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Top 10 Best Chiropractic Billing Software of 2026

Compare top chiropractic billing software options. Find tools to streamline your practice. Explore now for efficient solutions!

Alexander Schmidt

Alexander Schmidt

Feb 11, 2026

10 tools comparedExpert reviewed
Independent evaluation · Unbiased commentary · Updated regularly
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Efficient, accurate billing is critical to the success of chiropractic practices, and choosing the right software can streamline operations, reduce errors, and boost revenue. The tools below—spanning cloud-based platforms, mobile solutions, and comprehensive suites—offer diverse features to meet varying practice needs, ensuring practices prioritize growth over administrative burden.

Quick Overview

  1. 1#1: ChiroTouch - All-in-one cloud-based EHR, practice management, and billing software optimized for chiropractic practices with automated claims and superbills.
  2. 2#2: Genesis Chiropractic Software - Comprehensive chiropractic software featuring advanced insurance billing, scheduling, and patient management tailored for multi-provider offices.
  3. 3#3: ChiroFusion - Cloud EHR platform with integrated chiropractic billing, SOAP notes, and claims processing compliant with HIPAA standards.
  4. 4#4: DrChrono - Mobile-first EHR and billing solution with chiropractic-specific templates, telehealth, and electronic claims submission.
  5. 5#5: Jane - User-friendly practice management app for chiropractors offering online booking, invoicing, and insurance billing integration.
  6. 6#6: ClinicSense - Streamlined scheduling, payment processing, and billing software designed for chiropractic and wellness practices.
  7. 7#7: Kareo - Intelligent billing and practice management platform supporting chiropractic claims, revenue cycle management, and analytics.
  8. 8#8: AdvancedMD - Full-suite practice management and EHR with robust chiropractic billing, ERA posting, and denial management features.
  9. 9#9: Power Diary - Online practice management software with billing, invoicing, and superbills for chiropractors and allied health professionals.
  10. 10#10: Office Ally - Free web-based clearinghouse and billing tool for submitting chiropractic claims to insurance payers efficiently.

We evaluated these tools based on chiropractic-specific functionality, reliability, user experience, and overall value, ensuring they deliver robust performance for both small and multi-provider practices.

Comparison Table

Chiropractic practices depend on robust billing software to optimize operations, and choosing the right tool can make a significant difference. This comparison table examines key options like ChiroTouch, Genesis Chiropractic Software, ChiroFusion, DrChrono, and Jane, detailing their features, ease of use, and integration with other systems. Readers will discover how to match a solution to their practice’s specific needs, ensuring accuracy and efficiency in billing workflows.

1ChiroTouch logo9.7/10

All-in-one cloud-based EHR, practice management, and billing software optimized for chiropractic practices with automated claims and superbills.

Features
9.8/10
Ease
9.4/10
Value
9.2/10

Comprehensive chiropractic software featuring advanced insurance billing, scheduling, and patient management tailored for multi-provider offices.

Features
9.2/10
Ease
8.5/10
Value
8.4/10

Cloud EHR platform with integrated chiropractic billing, SOAP notes, and claims processing compliant with HIPAA standards.

Features
9.2/10
Ease
8.4/10
Value
8.1/10
4DrChrono logo8.3/10

Mobile-first EHR and billing solution with chiropractic-specific templates, telehealth, and electronic claims submission.

Features
8.5/10
Ease
8.8/10
Value
7.9/10
5Jane logo8.2/10

User-friendly practice management app for chiropractors offering online booking, invoicing, and insurance billing integration.

Features
7.9/10
Ease
9.3/10
Value
8.1/10

Streamlined scheduling, payment processing, and billing software designed for chiropractic and wellness practices.

Features
7.5/10
Ease
8.5/10
Value
7.8/10
7Kareo logo8.2/10

Intelligent billing and practice management platform supporting chiropractic claims, revenue cycle management, and analytics.

Features
8.4/10
Ease
8.6/10
Value
7.7/10
8AdvancedMD logo8.1/10

Full-suite practice management and EHR with robust chiropractic billing, ERA posting, and denial management features.

Features
8.8/10
Ease
7.4/10
Value
7.6/10

Online practice management software with billing, invoicing, and superbills for chiropractors and allied health professionals.

Features
7.5/10
Ease
9.0/10
Value
8.2/10
10Office Ally logo7.4/10

Free web-based clearinghouse and billing tool for submitting chiropractic claims to insurance payers efficiently.

Features
7.2/10
Ease
8.1/10
Value
9.2/10
1
ChiroTouch logo

ChiroTouch

specialized

All-in-one cloud-based EHR, practice management, and billing software optimized for chiropractic practices with automated claims and superbills.

Overall Rating9.7/10
Features
9.8/10
Ease of Use
9.4/10
Value
9.2/10
Standout Feature

Auto-generated superbills and claims directly from customizable chiropractic SOAP notes, minimizing errors and manual entry.

ChiroTouch is a comprehensive cloud-based EHR and practice management software tailored specifically for chiropractic practices, excelling in streamlined billing workflows. It automates insurance claims submission, superbills, payment posting, and ERA processing through seamless integration with major clearinghouses. Beyond billing, it offers chiropractic-specific SOAP notes, scheduling, and analytics to optimize revenue cycle management.

Pros

  • Chiropractic-specific billing automation with one-click claims from SOAP notes
  • Seamless integration with top clearinghouses like Office Ally for high first-pass acceptance rates
  • Robust reporting and analytics for revenue tracking and denial management

Cons

  • Higher pricing tier may strain solo practitioners
  • Occasional software updates require brief downtime
  • Limited native integrations with non-chiro specific tools

Best For

Mid-sized to large chiropractic clinics seeking an all-in-one, industry-tailored billing solution with proven reliability.

Pricing

Starts at $399/month per provider for core features; scales to $599+ with advanced modules; includes setup fees.

Visit ChiroTouchchirotouch.com
2
Genesis Chiropractic Software logo

Genesis Chiropractic Software

specialized

Comprehensive chiropractic software featuring advanced insurance billing, scheduling, and patient management tailored for multi-provider offices.

Overall Rating8.8/10
Features
9.2/10
Ease of Use
8.5/10
Value
8.4/10
Standout Feature

Automated ERA payment posting and denial management that directly links to patient ledgers for minimal manual intervention

Genesis Chiropractic Software is a cloud-based practice management platform designed specifically for chiropractors, offering comprehensive billing tools including insurance claims submission, ERA auto-posting, patient statements, and real-time eligibility verification. It integrates EHR, scheduling, and billing into a single intuitive interface, streamlining workflows for chiropractic practices. The software emphasizes automation to reduce billing errors and accelerate reimbursements, making it a strong contender in chiropractic billing solutions.

Pros

  • Robust billing automation with one-click claims and ERA posting
  • Seamless integration of SOAP notes with billing for efficiency
  • Excellent customer support and training resources

Cons

  • Pricing can be steep for smaller practices
  • Occasional learning curve for advanced features
  • Limited customization options compared to enterprise competitors

Best For

Mid-sized chiropractic practices needing an all-in-one solution for billing, EHR, and scheduling.

Pricing

Starts at $149/month for basic plan (1 provider), scales to $499+/month for enterprise with unlimited providers and advanced features.

3
ChiroFusion logo

ChiroFusion

specialized

Cloud EHR platform with integrated chiropractic billing, SOAP notes, and claims processing compliant with HIPAA standards.

Overall Rating8.7/10
Features
9.2/10
Ease of Use
8.4/10
Value
8.1/10
Standout Feature

Automated superbill generation and integrated claims scrubbing tailored specifically for chiropractic codes and modifiers

ChiroFusion is a cloud-based EHR and practice management software tailored for chiropractors, offering integrated tools for billing, scheduling, SOAP notes, and patient management. It excels in chiropractic-specific billing features like automated superbills, insurance claims scrubbing, and ERA posting to streamline revenue cycle management. The platform supports both cash and insurance-based practices with customizable templates and a patient portal for enhanced efficiency.

Pros

  • Robust chiropractic billing with auto-superbills and claims scrubbing
  • Customizable SOAP notes and forms for quick documentation
  • Strong customer support and training resources

Cons

  • Pricing can be steep for solo practitioners
  • Limited third-party integrations compared to competitors
  • Occasional reports of slower performance during peak hours

Best For

Small to mid-sized chiropractic practices seeking a comprehensive, chiropractic-focused billing and EHR solution.

Pricing

Starts at $149 per provider/month (billed annually), with tiered plans up to $299+ for advanced features and multi-provider offices; includes setup fees.

Visit ChiroFusionchirofusion.com
4
DrChrono logo

DrChrono

specialized

Mobile-first EHR and billing solution with chiropractic-specific templates, telehealth, and electronic claims submission.

Overall Rating8.3/10
Features
8.5/10
Ease of Use
8.8/10
Value
7.9/10
Standout Feature

Real-time insurance eligibility checks integrated directly into the patient chart for faster chiropractic billing verification

DrChrono is a cloud-based EHR and practice management platform with integrated billing features tailored for various medical specialties, including chiropractic care. It supports chiropractic-specific SOAP notes, CPT codes for adjustments (e.g., 98940-98943), electronic claims submission to clearinghouses, ERA processing, and AR management to streamline revenue cycles. The software also offers eligibility verification, superbills, and patient payment portals, making it a versatile option for handling chiropractic insurance billing and cash-pay workflows.

Pros

  • Integrated EHR with chiropractic templates for efficient documentation and billing
  • Mobile iOS app enables on-the-go claims review and patient management
  • Automated claims scrubbing and direct submission reduce denials

Cons

  • Pricing scales quickly for small solo practices
  • Billing setup requires initial customization and training
  • Less specialized chiropractic automations than niche competitors

Best For

Multi-provider chiropractic practices seeking an all-in-one EHR and billing solution with strong mobile capabilities.

Pricing

Custom subscription pricing starts at ~$199/provider/month for core features, scaling to $400+ with advanced billing, telehealth, and support add-ons.

Visit DrChronodrchrono.com
5
Jane logo

Jane

specialized

User-friendly practice management app for chiropractors offering online booking, invoicing, and insurance billing integration.

Overall Rating8.2/10
Features
7.9/10
Ease of Use
9.3/10
Value
8.1/10
Standout Feature

Seamless flow from customizable SOAP charting to auto-generated superbills and invoices

Jane (jane.app) is an all-in-one practice management software tailored for health and wellness providers, including chiropractors, with robust tools for scheduling, charting, telehealth, and billing. It streamlines chiropractic billing by generating superbills, handling patient payments via integrated Stripe processing, and supporting basic insurance claims with CMS-1500 forms. While not exclusively a billing specialist, its seamless integration across practice functions makes it efficient for everyday chiropractic workflows.

Pros

  • Intuitive interface with drag-and-drop scheduling that feeds directly into billing
  • Strong patient portal for self-pay collections and superbills
  • Excellent mobile app and telehealth integration for modern practices

Cons

  • Limited direct integrations with major insurance payers compared to dedicated chiro billing software
  • Advanced denial management and ERA auto-posting require workarounds
  • Pricing scales per provider, which can add up for larger clinics

Best For

Small to mid-sized chiropractic practices prioritizing ease of use and all-in-one practice management over high-volume insurance billing.

Pricing

Starts at $74/month per provider for core app (billed annually), $149/month for full platform with advanced billing; 30-day free trial, no per-claim fees.

Visit Janejane.app
6
ClinicSense logo

ClinicSense

specialized

Streamlined scheduling, payment processing, and billing software designed for chiropractic and wellness practices.

Overall Rating7.9/10
Features
7.5/10
Ease of Use
8.5/10
Value
7.8/10
Standout Feature

Customizable chiropractic SOAP notes integrated directly into the billing workflow for efficient documentation and superbills.

ClinicSense is a cloud-based practice management platform designed for chiropractic and wellness practices, offering integrated tools for scheduling, patient records, and billing. It supports chiropractic-specific billing needs like superbills, insurance claims submission, and automated payment processing via Stripe integration. The software also includes EMR features with customizable SOAP notes, reporting, and marketing automation to streamline operations.

Pros

  • Intuitive, mobile-friendly interface with quick setup
  • Seamless online payments and invoicing
  • Strong integration of scheduling and billing workflows

Cons

  • Limited advanced insurance denial management and clearinghouse features
  • Reporting lacks depth for complex multi-location practices
  • Pricing scales quickly with additional providers

Best For

Small to mid-sized chiropractic practices prioritizing ease of use and integrated scheduling over advanced insurance billing.

Pricing

Starts at $165/month for up to 2 providers (Essentials plan), with Pro at $265/month and Enterprise custom; additional providers $50-75/month each.

Visit ClinicSenseclinicsense.com
7
Kareo logo

Kareo

enterprise

Intelligent billing and practice management platform supporting chiropractic claims, revenue cycle management, and analytics.

Overall Rating8.2/10
Features
8.4/10
Ease of Use
8.6/10
Value
7.7/10
Standout Feature

Revenue Cycle Management service with guaranteed clean claims and outsourced billing options

Kareo is a cloud-based medical billing and practice management platform designed for independent practices, including chiropractors, offering integrated revenue cycle management, claims processing, and EHR functionality. It specializes in chiropractic billing by supporting CMT codes, insurance verification, denial management, and ERA posting to streamline reimbursements from Medicare, auto, and workers' comp payers. The platform also includes patient payment tools and analytics for optimizing cash flow in chiropractic offices.

Pros

  • Automated claims scrubbing with 98%+ clean claims rate
  • Integrated EHR and patient engagement for full workflow
  • Strong support for chiropractic-specific codes and payers

Cons

  • Pricing can be high for solo practitioners
  • Limited advanced customization for niche chiro workflows
  • Occasional reports of slow customer support response

Best For

Small to mid-sized chiropractic practices seeking an all-in-one cloud solution for billing and practice management.

Pricing

Starts at ~$155/provider/month for core billing; full suite $300+/provider/month; custom quotes required.

Visit Kareokareo.com
8
AdvancedMD logo

AdvancedMD

enterprise

Full-suite practice management and EHR with robust chiropractic billing, ERA posting, and denial management features.

Overall Rating8.1/10
Features
8.8/10
Ease of Use
7.4/10
Value
7.6/10
Standout Feature

Intelligent Rules Engine for automated claims editing and scrubbing, achieving up to 99% first-pass acceptance rates

AdvancedMD is a cloud-based, all-in-one practice management, EHR, and billing platform designed for medical practices, including chiropractic offices, offering end-to-end revenue cycle management. It supports chiropractic-specific billing with automated claims scrubbing, electronic submission to major carriers, denial management, and handling of CPT codes like 98940-98943. The software integrates patient scheduling, superbills, and reporting to streamline workflows and improve cash flow for chiropractors.

Pros

  • Robust claims scrubbing and denial management for high reimbursement rates
  • Seamless integration with EHR and scheduling for chiropractic workflows
  • Cloud-based access with mobile apps for on-the-go billing

Cons

  • Steep learning curve for new users due to extensive features
  • Pricing is premium and requires custom quotes, less ideal for solo practices
  • Customer support can be inconsistent based on user feedback

Best For

Mid-sized chiropractic practices seeking a comprehensive, integrated billing and practice management solution.

Pricing

Custom subscription pricing starts at ~$729/month per provider for the full suite (EHR + billing); additional fees for implementation and add-ons.

Visit AdvancedMDadvancedmd.com
9
Power Diary logo

Power Diary

specialized

Online practice management software with billing, invoicing, and superbills for chiropractors and allied health professionals.

Overall Rating7.8/10
Features
7.5/10
Ease of Use
9.0/10
Value
8.2/10
Standout Feature

Customizable SOAP note templates with voice-to-text transcription for quick chiropractic documentation tied directly to billing.

Power Diary is a cloud-based practice management platform tailored for allied health professionals, including chiropractors, providing tools for scheduling, clinical documentation, telehealth, and billing. It handles chiropractic billing with features like insurance claims submission, superbills, batch invoicing, and integration with payment processors such as Stripe. While versatile for overall practice needs, its billing module is functional but lacks the depth of dedicated chiropractic billing specialists.

Pros

  • Intuitive interface with mobile app for on-the-go access
  • Comprehensive all-in-one solution reducing need for multiple tools
  • Strong client portal and automated reminders for better cash flow

Cons

  • Billing lacks advanced clearinghouse integrations compared to specialists
  • Per-practitioner pricing can add up for multi-provider clinics
  • Limited customization for complex chiropractic insurance scenarios

Best For

Solo or small chiropractic practices seeking an user-friendly all-in-one practice management tool with reliable basic billing.

Pricing

Starts at $19.95/month per practitioner (Essentials plan), scaling to $69.95/month (Premier) with a 14-day free trial; annual discounts available.

Visit Power Diarypowerdiary.com
10
Office Ally logo

Office Ally

other

Free web-based clearinghouse and billing tool for submitting chiropractic claims to insurance payers efficiently.

Overall Rating7.4/10
Features
7.2/10
Ease of Use
8.1/10
Value
9.2/10
Standout Feature

Free real-time eligibility verification for thousands of payers, saving time on pre-billing checks

Office Ally is a web-based medical billing clearinghouse that enables chiropractic practices to submit electronic claims, verify patient eligibility, and process electronic remittances (ERAs) efficiently. It supports chiropractic-specific CPT codes like 98940-98943 for spinal manipulations and integrates with various practice management systems. While not a full-featured practice management or EHR solution, it excels as a cost-effective tool for core billing tasks in smaller practices.

Pros

  • Low-cost transaction-based pricing with free eligibility checks
  • Simple web-based interface requiring no software installation
  • HIPAA-compliant with support for chiropractic billing codes and direct payer submission

Cons

  • Limited to billing functions without scheduling, EHR, or advanced reporting
  • Per-claim fees can accumulate for high-volume practices
  • Dated interface and occasional customer support delays

Best For

Solo chiropractors or small practices needing an affordable, no-frills clearinghouse for insurance claims and eligibility verification.

Pricing

Free signup and basic eligibility verification; claims submission at $0.19-$0.25 per transaction; ERA posting at $0.10-$0.15 per remittance.

Visit Office Allyofficeally.com

Conclusion

After evaluating the top chiropractic billing software options, ChiroTouch emerges as the top choice, offering an all-in-one solution with cloud-based EHR, practice management, and automated claims. Genesis Chiropractic Software excels for multi-provider offices with advanced insurance tools, while ChiroFusion stands out for its HIPAA-compliant cloud EHR and integrated claims processing, catering to different needs. These tools collectively provide robust solutions to streamline practice operations.

ChiroTouch logo
Our Top Pick
ChiroTouch

Explore ChiroTouch today to leverage its comprehensive features and enhance your practice's efficiency, or consider Genesis or ChiroFusion based on your specific needs