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ChiroSpring 360
San Diego, California, United States
What it is
ChiroSpring 360 is cloud-based chiropractic practice management software for scheduling, clinical documentation, billing, and patient engagement. Its SOAP notes use customizable templates and macros, with more than 50 templates listed. Billing tools include automatic claim creation, claim scrubbing, and ERA posting; the Clearinghouse add-on includes a TriZetto account and connection. Appointment reminders can be sent by email, text, or voice, while GrowthHub plans add patient messaging and engagement features. The optional ChiroSpring AI add-on includes an AI Scribe, note rewriting, summaries of up to 30 notes, and a claims assistant that predicts payment likelihood for a CPT code. The software requires no installation and runs on Mac, PC, iPad, Android, and Chromebook; separate provider and patient apps are listed. Plans start at $149/mo, and there is no free plan. The maker says patient data is backed up in three U.S. locations and describes ChiroSpring AI as HIPAA compliant. Its FAQ advises providers to obtain consent before AI recording or transcription, with requirements varying by state.
For and against
For
- SOAP notes include customizable templates and macros.
- Automates claim creation, claim scrubbing, and ERA posting.
- Sends appointment reminders by email, text, or voice.
- Runs on Mac, PC, iPad, Android, and Chromebook.
Against
- No free plan; plans start at $149/mo.
- ChiroSpring AI is an add-on.
- AI recording or transcription calls for patient consent; rules vary by state.
The verdict
ChiroSpring 360 combines core practice workflows with optional AI and patient engagement add-ons. Its starting price, add-on structure, and consent considerations are relevant to a purchasing decision.
Who it suits
ChiroSpring 360 suits chiropractic practices seeking cloud tools for notes, billing, scheduling, and patient engagement. Practices considering AI features should account for the maker's guidance to obtain patient consent before recording or transcription.
Plans and prices
ChiroSpring AI
Add-on to Pro or Pro+
Read 29 Sep 2026 · chirospring.com
GrowthHub
2,000 text messages · 2 cents per message overage
Read 29 Sep 2026 · chirospring.com
360
Includes 1 Provider · 150 incoming/outgoing messages; 2 cents per overage message
Read 29 Sep 2026 · chirospring.com
Clearinghouse
1,000 claims · 35 cents per claim overage · 100 verifications; 20 cents per overage
Read 29 Sep 2026 · chirospring.com
360 Pro
Includes 1 Provider · 250 incoming/outgoing messages; 2 cents per overage message
Read 29 Sep 2026 · chirospring.com
GrowthHub Pro
5,000 text messages · 2 cents per message overage
Read 29 Sep 2026 · chirospring.com
GrowthHub Pro+
7,500 text messages · 2 cents per message overage
Read 29 Sep 2026 · chirospring.com
360 Pro+
Includes 2 Providers · 250 incoming/outgoing messages; 2 cents per overage message
Read 29 Sep 2026 · chirospring.com
On the record
- AI consent
- The FAQ advises providers to obtain patient consent before AI recording or transcription and says consent requirements vary by state.chirospring.com · read 29 Sep 2026
- AI tools
- The ChiroSpring AI add-on includes an AI Scribe, note rewriting, chart summaries of up to 30 notes, and a claims assistant that predicts payment likelihood for a CPT code.chirospring.com · read 29 Sep 2026
- Billing
- Billing features include automatic claim creation, claim scrubbing, and ERA posting; the Clearinghouse add-on includes a TriZetto account and connection.chirospring.com · read 29 Sep 2026
- Clinical notes
- Its SOAP notes include customizable templates and macros, with more than 50 templates listed on the features page.chirospring.com · read 29 Sep 2026
- Company history
- ChiroSpring says it was founded in 2011 and launched ChiroSpring 360 in 2022.chirospring.com · read 29 Sep 2026
- Device support
- The FAQ says ChiroSpring runs on Mac, PC, iPad, Android, and Chromebook, and that the cloud software requires no installation.chirospring.com · read 29 Sep 2026
- Integrations
- The listed Clearinghouse add-on includes a TriZetto account and connection, and the ERA Center is described as working with any clearinghouse.chirospring.com · read 29 Sep 2026
- Mobile apps
- The maker lists separate provider and patient apps, and its app page links to ChiroSpring 360 and PatientHub 360 on the App Store.chirospring.com · read 29 Sep 2026
- Onboarding
- The maker says subscription pricing includes training videos, live training, and access to its 24/7 Help Center.chirospring.com · read 29 Sep 2026
- Patient communication
- The software offers appointment reminders by email, text, or voice, and GrowthHub plans include patient messaging and engagement features.chirospring.com · read 29 Sep 2026
- Purpose
- ChiroSpring 360 is cloud-based chiropractic practice management software that brings scheduling, documentation, billing, and patient engagement together.chirospring.com · read 29 Sep 2026
- Security and compliance
- The maker says patient data is backed up 24/7 in three U.S. locations and describes ChiroSpring AI as HIPAA compliant.chirospring.com · read 29 Sep 2026
- Support
- The maker lists weekday technical support from 8 a.m. to 5 p.m. CST, a 24/7 in-product Help Center, and same-business-day responses to inquiries.chirospring.com · read 29 Sep 2026
The review
Overview
ChiroSpring 360 is cloud-based practice-management software for chiropractic practices that want clinical records, scheduling, billing and patient communication in one system. It is best suited to clinics that value chiropractic workflows and can match a monthly plan to their provider count and messaging needs. Its broad workflow coverage is appealing, but costs can rise with add-ons and usage.
Key features
Clinical documentation and AI
Customizable SOAP-note templates and macros, with more than 50 templates listed, give practices options for structuring clinical documentation. ChiroSpring AI adds an AI Scribe, note rewriting, summaries of up to 30 notes, and a claims assistant that predicts payment likelihood for a CPT code. Those tools may suit teams seeking help with documentation and claim decisions, but AI is a separate add-on for Pro or Pro+ plans. The maker describes ChiroSpring AI as HIPAA compliant and advises providers to obtain consent before recording or transcribing patients, since requirements vary by state.
Billing and patient engagement
Automatic claim creation, claim scrubbing and ERA posting support insurance billing. The separate Clearinghouse plan includes a TriZetto account and connection; the ERA Center is described as working with any clearinghouse. Appointment reminders can be sent by email, text or voice. GrowthHub plans add patient messaging and engagement features, making them a separate consideration for clinics that need more than reminders.
Access, support and security
ChiroSpring offers separate provider and patient apps, including ChiroSpring 360 and PatientHub 360 on the App Store. The maker says the cloud software runs on Mac, PC, iPad, Android and Chromebook without installation. Patient data is backed up 24/7 in three U.S. locations. Subscription pricing includes training videos, live training and access to a 24/7 in-product Help Center; weekday technical support runs 8 a.m. to 5 p.m. CST, and inquiries receive same-business-day responses.
Pricing
There is no free plan. The starting price is $149/mo; listed monthly plan prices clarify how provider seats, messaging and billing quotas differ:
| Plan | Price and included limits | Best fit |
|---|---|---|
| 360 | $149 a month; 1 provider and 150 incoming/outgoing messages, then 2 cents per overage message. | A single-provider practice starting with core workflows. |
| 360 Pro | $249 a month; 1 provider and 250 incoming/outgoing messages, then 2 cents per overage message. | A single-provider clinic that needs a larger message allowance. |
| 360 Pro+ | $299 a month; 2 providers and 250 incoming/outgoing messages, then 2 cents per overage message. | A two-provider practice; the additional seat distinguishes it from 360 Pro. |
| Clearinghouse | $149 a month; 1,000 claims with 35 cents per claim overage, and 100 verifications with 20 cents per overage. | Practices that want the included TriZetto connection and need to track claim and verification volume. |
| GrowthHub | $99 a month; 2,000 text messages, then 2 cents per message overage. | Clinics seeking patient messaging and engagement at the lowest GrowthHub tier. |
| GrowthHub Pro | $249 a month; 5,000 text messages, then 2 cents per message overage. | Practices with higher messaging volume. |
| GrowthHub Pro+ | $299 a month; 7,500 text messages, then 2 cents per message overage. | Practices with the largest stated GrowthHub allowance. |
| ChiroSpring AI | $49 a month; add-on to Pro or Pro+. | Eligible Pro or Pro+ customers wanting the AI tools. |
The lower 360 tier has one provider and a smaller message allowance than 360 Pro, while the two-provider 360 Pro+ tier costs more. GrowthHub tiers scale text quotas, with per-message overages applying across them. Clearinghouse usage also has claim and verification caps, so high-volume practices should account for overage charges. The AI add-on is not a standalone plan; the stated eligibility is Pro or Pro+.
Platforms
ChiroSpring 360 supports Android, iOS and web. The maker also says it runs on Mac, PC, iPad and Chromebook through its cloud software, without installation.
Who it's for
Chiropractic practices seeking SOAP notes, care plans, patient records, scheduling, reminders and insurance billing in a cloud system will find the core offering aligned with their workflows. Clinics that want AI documentation tools, higher-volume patient engagement or a TriZetto connection can add those services. Practices that need a free entry tier, or do not want to manage separate add-ons and message or claims overages, should consider other options.
Pros and cons
Pros
- Chiropractic-focused workflow coverage: SOAP notes, care plans, records, reminders and insurance billing are part of the product's stated scope.
- Configurable documentation: Customizable templates and macros, with more than 50 templates listed, offer clinics multiple starting points for notes.
- Multiple communication options: Email, text and voice reminders are available, with separate GrowthHub plans for messaging and engagement.
- Flexible access: Cloud use without installation and separate provider and patient apps support use across the stated platforms.
Cons
- No free plan: The entry point is a paid monthly plan, so there is no free tier for evaluating or running the software.
- Usage limits can add cost: Message, claim and verification allowances have stated overage charges, which matter for busy practices.
- Several capabilities are separate purchases: Clearinghouse, GrowthHub and AI are distinct plans or add-ons rather than a single all-inclusive price.
- AI recording requires care: Providers are advised to obtain patient consent, and requirements vary by state.
Alternatives
For other options in this category, see Chiropractic Practice Software.
- Soap Notes is worth considering if a free plan and a cap of up to five active clients suit your needs.
- IMS for Chiropractic is another paid option with Android, iOS, self-hosted and web platforms.
- Platinum System may suit buyers seeking a paid option with a $299 a month Align plan covering EHR, charting, SOAP notes, scheduling, billing, payments, reporting, analytics and AI posture, ROM and X-ray integration.
- PracticeEHR Chiropractic EHR offers paid plans described as supporting unlimited patients, with custom pricing.
- ChiroScribe may be a fit for a practice focused on SOAP notes: its Solo plan is $179 a month for individual practitioners and unlimited SOAP notes, and it offers a free trial.
- EZBIS is a paid alternative available on Android, iOS, macOS, self-hosted and Windows.
- MERIDIQ is another paid option with a free trial and a Booking plan priced at £5 a month per user.
- WritePad EHR may appeal to practices seeking a listed $99 a month starting plan for one provider and one site license, with a $495 set up installation fee.
Verdict
ChiroSpring 360 is a strong fit for chiropractic clinics that want core practice workflows together and value optional AI, patient engagement and clearinghouse services. Its main advantage is the breadth of chiropractic-oriented documentation, billing and communication tools in a cloud system. Look elsewhere if a free plan is essential or if per-provider pricing, separate add-ons and usage-based overages do not fit your budget or workflow.