Billing software for chiropractic owners

Chiropractic billing software

Your course of care ends and the relationship ends with it, unless something carries it forward. Smarfle holds a maintenance plan on the patient with its own cadence, so continuing care is a standing arrangement instead of a re-sell every time.

7 days free · No credit card · Built in Florida

Smarfle · Chiropractic Recurring Billing
Next 30 days

$8,420

Active subscriptions

47

Upcoming auto-charges

Acme Office Park

Monthly maintenance

$485

in 3 days

Riverside Apartments

Quarterly service

$1,200

in 12 days

Downtown Plaza

Monthly recurring

$320

in 18 days

West End Hotel

Bi-weekly contract

$680

in 5 days
Auto-charge enabled · Stripe Connect0.5% platform fee

Real Smarfle UI · Live data from your chiropractic CRM

Why generic billing software fails chiropractic owners

Generic billing tools weren’t built for chiropractic. Smarfle was.

Generic billing software

What everyone else gives you

  • Plan payments are tracked on a spreadsheet between patients
  • Copay collection at the desk depends on how busy the desk is
  • Membership renewals are forgotten, and the revenue goes with them

Smarfle for chiropractic

Built for your actual workflow

  • The course is billed up front as its own service with the visits remaining held on the record
  • The card on file is charged with the visit, so the desk is not the payment system
  • A monthly arrangement charges on its own date without anyone opening it
Step-by-step

How chiropractic billing works in Smarfle

From the first touch to the closed loop. No missing pieces.

  1. 1

    The plan of care is priced as one thing

    The number of visits and what they cost are agreed at the start and held on the patient, so nothing is re-quoted at visit nine.

  2. 2

    Payment is taken once, not per visit

    The course is settled up front or against a stored card, so the front desk is never where a treatment decision gets made.

  3. 3

    Visits draw down against the record

    Each appointment marks off the plan, so what has been used and what remains is the same number for the practice and the patient.

  4. 4

    Maintenance carries the relationship on

    When the course ends, a standing monthly arrangement continues on its own date, so continuing care is not re-sold every time.

  5. 5

    Insurance and patient portions stay apart

    What a carrier is expected to cover and what the patient owes are separate figures throughout, so a balance is never a surprise at discharge.

Where chiropractic billing breaks down

The friction every chiropractic owner recognizes.

✕

Copay collection and cash-pay plan tracking live in different tools

The copay goes through one terminal and the cash-pay plan sits in a spreadsheet. Reconciling who paid what at the end of the week means two sources of truth, which is how a patient gets billed twice or never billed at all.

✕

Maintenance care is the best revenue in the practice and the hardest to convert

A patient finishes active care and wants to come twice a month. Without a membership to put them on, you either invoice every visit, which somebody forgets, or quote per visit, which earns less and keeps nobody for long.

✕

Annual HSA paperwork gets built by hand every January

A queue of cash-pay patients asks for itemized paperwork for their HSA and you rebuild it from an export over a weekend. Painful, slow, and the formatting comes out different every time, which is what gets it sent back.

The math for chiropractic owners

180 discharges, 180 decisions

Two hundred and ten active patients producing around 180 discharges a year is 180 separate moments where the relationship either continues or ends. Re-selling maintenance one patient at a time makes it a conversation somebody will sometimes skip. Carried as a standing arrangement, continuing care is the default rather than a pitch.

210

Active patients

~180

Discharges a year

~180

Plans possible

Based on typical chiropractic operations. Your numbers may vary.

Chiropractic billing software questions

No. Smarfle is the CRM and billing layer for copays, cash-pay care plans and HSA paperwork. Claims to Medicare, BCBS or Aetna go out of your clinical EMR such as ChiroFusion, ChiroTouch or Genesis, or your clearinghouse such as Office Ally or ClaimMD. There is no claim submission, no eligibility check and no SOAP notes here, and Smarfle is not sold as a medical records system.
Put the allowance in a number custom field on the patient and let the jobs on their record show what has been used. Smarfle does not count the included visits down or block a booking at the limit, so a visit beyond the plan is a job you invoice at the member price, which is its own service with its own price.
Yes. Raise it as an estimate with the price and a deposit, the patient accepts and signs it in the portal, and the deposit is credited against the final invoice. The visits used are a custom field you maintain rather than a balance the system polices, and the signed PDF settles any later question about what was agreed.
Keep a Medicare tracker as a number custom field on the patient and update it as visits go through. Reports give you revenue per patient for any range you pick. Smarfle will not stop a booking at the cap, so the check has to be a habit at the desk rather than a rule in the software.
One subscription bills to whoever holds the card, and every family member is their own client record with their own appointments and their own history. Link them with a tag or a custom field so the desk can see who belongs to which account. There is no family plan object doing the arithmetic, so the allowance is a number you keep rather than one the system enforces.
Yes. Retail goes on as inventory items with a cost, a sell price and a stock level. Add them as lines on the visit invoice and the stock comes off when they are used on the job. Stock is company wide rather than per room, and the parts cost feeds that job's profit figure.

Moving your chiropractic billing software off another tool?

Most chiropractic businesses arrive at Smarfle from one of the tools below. See a side-by-side comparison.

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