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Last Updated: Sep 28, 2026
Chiropractic billing software automates insurance claims, CPT coding, eligibility checks and patient payments for chiropractic practices. We compared five platforms, and Pabau, the all-in-one practice platform we build, is the strongest pick for practices that combine chiropractic with other services. ChiroTouch is the better fit for chiropractic-only practices with heavy insurance volume.
Billing software matters here because chiropractic claims follow unusual rules. Medicare covers spinal manipulation only with strict medical-necessity documentation, and many private payers require prior authorization on multi-visit care plans. The core CPT codes, 98940 through 98943, also carry modifier requirements that change by payer.
Below, each platform is scored on billing depth, EHR integration, pricing and fit, so you can build a shortlist around your own payer mix.
Key takeaways
1. Pabau — best for multi-service practices that want billing, records, scheduling and marketing in one system.
2. ChiroTouch — best for chiropractic-only practices with high Medicare and private-payer claim volume.
3. Jane App — best for scheduling-first practices and Canadian chiropractors billing provincial plans.
4. Genesis Chiropractic Software — best for high-volume practices that want billing automation inside a chiropractic EHR suite.
5. Eclipse EMR — best for established practices that want an on-premise deployment option.
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Chiropractic billing software compared at a glance
Here are the five platforms side by side. Ratings come from verified review platforms. Pricing reflects what each vendor publishes as of 2026, so confirm it with the vendor before you buy.
1. Pabau – best chiropractic billing software for multi-service practices
Pabau handles billing, clinical documentation, scheduling and patient communications from a single system. Chiropractic-specific tools lock you into a single-specialty workflow, while Pabau suits practices that add physical therapy, sports medicine, massage or aesthetic services. Every subscription includes every feature, and pricing scales with the number of users and locations.
For billing, Pabau generates invoices automatically at checkout, supports payment plans, and posts card payments straight to the patient record. The claims management tools connect to clearinghouses for electronic submission, so practice managers track claim status without switching systems. HIPAA compliance is built into the platform rather than sold as an optional module.
Key features
- Automated invoicing: Invoices generate at appointment checkout and can be emailed to patients automatically, which cuts front-desk follow-up
- Claims management: Electronic claim submission via clearinghouse integration, with status tracking built into the practice dashboard
- Digital intake forms: Online forms replace paper new-patient packets, and completed forms flow into the patient record
- Clinical documentation: SOAP-style note templates that can be configured for chiropractic assessment and treatment recording
- Online booking: A patient-facing booking portal with automated appointment reminders by email and SMS
- Automated workflows: Recall, follow-up and post-treatment care sequences run without manual chasing
- Reporting and analytics: Revenue reports, clinician performance dashboards and outstanding payment tracking
- Multi-location support: One account manages several practice locations with consolidated reporting
Where Pabau shines
- Multi-specialty flexibility: Practices offering chiropractic alongside massage or physical therapy run every discipline on one system, instead of separate billing tools per modality
- No feature gating: Every plan includes the full feature set, so you pay for additional users and locations rather than for billing functions
- Unified patient record: Billing history, clinical notes, consent forms and appointments sit in one patient profile, so claims go out with the documentation attached
- Workflow automation: Recall and follow-up sequences run automatically, keeping treatment plans on schedule without manual reminders from the front desk
Where Pabau falls short
- Not chiropractic-native: Pabau’s clinical templates are highly configurable but don’t ship with pre-built chiropractic SOAP templates. Setup takes more configuration than a chiropractic-specific tool
- US insurance billing depth: Practices with high-volume Medicare and private-payer chiropractic billing should confirm clearinghouse payer connectivity before committing
Customer reviews
Pabau holds a 4.7/5 rating from 600+ verified reviews on Capterra. Reviewers frequently highlight the breadth of features and the quality of onboarding support. Common criticisms point to a learning curve during setup, particularly for practices migrating from simpler tools.
Who Pabau is best for
- Multi-discipline practices offering chiropractic alongside physical therapy, sports medicine or massage therapy
- Practices that want billing, EHR, scheduling and marketing automation inside one platform rather than stitched-together point solutions
- Practice groups managing multiple locations from a single account
- Chiropractors planning to expand their service mix beyond spinal care
Pricing
Pabau quotes each practice on its team size and locations rather than publishing one list price. Pabau’s pricing page shows how that works.
2. ChiroTouch – best chiropractic billing software for single-specialty practices
ChiroTouch is one of the most widely used chiropractic billing platforms in North America. It is purpose-built for chiropractic workflows. SOAP note templates follow chiropractic assessment conventions, and the CPT code sets include 98940 through 98943 with the modifiers chiropractors use most. For a practice where every patient is a chiropractic patient, that depth matters.
ChiroTouch includes real-time eligibility verification, automated claims submission and an integrated patient portal. Chiropractors can complete SOAP notes on a tablet during or right after an adjustment, which keeps charting from piling up. The platform also supports the PART documentation that Medicare requires for chiropractic reimbursement.
Key features
- Chiropractic SOAP templates: Pre-built documentation templates that follow chiropractic assessment and treatment conventions
- Real-time eligibility verification: Checks patient insurance coverage before the appointment to reduce billing surprises
- Automated claims submission: Sends claims electronically to payers via an integrated clearinghouse
- CPT code library: A chiropractic procedure code library including 98940-98943 and common modifiers
- Patient portal: Patients can complete intake forms and review visit summaries online
- Medicare compliance tools: Documentation workflows aligned with CMS chiropractic coverage requirements
Where ChiroTouch shines
- Chiropractic-native depth: Workflows, templates and code libraries are built for chiropractic, which cuts configuration time compared to generalist platforms
- Eligibility verification: Coverage checks before appointments save meaningful time for practices with high insurance volume
- Tablet-friendly charting: SOAP documentation is optimized for use during or right after patient encounters, not just at a desktop
Where ChiroTouch falls short
- Customer support: Capterra reviewers consistently flag slow response times from the support team, particularly for billing queries
- Price point: Multiple reviewers describe ChiroTouch as expensive relative to alternatives, and setup complexity adds to the total cost of ownership
- Single-specialty focus: Practices offering services beyond chiropractic will find the platform doesn’t accommodate other disciplines well
Customer reviews
ChiroTouch holds a 4.1/5 rating from around 1,100 reviews on Capterra. Positive reviews praise the chiropractic workflow depth and built-in billing automation. Critical reviews center on support responsiveness and the cost relative to what the platform delivers.
Who ChiroTouch is best for
- Established single-specialty chiropractic practices with high insurance claim volume
- Practices where Medicare and private-payer billing accuracy is the primary operational concern
Pricing
ChiroTouch lists its Start, Grow and Scale plans without figures, so you’ll need a quote from its sales team for your provider count.
3. Jane App – best chiropractic billing software for scheduling-first practices
Jane App is a cloud-based practice management platform built around scheduling. Group practices with several practitioners sharing treatment rooms tend to rate it very highly. Its calendar is consistently praised across review platforms as one of the easiest to use in allied health software.
Billing in Jane App covers invoicing, online payment collection and insurance billing, and Canadian chiropractors get strong provincial billing support. Insurance billing is a paid add-on available only on the Practice and Thrive plans, not on Balance.
For US practices with complex insurance billing, Jane’s capabilities are more limited than ChiroTouch or Genesis. Jane suits practices where scheduling is the main pain point and billing is relatively straightforward.
Key features
- Calendar and scheduling: A highly rated multi-practitioner calendar with online booking and automated reminders
- Customizable note templates: Flexible documentation templates that can be configured for chiropractic SOAP notes
- Online payment collection: Patients pay at booking or at checkout via integrated payment processing
- Insurance billing: Claim submission on the Practice and Thrive plans, strongest for Canadian provincial billing
- Telehealth integration: Video consultations built into the booking flow
Where Jane App shines
- Scheduling UX: The calendar is widely regarded as one of the easiest to use in allied health software, which shortens front-desk training
- Support responsiveness: Jane App’s customer support earns consistent praise on Capterra and G2, which sets it apart from ChiroTouch
- Canadian billing: Provincial insurance billing workflows are stronger than most US-built alternatives
Where Jane App falls short
- US insurance billing depth: Practices with complex US private-payer and Medicare workflows will find Jane App’s insurance billing less capable than specialist chiropractic platforms
- Chiropractic-specific templates: Note templates need manual configuration for chiropractic use, because no pre-built chiropractic SOAP templates ship with the platform
Customer reviews
Jane App holds a 4.8/5 rating on Capterra and 4.7/5 on G2, among the highest in allied health software. Reviewers consistently praise the scheduling interface and support quality. The recurring criticism is that billing falls short of what specialist billing tools deliver.
Who Jane App is best for
- Chiropractic and allied health practices where scheduling complexity is the primary operational challenge
- Canadian chiropractors who need provincial insurance billing support
- Group practices with multiple practitioners sharing appointment availability
Pricing
Jane prices in Canadian dollars, so the US figures above are converted at 0.70 and will move with the exchange rate.
Pro Tip
Before committing to any chiropractic billing software, run a 90-day denial rate audit on your current claims. Track denials by reason code, such as eligibility failure, coding error, missing prior authorization or timely filing. Then score each platform on how it handles the reasons that hit your payer mix hardest. A platform that eliminates your top denial reason is worth more than one with a longer feature list.
4. Genesis Chiropractic Software – best for billing automation-focused practices
Genesis Chiropractic Software, built by ClinicMind, is a cloud EHR and practice management suite for chiropractic practices. It combines care plans, billing and a patient portal, with billing automation at the center of its pitch. High-volume practices processing hundreds of insurance claims a month are its natural audience.
Genesis includes automated claims submission, real-time eligibility verification and reporting built around revenue cycle metrics. Those metrics include collection rates, denial tracking and days in accounts receivable (AR). According to its website, Genesis integrates with major clearinghouses and supports multi-payer chiropractic billing. As with any vendor, ask for a demo and reference calls before committing.
Key features
- Automated claims submission: Batch claim processing with clearinghouse integration for electronic submission
- Real-time eligibility verification: Automated eligibility checks before patient appointments
- Revenue cycle reporting: Collection rate tracking, denial analysis and days-in-AR dashboards
- Practice management: Scheduling, patient records, care plans, clinical documentation and a patient portal alongside billing
Where Genesis shines
- Billing automation focus: The platform is built around revenue cycle performance, which suits practices where billing throughput is the primary concern
- High-volume claim processing: Designed for practices processing large claim volumes without scaling billing staff at the same rate
Where Genesis falls short
- Non-transparent pricing: No published pricing makes budget comparison harder at the evaluation stage
Customer reviews
We don’t quote a rating for Genesis in this comparison. Ask ClinicMind for reference customers with a payer mix like yours, and pair those calls with a structured demo.
Who Genesis is best for
- High-volume chiropractic billing operations processing hundreds of insurance claims per month
- Practices where revenue cycle management and billing analytics are the main selection criteria
Pricing
Genesis doesn’t publish pricing and uses a custom model, so contact the company for a quote based on your practice size and claim volume.
5. Eclipse EMR – best for practices wanting flexible deployment
Eclipse EMR is one of the longest-established chiropractic billing and practice management platforms. Its key differentiator is deployment flexibility. Eclipse offers both an on-premise installation and a cloud-hosted version, so practices can choose a one-time license instead of an ongoing subscription. For practices that have run on-premise software for years, Eclipse avoids a forced move to the cloud.
The platform covers chiropractic clinical documentation, CPT code billing, insurance claim submission and payment collection. Its feature set is established and stable. The tradeoff is an interface that reflects its older architecture, so practices used to modern software may find Eclipse less intuitive.
Key features
- Flexible deployment: On-premise or cloud-hosted installation, giving practices control over infrastructure and data hosting
- Chiropractic billing: Insurance claim submission, CPT code management and payment collection
- Clinical documentation: SOAP note tools for chiropractic assessment and treatment records
- Scheduling: Appointment management linked to patient records
Where Eclipse shines
- Deployment flexibility: The only platform in this comparison with an on-premise option, which suits practices that want to control their own data infrastructure
- Established track record: A long-standing platform in the chiropractic market with proven stability for core billing workflows
Where Eclipse falls short
- User interface: The design reflects an older platform, so practices used to modern cloud software may face a steeper adjustment
Customer reviews
Eclipse EMR is listed on Capterra, but we don’t quote a score for it in this comparison. Evaluate it through a vendor demo and by speaking with current Eclipse users in the chiropractic community.
Who Eclipse is best for
- Established chiropractic practices that prefer on-premise deployment and want to avoid ongoing subscription costs
- Practices with existing IT infrastructure that supports local server hosting
Pricing
Eclipse doesn’t publish figures for either deployment model, so contact the vendor for a current quote.
How to choose the right chiropractic billing software for your practice
Choosing between these platforms comes down to a handful of questions about your services, payers and setup. The flow below runs the two that settle most decisions.
Practice size and service mix: A solo chiropractor seeing 40 patients a week faces different billing complexity than a four-provider group that adds sports medicine. Define which billing workflows cause the most friction before you evaluate platforms. Our chiropractic billing cheat sheet lists the CPT and ICD-10 codes to test in each demo.
Insurance vs cash pay: High insurance volume demands real-time eligibility verification and deep clearinghouse connectivity. Mostly cash-pay or membership-based practices need strong invoicing and payment collection more than claims automation.
Deployment preference: Cloud platforms such as Pabau, Jane App and ChiroTouch suit practices that want automatic updates and no server maintenance. Eclipse suits practices that prefer on-premise control. Both models can support HIPAA compliance when properly configured.
Budget structure: Some practices prefer predictable monthly subscription fees, while others prefer a larger upfront license with lower ongoing costs. Eclipse’s on-premise option serves the second group, and every cloud platform here uses a recurring subscription. If chiropractic is one service in a larger multi-specialty group, also compare our list of the best medical billing software.
How Pabau handles billing for multi-service chiropractic practices
Chiropractors who add massage, physical therapy or sports medicine often end up running a separate tool for each service. The front desk re-keys charges, and claims stall when the visit note sits in one system and the invoice in another.
In Pabau, the visit note, the invoice and the claim live on the same patient record. Invoices generate at checkout, claims go out through the clearinghouse connection, and staff track claim status from one dashboard.
That removes the re-keying step where coding errors creep in, and it shortens end-of-day reconciliation for your team. Every subscription includes every feature, so adding a service line doesn’t mean buying another billing module.
See how Pabau handles chiropractic billing end to end
Billing automation, digital intake forms, claims management, and patient records in one system. Book a demo to see how it fits your practice.
Conclusion
Start with your denial report, not a feature list. If most rejections trace to eligibility or Medicare documentation and you only offer chiropractic care, ChiroTouch’s chiropractic-native depth earns its quote. If you also run massage, physical therapy or sports medicine, Pabau keeps every service on one record and one invoice.
Whichever platform makes your shortlist, bring your top three denial reasons to the demo. Ask the vendor to show how the software prevents each one. A tool that clears those will pay for itself faster than one with a longer feature list.
Book a demo to see how Pabau bills a combined chiropractic and physical therapy visit, from checkout to claim.
Continue your research
Want a quick reference for the codes you bill most? Chiropractic billing cheat sheet collects the CPT and ICD-10 codes chiropractors use day to day.
Billing manipulation of three or four spinal regions? CPT code 98941 covers when the code applies and what documentation supports it.
Unsure how claims reach the payer? What is a medical claims clearinghouse? explains the step between your billing software and the insurer.
Seeing the same denials every month? Denial management in healthcare walks through the causes of denials and how to prevent them.
Worried about late submissions? Timely filing limits by payer lists the deadlines for initial claims, corrected claims and appeals.
Frequently asked questions
What is chiropractic billing software?
Chiropractic billing software automates insurance claim submission, CPT code management, eligibility verification and patient payment collection for chiropractic practices. It replaces manual billing with workflows that connect directly to insurance clearinghouses. That reduces claim errors and speeds up reimbursement.
Does chiropractic billing software handle insurance claims automatically?
Yes, most chiropractic billing platforms submit claims electronically through clearinghouse integrations that connect to insurance payers. The degree of automation varies. Some platforms, such as ChiroTouch and Genesis, include real-time eligibility verification before appointments, while others handle claim submission and tracking but need manual eligibility checks. Always confirm which payers a platform connects to before you buy.
What CPT codes are commonly used in chiropractic billing?
The primary CPT codes for chiropractic spinal manipulation are 98940 (1-2 spinal regions), 98941 (3-4 spinal regions), 98942 (5 spinal regions) and 98943 (extraspinal manipulation). Medicare supports these codes through PART documentation: Pain or tenderness, Asymmetry or misalignment, Range-of-motion abnormality, and Tissue or tone changes. Two of the four must be present, and one of them must be asymmetry or range-of-motion abnormality. Codes for evaluation and management, therapeutic exercise and neuromuscular reeducation are also common.
Is cloud-based chiropractic billing software better than on-premise?
Cloud-based chiropractic billing software is the better choice for most new and growing practices. Automatic updates, no server maintenance, remote access and predictable monthly costs make cloud tools easier to manage. On-premise software suits established practices with existing servers, strong IT support and a preference for avoiding recurring fees. Eclipse EMR is the on-premise option in this comparison, and the others are cloud-native.
What is the difference between chiropractic EHR and billing software?
Chiropractic EHR software manages clinical records, SOAP notes, treatment plans and patient health data. Billing software manages insurance claims, CPT codes, invoicing and payment collection. Most modern chiropractic platforms combine both: ChiroTouch, Pabau and Jane App all include EHR and billing in one product. Separate EHR and billing tools add data-sync work and raise the risk of claims going out without the notes that support them.
How much does chiropractic billing software cost?
Published entry prices start at CAD $59 per month for Jane’s Balance plan, and costs climb with provider count and features. Pabau’s pricing is based on the number of users and locations, with every feature included. ChiroTouch, Genesis and Eclipse don’t publish pricing, so you’ll need a vendor quote. Factor implementation, training and clearinghouse fees into the total cost alongside the monthly subscription.
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