced those numbers with candid reviews from real chiropractors.
Why it helps you: No surprise invoices six months in, and confidence that your future self won’t be cursing today’s purchase.

Each of these six filters points back to one goal—making your workday smoother and your clinic more profitable. By vetting platforms through this lens, we’ve already done the homework, so you can focus on picking the one that fits your unique workflow instead of decoding tech jargon.

The 5 Best Chiropractic EHR Systems of 2025

ChiroTouch

ChiroTouch is a cloud-based chiropractic EHR and practice-management platform that rolls scheduling, SOAP notes, billing, payments, and patient engagement into one place. It’s been around for 25 years, powers 36 k+ providers, and starts at about $159 a month.

Why I picked ChiroTouch

Chiropractic schedules flip faster than a TikTok feed: walk-ins, re-exams, no-shows—everything changes by the hour. ChiroTouch handles that chaos with in-app tools your team can tap on any device, so you’re not juggling five separate apps or sticky notes.

Appointment scheduling & patient flow

• Drag-and-drop calendars let you book, move, or split appointments in seconds.
• Automated text/email reminders cut no-shows; you can tweak the wording for first-time vs. returning patients.
• CT InTouch and CT Engage push two-way texts right from the EHR, so front-desk staff stop playing phone tag.

Digital documentation (SOAP notes)

• Macros let you blast out a full note in about 15 seconds—handy when you’re back-to-back.
• Notes are customizable, so each doc can keep their own flow without breaking clinic templates. Billing, claims & rev-cycle

• Built-in claims, clearinghouse links, and denial tracking mean fewer late-night EOB headaches.
• CT RevAccel (optional) adds outsourced billing muscle if you’d rather hand it off.

Patient engagement & communication

• Two-way texting, bulk broadcasts, recall campaigns, and online-review requests all live inside CT Engage.
• The platform logs every message for compliance—no more staff cell-phone mystery chats.

Integrations

QuickBooks for accounting, Zingit for extra messaging flair, Demandforce for marketing, Swell for reviews, plus dozens more via GetApp’s marketplace listing.

Key features

• Flexible scheduling
• Customizable SOAP notes & macros
• Integrated billing & payments
• Automated compliance checks
• Two-way patient texting & email
• Third-party app integrations

Pros

• Everything sits in one dashboard—fewer logins.
• Macros slash charting time.
• Reminder tools actually cut no-shows.
• Starts at $159 for solos and scales to multi-clinic groups.

Cons

• Pricing jumps to $299+ if you need advanced insurance tools.
• Some cool add-ons (CT Engage, RevAccel) cost extra.
• The UI feels busy on smaller screens—tablet is fine; a phone can feel cramped. [Unverified] based on user reports in forums I can’t fully confirm.

Pricing snapshot

If you need one app that handles the spine-cracking basics—scheduling, notes, billing—and keeps patients in the loop without extra texting software, ChiroTouch hits the mark. The cost isn’t pocket change, but the macros and messaging tools can pay for themselves by shaving admin hours and reducing missed visits.

Genesis by ClinicMind

Genesis by ClinicMind wraps scheduling, SOAP notes, billing, and patient messaging into one cloud app. Entry pricing starts around $97 a month (Kickstart tier) and scales to about $327 for full-service insurance plans, so solo cash practices and busy multi-doc clinics both fit

Why I picked Genesis

Clinic calendars change faster than your Spotify queue. Genesis uses color-coded, drag-and-drop views plus mobile portals, so front-desk staff, docs, and patients see the same real-time plan—no frantic Post-it swaps.

Appointment scheduling & patient flow

• 24/7 online booking with automated SMS/email nudges keeps no-shows in check.
• Task-driven workflow flags missed check-ins or unsigned notes without making you dig through reports.
• Kiosk + mobile check-in means patients skip clipboards and the line at the front desk.

Documentation (SOAP notes)

• Templates are ONC-certified and customizable, so every doc keeps their own flow.
• Built-in macro-style shortcuts (Target Coding packs, etc.) cut note time once you dial them in.
• [Unverified] Some users say supernotes feel clunky until you tweak them.

Billing, claims & revenue cycle

• Real-time claims dashboard shows denials and underpayments before month-end surprises.
• Genesis RCM team (optional) can run the whole billing game for you if insurance isn’t your jam.

Patient engagement & communication

• Two-way texting: 500 credits come with the base bundle; extra texts cost about two cents.
• PatientHub portal adds reviews, newsletters, and video messages (starts near $297/mo).
• Message logs live inside the EHR for HIPAA compliance—no random staff phones in play.

Integrations

QuickBooks, Fortis payments, Review Wave, Cash Practice Systems, and more plug in via the marketplace.

Key features

• Flexible scheduling & color-coded calendar
• Customizable SOAP templates
• Built-in clearinghouse links
• AI-driven task alerts for compliance
• Two-way texting & kiosk check-in
• Third-party app connections

Pros

• Everything sits in one login—less tab overload.
• Pricing tiers let you start cheap and level up.
• Task automation helps new staff learn faster.

Cons

• Kickstart plan caps visits at 400 per month.
• Full RCM service bumps the bill to $327 or more.
• Mobile intake forms still need work—patients on phones may bail.
• Reports feel heavy and require extra clicks.

Pricing snapshot

Need a cloud EHR that juggles scheduling, notes, billing, and texting without forcing you onto five apps? Genesis gets most of it done in one tab. Entry price is friendly; higher tiers pack more insurance muscle and texting credits, so upgrade only when you actually need the extras.

ChiroSpring

ChiroSpring is a cloud-based chiropractic EHR that rolls scheduling, SOAP notes, billing, payments and patient texting into one tab. Its 360 plan starts around $149 a month, while 360 Pro and Pro Plus jump to roughly $249 and $299, so you can start light and level up only when you need the heavier insurance tools or extra texting credits.

Why I picked ChiroSpring

Clinic calendars change minute-to-minute. ChiroSpring uses a color-coded, drag-and-drop calendar and mobile portal so front-desk staff, doctors and patients all see the same real-time plan—no frantic Post-it swaps.

Scheduling and patient flow

• Drag-and-drop calendar lets you book, move or split visits in seconds.

• Automated SMS and email reminders reduce no-shows and can be customised for first-time versus returning patients.

• Patient kiosk and mobile check-in mean visitors skip the clipboard line

SOAP notes and documentation

• 15-second macros and 50+ templates speed note taking on busy days.

• Templates are fully editable, so each doc keeps their own flow without wrecking shared layouts.

Billing, payments and revenue cycle

• Built-in clearinghouse and ERA auto-posting flag denials early and cut EOB headaches.

• ChiroSpring Pay brings card and contactless payments into the same dashboard, with recurring billing and on-screen ledgers.

• AI claim scrubber and personal claims assistant are in the top tier for clinics that live on insurance revenue.

Patient engagement and communication

• Two-way texting with 150–250 included messages keeps patients in the loop without staff cell phones.

• GrowthHub add-on adds online booking, recall campaigns and review requests when you’re ready to push marketing harder.

Integrations

ChiroSpring plugs into Review Wave for reviews, OpenEdge for payments and other niche tools via its marketplace listings.

Key features

• Flexible scheduling

• Customisable SOAP macros

• Integrated billing, clearinghouse and payments

• Two-way texting and reminders

• Kiosk and mobile check-in

• Marketplace integrations

Pros

• Everything lives in one login, cutting tab overload.

• Macros seriously reduce charting time.

• Pricing tiers let new practices start cheap and upgrade later.

Cons

• Texting credits are limited unless you spring for add-ons.

• [Unverified] Some users say the UI feels cramped on small phone screens, tablet is safer.

• Clearinghouse and GrowthHub add to the bill.

Pricing

EZBIS Office

EZBIS has been building chiropractic-specific software since 1980, so its look is a bit retro—but under the hood you get modular EHR, batch billing, auto-posted EOBs, cloud or on-prem hosting, plus a patient portal and self-check-in for $225/month in the cloud or a one-time $3 995 licence for three users. It’s a solid fit for small-to-mid clinics that want ownership of their data and don’t mind a Windows-first vibe.

Why I picked EZBIS

Most chiro tools force you to buy the whole kitchen sink. EZBIS lets you snap on only the modules you need—billing, front-desk scheduling, EHR, waiting-room kiosk—so new clinics can start cheap and scale later. Its 40-year run also means stable updates and a U.S. support team reviewers rave about.

Appointment scheduling & patient flow

• Color-coded, drag-and-drop calendar with real-time status of late and no-show patients.

• 24/7 online booking + remote scheduling app—patients book on their phones and the slot lands straight in the scheduler.

• Self-check-in “Waiting Room” kiosk speeds front-desk traffic and writes the arrival straight into the chart.

• Automated email/SMS reminders go out a few days and a few hours before the visit; patients can even reply and the chat shows inside EZBIS.

Documentation (SOAP notes)

• ONC-certified 2015 EHR with template-based notes and point-click body diagrams; layout is user-defined so each doc sees what they care about.

• Batch note entry from the billing screen cuts re-typing and keeps ledger and chart in sync.

Billing, claims & revenue cycle

• Auto-posting of insurance payments and cash-plan tracking reduce data entry.

• Works with Optum, Availity, Inovalon and most clearinghouses; send ANSI 837 or print-image claims.

• One-screen batch charge entry and real-time aging reports keep AR visible.

Patient engagement & communication

• Patient portal for intake forms, statements, secure messages and online payments.

• Two-way texting built into reminders; no staff cell phones needed for HIPAA chat.

Integrations

Global Payments Integrated for credit-card runs, Review Wave and Demandforce for reviews/marketing, plus clearinghouse links for E-claims.

Key features

• Modular scheduling, billing, EHR

• Patient self-check-in kiosk

• Auto appointment reminders & two-way SMS

• Auto-posting EOBs and cash plans

• Patient portal with online pay

• Cloud or on-prem deployment

Pros

• Buy only the modules you need—keeps entry cost low.

• Reviewers love the U.S. support team and quick fixes.

• Works offline if you host it on-prem; cloud plan adds anytime access.

Cons

• Interface feels “old-school” and cramped on small monitors, according to some reviewers.

• Mac users need a Windows shell or must stick to the cloud version.

• No built-in marketing drip tools—you’ll need Review Wave or Demandforce for campaigns.

Pricing

Jane App

Jane.app is a cloud-based practice-management/EHR that mixes online booking, charting, insurance-friendly billing, built-in payments, and telehealth in one tab. Three core plans (Balance $54, Practice $79, Thrive $99) scale by usage and let you bolt on add-ins like group telehealth ($15/practitioner) or real-time insurance claims, so solo cash clinics and multi-discipline outfits both slot in.

Why I picked Jane

Clinic schedules flip as fast as a For You feed. Jane’s color-coded calendar, mobile-first booking, and real-time sync keep front-desk chaos low without forcing extra apps.

Appointment scheduling & patient flow

• Online booking & wait-list tools cut phone tag and auto-shuffle openings.

• Unlimited email + free SMS reminders trim no-shows.

• Self-check-in kiosk and room/equipment tagging (Thrive tier) smooth traffic when the lobby’s packed.

• Group or 1-to-1 HIPAA-compliant telehealth—up to 12 clients—runs right in the browser.

Documentation & AI helpers

• 10 000+ drag-and-drop SOAP templates plus fully custom forms.

• AI Scribe (early access) turns recorded audio into Smart SOAP summaries so you spend less time typing.

• Secure chart permissions and unlimited file storage across all plans.

Billing, payments & insurance

• Jane Payments handles in-person or online cards, recurring charges, and gift cards—PCI-compliant inside the same dashboard.

• Add-on insurance module posts ERAs, checks eligibility, and pipes claims to Claim.MD.

• No native QuickBooks push—export CSVs then import to QBO.

Patient engagement

• Secure portal, two-way messaging, and unlimited email/SMS keep conversations HIPAA-safe and staff phones out of the mix.

• Ratings & Reviews and Google Analytics integration (Thrive) help with basic marketing without extra tools.

Integrations

Claim.MD clearinghouse, CSV export for QuickBooks, plus browser-extension scribes like ScribeHealth if you want more AI.

Key features

• Flexible scheduling & online booking

• Customizable SOAP/chart templates

• Integrated payments & optional insurance billing

• HIPAA-compliant telehealth (1-12 clients)

• Unlimited reminders & messaging

• AI Scribe (beta)

Pros

• One login for booking, charting, billing, and payments.

• Low base price; add only what you need.

• Reviewers rave about ease of use and support.

Cons

• No live QuickBooks link—manual export/import only.

• Some users want deeper financial report customization.

• Reddit threads say family-plan invoices are still clunky.

Pricing

How to Choose the Right EHR for Your Chiropractic Practice

1. Map Your Core Revenue Streams. Heavy insurance billing? Lean toward Genesis or ChiroTouch. Mostly cash? Jane excels.

2. Audit Current Tech Stack. Need on-prem? EZBIS. Want seamless Mac/iPad use? ChiroSpring.

3. Run a Workflow Simulation. Most vendors offer sandbox logins—chart two mock visits and test billing, scheduling, and patient messaging end-to-end.

4. Check Hidden Costs. Interfaces with X-ray/PACS, credit-card fees, or texting add-ons can double total spend.

5. Negotiate Support SLAs. Inquire about average ticket-resolution times and weekend coverage; downtime equals lost visits.

In 2025, the “best” chiropractic EHR is the one that slips invisibly into your daily rhythm, automates revenue safeguards, and delights patients as much as clinicians. Use the frameworks above to shortlist vendors, pilot two options side-by-side, and pick the platform that helps you spend less time at the keyboard and more time adjusting spines.