For chiropractic practices
Insurance billing for chiropractic practices.
From the signed visit in ChiroHD or Jane to the payment posted back into it.
We bill BCBS commercial plans first. We check coverage before we file, review the coding against the signed note, file, follow up and post the payment.
Where we start
BCBS commercial plans first.
We take on your BCBS commercial claims first. Other payers and secondary claims follow, one payer at a time, once their rules pass our checks.
We check the patient’s coverage before we file. A coverage problem shows up before the claim goes out, not weeks later on a denial.
Coding review
Each CMT claim checked against the signed note.
Codes 98940 to 98942. We read the note. We never change it.
- The AT modifier. On each CMT line the note supports as active treatment.
- The regions match the code. 98940, 98941 or 98942 matches the number of spinal regions in the signed note.
- The M99 segmental dysfunction code first. One for each region adjusted, listed before anything else.
- Symptom codes second. Pain and other symptom codes follow the M99 codes.
- The initial treatment date on the note. We read it from the signed note, where the payer expects it.
When the note does not support the claim, the question goes to your provider, once. Your provider decides what the note says.
Then the rest
Filed, followed, posted, matched.
- Filing. Each claim goes out through the clearinghouse.
- Follow-up. We track every filing deadline and every claim that goes quiet.
- Posting. We post each payment into your EHR and keep every adjustment.
- Patient balance. We work out what the patient owes from the payer’s payment and explanation.
- Deposit match. We match each bank deposit to the payment behind it.
What you get back: paid claims, and a short list of what needs you.
ChiroHD and Jane are the EHRs we take visits from today. Your money keeps going to your bank. We never hold it.
What it costs
One monthly fee. One launch fee.
$500 a month
For a practice billing up to $10,000 a month in insurance charges. Larger practices: we quote from your volume.
One launch fee, quoted with your scope, covers enrollment, connecting your EHR, capturing your contract rates and the shadow period.
Get started
Set up your practice.
Create an account, find your practice by its NPI and tell us whether you use ChiroHD or Jane.
Would you rather talk first? Email Ian Harman.