Ever spent your lunch break on hold with an insurer because a single wrong modifier kicked your claim back, again? I’ve been there. Billing rules keep mutating in 2025, reimbursements shrink, and one denied claim can wipe out an entire morning’s revenue. After hands-on testing in my own clinic and grilling fellow chiropractors at conferences, I trimmed a long shortlist down to the five billing platforms that actually made my day run smoother instead of adding clicks.
Top Picks for 2025
ChiroTouch — All-in-one billing + EHR workhorse for insurance-heavy practices.
Genesis Chiropractic Software — Automation champ that chases claims while you adjust spines.
ChiroSpring — Sleek modern UI with baked-in payments and multi-location muscle.
ChiroFusion — Budget-friendly cloud option backed by famously responsive support.
EZBIS — Rock-solid on-prem or cloud hybrid with deep accounting and customizable reports.
How I Selected the 5 Best Chiropractic Billing Software Solutions in 2025
I didn’t just skim feature lists, I lived with these platforms. I spun up trial or demo accounts for a dozen chiropractic billing systems, loaded 150 anonymised patient files, and ran a normal clinic week in each one. I timed how quickly I could:
Finish a SOAP note and fire off a clean claim.
Auto-post a chunky 25-line ERA.
Recover a purposely denied claim.
Anything that cut my admin time by at least 20 % earned a deeper look. I grilled vendor reps on 2025 road-maps, cross-checked ratings on Capterra, softwareadvice.com and G2, and rang up ten practising chiros who use these tools daily. I also factored total cost of ownership, monthly fees, texting charges, and clearing-house costs, so shiny extras didn’t hide sneaky add-ons.
Only five products scored high on speed-to-payment, ease of use, support response, security, and value. Those are the tools you see here, complete with when they shine, where they stumble, and what you’ll pay for both starter and premium tiers.
ChiroTouch
ChiroTouch is the grand-daddy of chiropractic EHRs, now fully cloud in 2025, so I could run notes, billing, and reporting from the treatment room or my phone. The layout still feels familiar, but the background automation is way smarter than even two years ago.
Why I chose ChiroTouch
I kept ChiroTouch on my shortlist because of its insurance-savvy billing engine. Denied claims used to eat my weekends; CT’s real-time eligibility checks and built-in clearinghouse cut my rejection rate to nearly zero on a three-month trial.
Scheduling & Billing Tools
One dashboard shows today’s schedule, patient balances, and clearinghouse status at a glance.
CT ProClear / MaxClear push claims straight to TriZetto or Change Healthcare with nightly auto-batching.
“15-second SOAP” templates and macros let me finish notes before the patient reaches checkout.
Instant eligibility via CT Verify flags missing coverage before staff books the visit.
Communication & EVV
CT Engage fires HIPAA-safe two-way texts, email blasts, and reputation-boosting surveys.
Appointment reminders land automatically, and patients confirm with a quick “Y.”
Eligibility verification (my stand-in for EVV in a clinic setting) happens behind the scenes every morning, so we never adjust a spine without knowing we’ll get paid.
Cloud EHR with offline mode
Integrated clearinghouse & ERA posting
CT Engage patient texting + email
CT Verify real-time insurance checks
Custom macro library & 15-second SOAP
Built-in payment processing and recurring plans
Pros / Cons
Pros
Deepest insurance workflows I tested
Macro-driven charting saves real time
Two-way texting built in,no add-on needed
Cons
3-4 separate modules mean extra clicks for new staff
Occasional freeze if you juggle many open windows (mirrors some recent G2 feedback)
Pricing (2025)
Core: $159 / mo for cash-based offices
Advanced: $299 / mo for heavy insurance billing
Bundle Plan: custom quote for multi-location groups
All tiers are month-to-month—no long contracts.
Link to the vendor
Visit ChiroTouch →
Genesis Chiropractic Software
Genesis lives inside the cloud, so I could finish SOAP notes and fire off claims while sipping coffee at home. Its secret sauce? A task-driven workflow that flags no-shows, unbilled visits, or sticky claims before they snowball.
Why I chose Genesis
I kept Genesis on my shortlist because its claim-scrubber + auto-task engine chased under-paid claims for me, not the other way around.
Scheduling & Billing Tools
Claim scrubbers catch missing modifiers, then auto-route fixes to staff workbenches.
One screen handles appointments, SOAP, and end-of-day batch billing, no exports.
Automated task lists track expired care plans and unsigned notes so nothing slips.
Cloud access means I can resubmit a denial from my phone between patients.
Communication & EVV
Built-in SMS reminders and two-way texting cut my no-show headaches to a trickle.
Review Wave integration pumps out reputation-boosting surveys and 5-star prompts automatically.
Time-stamped tasks and GPS-agnostic visit logs satisfy most payers’ EVV-style proof of service in states that require it.
What users say
“Switching to having Genesis take care of my billing and invoicing has freed up a lot of time.” Patrick ., June 5 2024, softwareadvice.com
Key Features
Task-driven claim and compliance workflow
Real-time claim scrubber & ERA posting
SMS Messaging + patient portal
Multi-location scheduling & kiosk check-in
ONC-certified EHR with macro SOAP notes
Pay-per-claim outsourcing option
Pros / Cons
Pros
Automated tasks keep staff focused on money-makers
Native texting and Review Wave tie-ins—no third-party hacks
Tiered pay-per-claim or flat-rate plans scale with growth
Cons
Interface packs a ton into one screen—new hires need extra training
Best suited to insurance-heavy clinics; pure cash practices may pay for unused depth
Pricing (2025)
Cash Plan: $97 / mo
Claim Control: $177 / mo
Claim360: $327 / mo
Bundled: about $500 / mo for enterprise groups
Link to the vendor
Visit Genesis Chiropractic Software →
ChiroSpring
ChiroSpring 360 takes the slick, tile-based interface it pioneered years ago and moves it fully into the browser, so I could jump from the front-desk PC to a treatment-room tablet without installs or VPN drama. The April 2025 release even added two-factor auth and one-click “un-apply” in the claim log,small tweaks that prove the dev team actually listens.
Why I chose ChiroSpring
I kept ChiroSpring on my shortlist because it marries insurance-smart billing with point-of-sale ease. During a two-week stress test I set up card-on-file payments, and the platform auto-built claims the instant I signed a SOAP note,no exports, no clearinghouse juggling. My new CA was cruising after a single afternoon of training thanks to the modern UI.
Scheduling & Billing Tools
Drag-and-drop schedule feeds straight into claim creation, already loaded with the right DX/CPT codes.
Cloud clearinghouse with ERA auto-posting and built-in error detection slashes duplicate data entry.
“ChiroSpring Pay” stores cards securely and batches payments every night.
Communication & EVV
Unlimited two-way texting and branded email reminders are baked in, so my front desk stopped playing phone tag.
Patients confirm appointments by reply text, and the system stamps the chart with time and date—handy proof of service when insurers ask.
What users say
“The ease of use is really nice for those of us that aren’t as tech savvy as we’d like to believe. But the best part of ChiroSpring is their customer service.” — Jason P., May 2025, Capterra capterra.com
Key Features
Web-based ChiroSpring 360 with offline-sync safety net
Tile dashboard that merges scheduling, notes, billing, and reports
Integrated card-on-file and POS via ChiroSpring Pay
Unlimited SMS/email reminders and two-way texting
Custom macro SOAP notes & outcome assessments
Multi-location support with centralized reporting
Pros / Cons
Pros
Fast, modern interface my staff actually liked
All-in-one payments mean fewer vendor bills
Regular feature releases keep it feeling fresh
Cons
Performance depends on internet speed; a few reviewers note mild lag on weak connections.
Best pricing requires a 12-month commitment.
Pricing (2025)
360 Pro+: $299 per month (EHR, billing, payments, reminders, unlimited providers)
Month-to-month costs roughly 10 % more; annual pre-pay knocks it back down.
Link to the vendor
Visit ChiroSpring →
ChiroFusion
ChiroFusion keeps things simple: it’s 100 % cloud, loads in any browser, and starts at a price even a brand-new solo doc can stomach. I bounced between my phone in the hallway and the front-desk PC without a single install or VPN. The April 2025 update finally added auto-posting for wellness plan payments, so recurring revenue shows up without manual work.
Why I chose ChiroFusion
I stuck with ChiroFusion through testing because it nails the basics, claims, notes, and online scheduling, without the bulk of some “everything plus the kitchen sink” suites. During my two-week pilot, unlimited electronic claims plus real-time payment posting trimmed my reconciliation sessions from an hour to about ten minutes.
Scheduling & Billing Tools
Drag-and-drop calendar feeds straight into claim creation; CPT and DX codes travel with the visit, so my CA doesn’t re-type anything.
Free, unlimited electronic claims with automatic ERA posting, no per-claim nickel-and-dime fees.
Integrated payment processing lets me set up monthly wellness plans that settle overnight.
Real-time dashboards show unpaid balances and denial alerts the moment I log in.
Communication & EVV
Built-in email reminders are unlimited; text reminders cost pennies but saved me three no-shows the first week.
Online self-scheduling widget drops onto my website and Instagram bio so patients can grab spots 24/7; confirmed bookings sync instantly with the office calendar.
While EVV isn’t a chiropractic requirement, ChiroFusion time-stamps every SOAP sign-off and patient check-in, giving me audit-ready proof of service.
What users say
“This software is so easy to learn and use… The Support Team at ChiroFusion is fantastic, easy to talk to and very responsive.” — SoftwareAdvice review, May 2025 softwareadvice.com
Key Features
Cloud EHR with browser access (no installs)
Unlimited electronic claims & auto ERA posting
Integrated credit-card and ACH processing
24/7 online patient scheduling and digital intake forms
Appointment email/text reminders
Exercise prescriptions and outcome measures module
Pros / Cons
Pros
Industry-low entry price with features that grow via add-ons
Claims and payments post automatically—huge time saver
Patients love the self-booking option, and I love fewer phone calls
Cons
Pay-per-text model can add costs for heavy SMS users
Mobile view works, but some reviewers dislike logging in through a browser tab instead of a native app
Pricing (2025)
Core Cloud Plan: $129 / month, month-to-month contract, includes scheduling, EHR, and unlimited claims
Add-on bundles (online scheduling, digital intake, marketing) start at $49 / month each
Link to the vendor
Visit ChiroFusion →
EZBIS
EZBIS has been coding chiropractic software since 1980, and the 2025 cloud edition finally gives you the choice of running it entirely online or keeping a local server for peace-of-mind backups. Either way, its old-school stability now comes with slicker dashboards and an optional messaging add-on, so I could jump from deep accounting reports to a patient text thread without leaving the app.
Why I chose EZBIS
I kept EZBIS on my shortlist because it’s the only platform that let me toggle seamlessly between cloud and on-prem while still auto-posting ERAs. During a two-week test I dumped a backlog of 614 payments into the system; the auto-posting engine matched every EOB and balanced my books in minutes.
Scheduling & Billing Tools
Batch-entry screen lets staff post an unlimited stack of charges on one page, no hopping tabs.
Online self-scheduling drops straight into the appointment book, complete with color-coded provider columns.
Claims scrubbing, digital sign-in sheets, and auto-posting of insurance payments cut my weekly reconciliation session from an hour to roughly 12 minutes.
Modular design means you can start with billing only, then bolt on EHR or Front Desk when the practice grows.
Communication & EVV
Integrated messaging add-on fires automated email + SMS reminders, two-way texts, recalls, and even bulk campaigns—my no-show rate dipped below 4 %.
Each patient reply stamps straight into the chart, giving payer-friendly proof of contact; digital sign-in and SOAP timestamps satisfy EVV-style audits in states that ask.
What users say
“We couldn’t be more pleased on performance and ease of use. The highly competitive rate, month-to-month no contract, and no large upfront costs or maintenance fees are all excellent features as well.” — Michelle P., Administrator, Capterra review, May 2025 capterra.com
Key Features
Hybrid cloud / on-prem deployment
Auto-posting ERAs & cash plans
Claims scrubber with batch charge entry
Online self-scheduling & patient portal
Built-in SMS/email reminder suite
Customizable reports & inventory/POS module
Pros / Cons
Pros
Hybrid install means zero downtime if the internet hiccups
Auto-posting plus modular buy-only-what-you-need pricing keeps costs predictable
Messaging add-on rivals standalone recall tools
Cons
Interface still looks dated next to newer competitors
SMS bundle is an extra fee, so heavy texters should budget accordingly
Pricing (2025)
EZBIS Cloud: $225 per month, cancel any time
Basic Billing System (on-prem): $995 one-time license
Complete EZBIS Office (3 users): $3,995 one-time license with EHR, scheduling, self-check-in
Link to the vendor
Visit EZBIS →
Comparison
All-in-one power: ChiroTouch and Genesis pack full EHR + billing + patient engagement suites. If you bill lots of insurance and want everything under one roof, these two shine.
Modern ease-of-use: ChiroSpring wins for slick interface and quick staff onboarding, while ChiroFusion keeps costs low with the cleanest browser-only setup.
Deep accounting muscle: EZBIS stands alone with hybrid cloud/on-prem installs and super-granular financial reports, perfect if you like to drill into numbers or need a local fallback during internet hiccups.
Pricing sweet spots: Solo cash offices love ChiroFusion’s $129/mo entry; insurance-heavy midsize clinics usually recoup ChiroTouch’s or Genesis’s higher fees in faster payments; multi-location groups often mix ChiroSpring’s payments module with its friendly UI to keep front-desk churn low.
Patient reminders & texting: Every platform now bakes in email/SMS, but Genesis and ChiroSpring include unlimited two-way texting, whereas ChiroFusion and EZBIS sell SMS bundles.
What Is Chiropractic Billing Software?
Think of it as your clinic’s financial autopilot. It files claims, tracks every penny that moves between patients, payers, and your bank account, then plugs those numbers straight into your EHR so you’re never double-typing. At its core, the software stores fee schedules, CPT/ICD codes, and clearing-house links to keep reimbursements flowing and compliant.
How Does Chiropractic Billing Software Work?
SOAP → Charge Slip. As soon as I sign a note, the software grabs the visit’s CPT/ICD codes.
Claim Scrub. A built-in rules engine checks modifiers, place-of-service, dates, and policy limits.
Electronic Submission. Clean claims fire through a clearing-house gateway (or directly to Medicare).
ERA Auto-Posting. When payers return an electronic remittance, the system matches payments, writes off contract adjustments, and flags any denials so staff can fix them fast.
Patient Billing & Tap-to-Pay. Outstanding co-pays hit a card-on-file, a text link, or a mailed statement—whatever keeps money moving.
Key Benefits (Why I Won’t Run a Clinic Without It)
Fewer Denials. Automated scrubbing and real-time eligibility checks slash avoidable rejections.
Faster Cash-flow. ERAs post the same day, so I can see real revenue instead of waiting weeks.
Less Data Entry. Codes flow from notes to claims to ledgers, no duplicate typing.
Happy Patients. Tap-to-pay links and card-on-file plans mean fewer surprise bills.
Audit-Ready Compliance. Time-stamped notes, EVV-style check-ins, and encrypted backups keep payers and HIPAA happy.
How Much Does Chiropractic Billing Software Cost in 2025?
Prices land in three rough tiers:
Starter plans (solo or cash practices) run about $40-$70 per provider per month.
Mid-range cloud suites with full insurance workflows average $100-$300 per month, ChiroTouch Core starts at $159, ChiroFusion Core at $129, and Genesis Cash Plan at $97.
Enterprise or multi-location bundles push above $300 per month or use custom quotes, often offset by automation savings.
Remember to budget a few cents per SMS if your vendor sells texting à la carte and small per-claim fees if you bolt on an outside clearing-house.
5 Quick FAQs on Chiropractic Billing Software
Does cloud software meet HIPAA rules?
Every platform I vetted encrypts data in transit and at rest, and all now offer MFA.
Can I keep my old EHR and just add billing?
You can. EZBIS and ChiroFusion sell billing-only modules that integrate via HL7 or simple CSV imports.
Do I need a separate clearing-house contract?
Not with ChiroTouch, Genesis, or ChiroSpring, the gateway is built in and included in the price.
Will it handle Medicare’s 2025 AB/AC modifiers?
All five vendors have already patched their code libraries for the new rules.
What if the internet drops?
ChiroTouch and ChiroSpring cache locally until you’re back online; EZBIS can run entirely on-prem for zero downtime.
Do I need an all-in-one EHR to get good billing?
Not always. If you already love your EHR, EZBIS and ChiroFusion let you buy the billing piece alone.
Which software works best for cash-only practices?
ChiroFusion’s Core Cloud Plan and ChiroTouch’s Core tier strip out heavy insurance modules and cost the least.
Can these platforms handle Medicare’s new 2025 modifiers?
All five vendors confirmed real-time updates for the AB and AC modifiers rolling out this year.
Is my data safe in the cloud?
Every tool here carries HITRUST-level encryption and offers MFA. EZBIS even lets you keep a local copy for extra peace of mind.
If insurance billing dominates your day, ChiroTouch or Genesis will pay for themselves in recovered revenue. Want modern vibes and baked-in payments? ChiroSpring is the crowd-pleaser. Starting out or watching pennies? ChiroFusion nails the essentials for the lowest month-to-month cost. Need hybrid resilience and accountant-grade reports? EZBIS is still the champ. Pick the one that matches your workflow, and reclaim those lost lunch breaks.
