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Paper charts worked well for decades. Chiropractors wrote SOAP notes between adjustments, filed them in manila folders, and moved on to the next patient. Then insurance companies became more demanding. Compliance requirements increased. Suddenly, that filing cabinet turned into a burden instead of a tool.
It’s only natural that most have already moved to an electronic health record system. However, many chiropractors have been asking themselves the question whether their EHR system is the right one. Why? Because they realized that generic platforms have been built for the healthcare industry, not specifically for their medical field.
Chiropractic practices operate differently. Fifteen patients in an hour isn't unusual. Each one needs accurate documentation covering spinal segments, adjustment techniques, functional assessments, and progress toward treatment goals. Miss a detail, and the insurance claim gets denied. Spend too long documenting, and the waiting room backs up.
The good news? Software companies figured this out. A growing number of EHR platforms now cater specifically to chiropractic workflows, offering SOAP templates designed around spinal manipulation, outcome assessments that track the metrics insurance companies actually care about, and billing tools that understand chiropractic codes.
We examined thirteen of these platforms. Some focus exclusively on chiropractors. Others support multiple specialties but include dedicated chiropractic modules. All of them beat the alternative of forcing your practice into software built for someone else.
ChiroFusion
ChiroFusion has operated as a cloud platform since 2009, which makes it one of the longest-running options in the chiropractic space. The company promotes itself as affordable, starting at $129 monthly, and backs that claim with an integrated clearinghouse included at no extra cost for most users.
The platform handles the core functions chiropractors need: scheduling, SOAP documentation, billing, and claims management. Users report that documentation goes quickly once they've built their templates. The macro system lets you create shortcuts for common adjustment combinations so you're not typing the same thing forty times per day.
Real-time dashboards track practice metrics. Payment posting happens automatically when ERAs come through. And since everything lives in the cloud, there's no server to maintain in your back office. Capterra recognized ChiroFusion for ease of use in 2023, which matters when you're trying to train front desk staff who might not be tech-savvy.
ChiroTouch
If you've talked to other chiropractors about software, you've probably heard ChiroTouch mentioned. Over 12,500 practices use it nationally, making it arguably the dominant player in chiropractic-specific EHR. The company has been around for more than 25 years.
The recent addition worth knowing about is Rheo, their AI assistant. It captures conversations during patient visits and generates SOAP notes in real time. ChiroTouch claims documentation time drops by up to 92 percent when chiropractors use voice charting instead of clicking through templates. Intake forms also auto-populate into notes, which eliminates the redundant data entry that makes most EHR systems tedious.
Pricing starts at $159 monthly. That's higher than some competitors, and users have mentioned feeling nickel-and-dimed by add-on features that cost extra. Customer service gets mixed reviews depending on who you ask. But the platform's maturity means it handles edge cases and complex billing scenarios that newer systems sometimes fumble.
ChiroSpring
ChiroSpring positions itself as the modern alternative, built cloud native from the beginning rather than retrofitted from older desktop software. The interface feels cleaner than some competitors, with an app-style layout that younger practitioners tend to prefer.
Customization is the name of the game here. As a chiropractic practice, you want to be able to set up your notes however you like. The options they provide provide ample room to tailor it to your needs (eg checkboxes, dropdowns, dictation, or a visual spine diagram). The system automatically tracks care plans and flags patients who need re-examinations or are close to authorization limits.
Users consistently praise the billing workflow. Claims process faster, ERA reconciliation takes less time, and the integrated texting keeps patients from no-showing. Plans start at $149 monthly, which puts ChiroSpring in the mid-range for pricing. The company was created by chiropractors, and that shows in how the features align with actual clinic operations.
PrognoCIS
PrognoCIS comes from Bizmatics, a company that serves dozens of medical specialties. The chiropractic module exists within a broader platform, which has advantages and disadvantages depending on your situation.
For chiropractors who manage practices that offer massage therapy, physical therapy, or acupuncture, PrognoCIS supports various provider types without needing different systems. The templates are tailored to each specialty. Chiropractors receive SOAP formats for spinal documentation, while other providers access their own workflows.
The platform is MACRA certified and includes AI features through PrognoAI for documentation assistance. Billing integrates tightly with the clinical side. Pricing isn't published, which usually means it's higher than the chiro-specific competitors, but the feature depth may justify the cost for larger or more complex practices.
ChiroUp
ChiroUp takes a different approach. The company started as an evidence-based clinical decision support tool before expanding into full EHR functionality. That heritage still shapes the product.
The platform offers a library of research-based treatment protocols. Outcome assessments are included in the notes. Patient education materials can be shared easily. For chiropractors who want to provide evidence-based care and show results to referral sources, ChiroUp offers tools that many competitors do not have.
The Essentials plan costs $149 a month and provides access to the clinical tools. Adding full EHR functionality raises the price to $399 a month. Users say they save a lot of time on documentation. Some claim they complete all charts the same day instead of catching up after hours. The SOAP wizard helps you create compliant notes without needing a lot of template changes.
PayDC
PayDC built its reputation around compliance. The platform automatically guides SOAP notes toward documentation that supports medical necessity and insurance approval. Claims generate directly from daily notes with a single click.
The intelligence built into the billing side sets PayDC apart. The system tracks progression of care and highlights trends that strengthen your case for continued treatment. For chiropractors dealing with personal injury cases or workers' compensation claims, this kind of automated compliance support proves valuable.
Pricing starts around $149 monthly for basic features. The web-based version received a major update recently, modernizing an interface that some users found dated. Customer support gets generally positive reviews, though, like most vendors, response times vary depending on the issue.
ClinicMind
ClinicMind operates as an umbrella platform that acquired Genesis Chiropractic Software in early 2024. Genesis had already established itself as a top performer in Black Book Research surveys for chiropractic EHR, and that reputation carried over.
The combined platform offers extensive practice management alongside clinical documentation. Care plan management, mobile physician portals, patient kiosks, and marketing tools all integrate into a single system. Black Book Research ranked ClinicMind first for chiropractic EHR in their 2025 survey across 18 different performance indicators.
For practices that want to grow and invest in robust software, ClinicMind provides a solution. Revenue cycle management services take care of billing for practices that choose to outsource. AIScribe records clinical notes during patient interactions. The learning curve might be tougher than with simpler platforms, but the features adapt to meet your needs.
zHealth
zHealth targets chiropractors who want simplicity without sacrificing core functionality. The platform includes EHR, scheduling, billing, and patient communication in a package that users describe as genuinely easy to learn.
Pricing starts at $99 a month, which makes zHealth one of the more affordable options. The company highlights quick onboarding, saying most practices become fully operational within three days. SOAP note templates can be customized, and voice dictation speeds up documentation for providers who prefer talking to typing.
Two-way texting manages patient communication. Automated reminders cut down on no-shows. Online scheduling allows patients to book their own appointments. The feature set won't overwhelm a solo practitioner or small practice, which is the goal. zHealth handles the basics well without drowning users in options they'll never need.
ChiroHD
ChiroHD arrived more recently than most competitors, founded in 2017. The founders designed it to be native with modern user experience principles, which shows in the interface. Users frequently mention how clean and intuitive the system feels compared to older platforms.
The patient app deserves attention. Patients can view X-rays, manage appointments, and check in families from their phones. Staff save time because patients handle their own administrative tasks. The drag-and-drop scheduling and bulk appointment creation support high-volume practices.
The Standard plan starts at $299 monthly, which is considered to be at the premium end. In return, you’ll get a system that partners with chiropractic universities on research initiatives. In case you’re contributing to the profession's evidence base, this could certainly be an added value.
ACOM Health
ACOM Health offers the RAPID platform, which combines EHR, practice management, and billing services specifically for chiropractors. The company has roots in document automation solutions, bringing that expertise to clinical documentation.
Templates are ready-made for common chiropractic workflows. Point-and-click visual tools make creating SOAP notes faster. The billing service option allows practices to fully outsource claims management, letting staff concentrate on patient care instead of insurance paperwork.
Pricing begins at about $319 per month for just the software, with bundled billing services offered at higher levels. Some users say that customer service can be uneven, while others share positive experiences. The platform is suitable for practices looking for a complete solution that includes billing support, instead of handling everything in-house.
Platinum System
Platinum System has been helping chiropractors since 1990, making it one of the oldest options in the market. The platform runs on local servers instead of the cloud, which some practitioners prefer for speed and reliability.
The system efficiently supports high-volume practices. Two screens provide doctors and front desk staff with everything they need without clutter. Insurance billing tools include aging reports and automated claim generation. A networking feature allows chiropractors to collaborate on cases with each other.
One thing to note is to look carefully at the cost structure. Certain components may come at additional fees, so make sure to discuss this with your POCs at Platinum System. However, for chiropractors who value speed over appearance, Platinum offers performance that cloud systems can sometimes fall short of.
PracticeStudio
If you run a clinic with multiple providers on different schedules, PracticeStudio handles that complexity without falling apart. Claims get sorted into buckets based on where they are in the process, which billers appreciate when they're chasing down denials.
The reporting side shows your numbers in charts and graphs rather than spreadsheets full of raw data. And yes, it carries ONC certification for practices that need to check that compliance box.
What does it cost? They won't tell you until you talk to sales. That's usually code for "more than the simple options." Users aren't shy about saying the software takes real training to learn. It's powerful, sure. But intuitive? Not really. Whether that tradeoff works depends on how complicated your practice actually is.
RevenueXL
RevenueXL distributes the PrognoCIS platform with added services focused on revenue cycle management. The company positions itself as a partner for practices that want support beyond just software licensing.
Chiropractic-specific templates cover SOAP documentation, care plans, and outcome tracking. The billing software integrates with clinical workflows to capture charges automatically. For practices that struggle with collections or claim denials, RevenueXL offers managed billing services to optimize revenue.
Pricing varies based on the services selected. The target customer is typically a practice wanting comprehensive support rather than just a software tool. Implementation includes consultation on workflows and coding practices, not just technical setup.
Making the Right Choice
Thirteen options mean no shortage of choices. The right one depends on your practice size, budget, comfort with technology, and specific workflow requirements.
Solo practitioners handling their own billing probably want something straightforward. ChiroFusion or zHealth offer solid functionality without overwhelming complexity or cost. Neither platform requires a computer science background to configure. Grow your practice, and you can always migrate later.
Established practices with staff might appreciate the maturity of ChiroTouch or the Platinum System. Both have handled thousands of chiropractic clinics over decades. The learning curves are steeper, but the platforms handle unusual situations that simpler software might choke on. Complex billing scenarios, multi-location management, and detailed compliance reporting. These systems have seen it all.
Budget-conscious practices have real options now. A decade ago, a capable chiropractic EHR cost serious money. Today, functional platforms start under $100 monthly.
Every vendor offers demos. Take them up on it. Bring your staff. Test the workflows you actually use. Have someone process a mock claim. Create a SOAP note for a typical adjustment visit. The marketing materials promise everything. Only hands-on time reveals whether the software fits how you practice.
Your patients don't care what software you use. They care about getting better. Pick the tool that lets you focus on them.
