For chiropractors and chiro clinics
Adjustments take 8 minutes. Notes shouldn't take 8 more.
We build SOAP-note shortcuts, prior auth handlers, and claim-appeal automation for chiropractic clinics. Same documentation, a tenth of the keystrokes. HIPAA compliant. Code yours to keep.
What we hear
Three moments you know.
Per-visit margin
$25 reimbursement. $21 of overhead. Most of that overhead is the documentation insurers demand.
Prior auth wall
Asked for 12 visits. Got 4. Two-hour hold to argue about it. Repeat next month.
Denial loop
Missing AT modifier. Missing date of onset. Claim bounces. 90 days to refile. Cash flow stalls.
What it actually looks like
Three real moments we fix.
Daily SOAP note for every adjustment
Before
End of day, fifteen notes left to write. Subluxation, modality, phase, response. The same fields, every time, every patient.
After
Voice note chairside or a checkbox on the tablet. Note formatted with AT modifier, date of onset, subluxation diagnosis. Medical necessity language matches the visit.
Notes done before the next patient sits down.
United Healthcare Medicare Advantage prior auth
Before
Front desk on hold for 90 minutes. Submits a 4-visit auth. Gets approved for 2. Patient waits 15 days.
After
PA bundle assembled from the chart: CPT, ICD, treatment plan, medical necessity narrative. Submitted through the payer portal. Approval status pulled back automatically.
PA submission in 4 minutes. Approval window down from 15 days to 5.
Denied claim, missing modifier
Before
Clearinghouse rejection. Front desk pulls the chart, finds the missing modifier, refiles. 3 weeks later it goes through.
After
Pre-submission scrub catches missing AT modifier, missing onset date, or wrong CPT-ICD pairing before the claim leaves your system.
Catch it on Monday, not 3 weeks later.
PI / workers comp narrative report
Before
Attorney requests a 6-page narrative. Doctor blocks 2 hours after clinic to write it. Sometimes it slips a week.
After
Visits, findings, modalities, and progress pulled from the chart. Draft narrative in your voice, formatted for the requesting party. Doctor reviews and signs.
2 hours of writing becomes 10 minutes of review.
What we build
Six automations we ship.
Each is a discrete system. You don't need all six. Start with one.
SOAP note shortcuts
Voice or tablet input, structured note out. AT modifier, subluxation code, and medical necessity language ready for billing.
Prior auth assembly and submission
Auth packets built from the chart. Submitted to UHC, Aetna, Cigna, BCBS portals. Status pulled back automatically.
Claim scrubbing
Pre-submission check for missing modifiers, onset dates, and CPT-ICD mismatches. Catch denials before they happen.
Appeal letter generation
Denied claim plus chart history becomes a structured appeal letter with cited medical necessity. Signed and sent.
PI and workers comp narratives
Multi-visit narrative reports for attorneys and adjusters. Pulled from the chart, written in your voice.
Eligibility verification
Insurance checked the night before. Front desk sees coverage, copay, and chiro visit limits before the patient arrives.
Investment
Straightforward pricing.
Discovery audit
$1,500 to $3,000
We map one process end to end and tell you exactly what to build. Written deliverable. Fixed price. No commitment to a build.
Build engagement
$8,000+
Weekly demos. Deployed to your infrastructure. You own the code when we ship. Quoted after discovery.
Operate retainer
$750+/mo
We monitor and maintain what we built. You get a direct line to the person who wrote the code. Cancel any month.
How we work
What you can count on.
Common questions
Things people ask before booking.
Will this work with ChiroFusion, ChiroTouch, or Jane?
Yes. We integrate with ChiroFusion, ChiroTouch, Jane, PayDC, and ClinicMind through their APIs or scheduled SFTP exports. We confirm compatibility before quoting.
Is the SOAP note generation HIPAA compliant?
Yes. Notes can run on a local model on your office machine, or on your private cloud account. Patient data does not leave your network. We sign a BAA on every chiro engagement.
Will this help with Medicare AT modifier compliance?
That is one of the first checks the system runs. AT modifier, date of onset, and active treatment language are required for every Medicare adjustment claim. We catch missing fields before the claim is submitted.
How fast does a chiro clinic see ROI?
Documentation cuts from 8 minutes per chart to under 1 typically pay back the build within 60 days at most clinics. Prior auth automation and denial reduction add to that.