ProMantra delivers specialist chiropractic billing services to solo doctors, multi provider groups and injury centers nationwide, with a team that knows what payers expect from every spinal care claim.
A chiropractic claim can look simple on the surface, yet payers scrutinize it more closely than almost any other outpatient claim. Medical necessity, visit frequency, treatment region counts and the line between active care and maintenance care all decide whether you get paid. For more than 23 years, ProMantra has helped spinal care practices turn that scrutiny into a predictable payment cycle. Our chiropractic billing services give doctors of chiropractic a dedicated revenue cycle team that understands the documentation payers expect and the way those expectations differ by plan.
Generalist billing companies treat a spinal adjustment like any other visit. We do not. Our AAPC-certified coders work chiropractic charts every day, and our HIPAA compliant, ISO 27001 certified operation protects every patient record we touch. That focus is why practices that move to ProMantra see cleaner claims, fewer payer surprises and faster cash. When you choose chiropractic billing services built by specialists instead of a general vendor, you stop paying for errors that a chiropractic specialist would never make. Our team also keeps your providers informed about payer policy changes, so your clinical workflow and your billing stay aligned as rules evolve.
Founded, Over 23 years of dedicated chiropractic revenue cycle experience
All coding staff hold active professional certifications in chiropractic coding
Practices Served Healthcare practices of every size nationwide
Denial Rate Consistently outperforming the industry average of 8–12%
Fully encrypted, and secure at every touchpoint
Our chiropractic billing services support the complete range of care your practice delivers, from a routine adjustment to a complex injury case with multiple payers.
Our coding team stays current with annual CPT and ICD-10 updates, CMS chiropractic billing guidelines, and payer-specific LCD and NCD policies, so your claims are coded correctly the first time, every time.
Every stage of the revenue cycle has a chiropractic specific failure point. Our chiropractic billing services cover each one, from the first phone call with a new patient to the final balance on the ledger, so nothing slips between your front desk and your payers. Each service below is performed by trained specialists and measured against clear targets, so you always know how your revenue cycle is performing.
We confirm active coverage, chiropractic visit limits, copays and deductibles before the patient reaches the table. Your team knows what is covered and what the patient owes.
We obtain approvals where plans require them and monitor remaining visits, so treatment never runs past an authorization.
Our certified coders, working inside your chiropractic billing services account, match each visit to the right procedure, region count and diagnosis pairing. Clean coding is the foundation of every clean claim.
We reconcile your schedule against posted charges daily so no adjustment, modality or exam goes unbilled.
Claims are scrubbed against payer rules and submitted within 24 hours, which shortens your time to payment.
Insurance payments and patient collections are posted accurately, with every underpayment flagged against your contracted rates.
We find the root cause of each denial, correct it and appeal quickly. Patterns we uncover are fed back to your clinical team so they stop recurring.
Aging claims get systematic outreach to payers, with older balances worked first so revenue does not expire at the filing deadline.
Clear statements, flexible payment options and courteous follow up help you collect patient balances without harming the relationship.
We manage payer enrollment and revalidation, then deliver reports on collections, denials and visit trends that show where your practice stands.
Chiropractic practices run on high visit volume and modest per visit reimbursement, which means small leaks compound quickly. A few dollars lost on each visit, repeated across thousands of encounters, becomes a serious drag on revenue. Our chiropractic billing services close these leaks one by one, and we explain each fix so your team can prevent the problem at its source.
Payers look for clear evidence of a condition, a functional deficit and a measurable treatment goal. Notes that fall short of this standard are denied or recouped in audits. We review documentation patterns and give your providers practical templates that support every claim. Over time, your notes become a reliable defense against both denials and audits.
Medicare and many commercial plans pay only for treatment aimed at improvement, not for maintenance. We apply the right modifiers, prepare financial responsibility notices and bill maintenance visits correctly as patient pay. Patients receive a clear explanation before treatment, which prevents billing disputes later.
Billing an exam on the day of an adjustment triggers bundling edits at most payers. We know when a separate evaluation is supportable and how to present it so it is paid. We also train your front desk on how to flag these visits at scheduling.
Annual visit limits, per condition caps and carrier specific rules change often. We track them in real time so you are never surprised by an exhausted benefit. When a patient nears a limit, your staff is alerted early enough to discuss options.
Accident cases involve auto carriers, attorneys, med pay and long settlement timelines. We organize the paperwork, track each case and follow it to resolution.
Under timed unit rules, minutes must support the units billed. We audit therapy entries so you are neither underpaid nor exposed to overpayment findings. Clear time logs from your clinicians are all we need to keep these claims accurate.
Discover how much revenue you’re leaving on the table. Our experts will analyze your current billing performance and provide a detailed improvement plan at no cost.
Coding is where chiropractic claims are won or lost, and it is the core of effective chiropractic billing services. Our team of AAPC-certified coders stays current with annual code updates, payer bulletins and national coverage policy.
We count treated spinal and extraspinal regions precisely, so payment reflects the work performed.
We apply the right modifiers for active treatment, separate evaluations and distinct services to prevent bundling denials.
We pair primary and secondary diagnoses so each claim shows a clear link between the condition and the treatment.
We follow Medicare coverage limits for manual manipulation and document the required clinical findings on every claim.
We separate supervised and constant attendance modalities and bill timed services in correct units.
We choose the right level of service based on history, examination and decision making, not habit.
We bill in office imaging and diagnostic tests with correct technical and professional handling.
We perform internal coding audits on a regular schedule and share the findings with your doctors.
At ProMantra, we don't ask you to take our word for it, we show you the numbers. Here is what chiropractic practices consistently experience when they move their billing to ProMantra:
98%
First-pass Clean Claim Rate : Compared to the industry average of 75–85%
30%
Average Revenue Increase for New Clients within the First Year
<24 Hrs
Claim Submission Turnaround Time : From charge entry to clean claim
<35 Days
Average Days in AR : Compared to the Industry average of 50–60 days
<2%
Overall Denial Rate : Compared to the industry average of 8–12%
97%
First-level Appeal Success Rate
500+
Practices Served Nationwide
$2B+
In Healthcare Revenue Managed Annually Across All Specialties
These numbers are not projections, they are averages drawn from active client results. When you choose ProMantra as your chiropractic billing partner, you are choosing a company that has consistently delivered measurable, documented results for practices just like yours across every region of the United States.
Fewer Denials, Faster Cash Our previous biller never explained why claims were being denied. ProMantra found that our same day exam claims were bundling and fixed our documentation and modifier use. Our denial rate dropped dramatically in the first quarter, and our days in accounts receivable came down with it. I finally trust the numbers. Their chiropractic billing services gave us visibility we never had before.
Personal Injury Cases Under Control We treat a lot of auto accident patients, and tracking attorneys, med pay and liens was swallowing our office manager. ProMantra took over case tracking and settlement follow up. We now know exactly what is outstanding on every case, and we collect more of what we bill.
A Clean Transition for a Growing Group We added two new providers and a second location, and our billing could not keep up. ProMantra handled credentialing, set up our payer enrollments and had us submitting claims in days. Collections rose noticeably, and I got back hours every week.
See how we’ve helped healthcare organizations like yours achieve measurable revenue growth
Multi-Specialty Hospital
Surgery Centre
Surgical Centre with Lab Services
Our certifications and compliance standards ensure your revenue cycle operations meet the highest industry benchmarks for security, accuracy, and regulatory adherence.
Whatever your practice model, our chiropractic billing services adapt to the way you deliver care.
Making the decision to outsource your chiropractic billing is a significant step and we understand that uncertainty about the transition process is one of the biggest barriers practices face. That is why ProMantra has built a seamless, structured onboarding experience that gets your billing running smoothly from Day 1. Here is exactly what to expect:
We start with a thorough practice assessment which includes reviewing your current billing workflows, payer mix, fee schedules, coding history, and EHR or practice management system. Our integration team connects with your existing technology environment, and a dedicated account manager is assigned to your practice immediately.
Your billing team is fully configured. We establish escalation protocols, reporting schedules, authorization workflows, and coding preferences specific to your practice. You receive direct contact information for your account manager and can reach them by phone or email during business hours.
Your claims are live. Our team is submitting charges, posting payments, and managing denials with complete transparency through your real-time client portal. You will see exactly what has been submitted, what has been paid, and what is in follow-up at any moment.
We analyze early data to identify coding gaps, undercoding patterns, payer trends, and denial root causes. Adjustments are made proactively to optimize your clean claim rate and collections, not reactively after problems compound.
Quarterly business reviews, continuous compliance monitoring, payer policy updates, annual CPT and ICD-10 training, and dedicated support ensure your revenue cycle stays optimized year after year. There are no surprises, no hidden fees, and no long-term lock-in contracts.
A detailed 90-day review with your account manager highlights the improvements in revenue, AR days, denial rates, and collections efficiency. Most ProMantra clients report a 20–30% improvement in net collections by this milestone.
Billing in house means salaries, training, software and constant rule changes, all competing with the time you want to spend on patients. Outsourcing converts that fixed overhead into a managed service with measurable results. With ProMantra, you gain a team of specialists, proven workflows and transparent reporting without adding headcount.
The right partner does more than submit claims. It protects your compliance position, reveals where revenue is leaking and gives you the data to plan growth. That is why practices of every size choose to outsource chiropractic billing services to a specialist rather than carry the burden themselves. You also gain continuity: when a team member leaves, your revenue cycle keeps moving without interruption.
Most practices are live within a few weeks. We review your systems, payer mix and open accounts, then take over billing in an orderly handoff.
Yes. You see everything through regular reports and direct access to your account team. Payments always go to your accounts, never ours.
We work with the leading chiropractic and practice management platforms, so you can usually keep the system your team already knows.
Pricing is typically a percentage of collections, which aligns our results with yours. We provide a clear proposal after reviewing your practice.
Partner with ProMantra and expect three outcomes: cleaner claims that are paid on the first pass, a lower denial rate and a steady rise in collections. Contact us today for a free review of your current billing performance and see how our chiropractic billing services can lift your collections.
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Chiropractic billing services manage the full revenue cycle for a spinal care practice, from verifying benefits to collecting final balances. A specialist team handles coding, claim submission, payment posting, denials and patient statements. Because chiropractic payers apply unique rules on medical necessity and visit limits, specialist handling reduces errors and speeds payment. The goal is to let you focus on patients while your collections improve.
Chiropractic claims depend heavily on documentation that proves a treatable condition and ongoing improvement. Payers also differ on visit caps, covered regions and how they treat same day evaluations. Medicare adds its own narrow coverage for manual manipulation. These layers of rules create many chances for denial unless a billing team knows them well.
We stop denials before they happen by verifying benefits, scrubbing claims against payer edits and coding precisely. When a denial does occur, we trace the root cause, correct it and appeal promptly. We then share the trend with your providers so the same issue does not repeat. This process is why we maintain a denial rate under 2%.
Yes. Medicare covers only manual manipulation of the spine to correct a subluxation, and it requires specific documentation and modifiers. We apply those requirements to every Medicare claim and prepare the notices needed when a service is not covered. This protects you from denials and from repayment demands after an audit.
We do. Our chiropractic billing services team coordinates with auto carriers, attorneys and med pay benefits, and tracks each case until it settles. We maintain organized records and follow up on outstanding balances. This gives you clear visibility into what is owed on every injury case.
Maintenance care is usually not covered by insurance, so it should be billed to the patient. We help you apply the right modifiers, collect signed financial responsibility forms and present clear statements. This keeps you compliant and avoids disputes over unexpected balances.
Yes. ProMantra is HIPAA compliant and ISO 27001 certified, and our coders are AAPC-certified. We protect patient information with strict access controls and secure systems. Your data is treated with the same care we would expect for our own.
We work with the major chiropractic and practice management systems and can adapt to the platform you use today. If you plan to switch systems, we can support the migration and keep claims moving. You do not need to replace your software to benefit from specialist chiropractic billing services. We also provide secure access for your staff so day to day questions are answered quickly.
New clients report an average revenue increase of 30% after moving to our chiropractic billing services. Results depend on your starting point, payer mix and documentation habits. We review your current performance first and set realistic goals before we begin.
Contact our team for a no obligation review of your practice and a clear look at what our chiropractic billing services would change. We assess your payers, claims history and software, then recommend a plan and timeline. Most practices complete onboarding within a few weeks, with your account team guiding each step.
Not sure whether your current billing process is leaving revenue on the table? You are probably right to wonder. ProMantra offers a complimentary, no-obligation chiropractic billing assessment that gives you a clear, honest picture of your practice’s revenue cycle performance and exactly what we can do to improve it.
Your free assessment includes:
There is no obligation and no sales pressure. If you decide ProMantra is not the right fit, you walk away with a free, expert analysis of your revenue cycle and actionable recommendations. If you do choose to partner with us, you start from a position of complete clarity about where your revenue is going and how much we can recover.
