ChiroSpring 360

Overview

ChiroSpring 360 is cloud-based practice management software for chiropractic clinics, bringing scheduling, clinical records, billing and patient communication together. It suits practices seeking chiropractic workflows and optional AI tools in one system. Its breadth is appealing, but per-provider tiers, usage caps and paid add-ons make plan selection important.

Key features

Documentation and AI

Customizable SOAP-note templates and macros, with more than 50 templates listed, give clinics multiple starting points for documentation. ChiroSpring AI adds an AI Scribe, note rewriting, summaries of up to 30 notes and a claims assistant that predicts the payment likelihood of a CPT code. Those capabilities may help practices with repetitive note work and claims decisions, but AI costs extra and is available as an add-on to Pro or Pro+. ChiroSpring describes its AI as HIPAA compliant; providers should obtain patient consent before AI recording or transcription, since requirements vary by state.

Billing and patient communication

Automatic claim creation, claim scrubbing and ERA posting support the billing workflow. The separate Clearinghouse plan includes a TriZetto account and connection, while 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, with monthly text allowances that matter to higher-volume practices.

Apps, support and deployment

The cloud service requires no installation and is supported on Mac, PC, iPad, Android and Chromebook. The maker lists separate provider and patient apps, including ChiroSpring 360 and PatientHub 360 on the App Store. ChiroSpring says patient data is backed up around the clock in three U.S. locations. Subscription pricing includes training videos, live training and access to a 24/7 in-product Help Center; technical support is available weekdays from 8 a.m. to 5 p.m. CST, and inquiries receive same-business-day responses.

Pricing

There is no free plan. The listed starting price is $149 per month, but that entry tier includes only one provider and 150 incoming/outgoing messages, so practices should account for additional providers, overages and optional services.

• 360 — $149 a month: Includes one provider and 150 incoming/outgoing messages; additional messages cost 2 cents each. A fit for a solo clinic with modest messaging volume.
• Clearinghouse — $149 a month: Includes 1,000 claims and 100 verifications; overages cost 35 cents per claim and 20 cents per verification. This is a distinct billing add-on, not an expanded provider tier.
• GrowthHub — $99 a month: Includes 2,000 text messages, with 2 cents per message over the limit. It is the lower-cost route to patient engagement features for a clinic whose messaging needs fit the cap.
• 360 Pro — $249 a month: Includes one provider and 250 incoming/outgoing messages, with 2 cents per overage message. The larger allowance may suit a solo practice that outgrows 360.
• GrowthHub Pro — $249 a month: Includes 5,000 text messages, then 2 cents per message. It suits practices needing more engagement capacity than GrowthHub provides.
• 360 Pro+ — $299 a month: Includes two providers and 250 incoming/outgoing messages, then 2 cents per overage message. This is the listed 360 tier for a two-provider practice.
• GrowthHub Pro+ — $299 a month: Includes 7,500 text messages, with 2 cents per message overage. It is the largest listed GrowthHub allowance.
• ChiroSpring AI — $49 a month: Add-on to Pro or Pro+ for the AI documentation and claims tools.

The plan menu separates provider capacity from GrowthHub messaging and clearinghouse services, so the base price alone is not the whole cost for clinics needing several of these capabilities. The listed plans do not state a trial or renewal term.

Platforms

ChiroSpring 360 supports Android, iOS and the web. Its cloud setup also runs on Mac, PC, iPad and Chromebook without installation, according to the maker.

Who it's for

Chiropractic clinics wanting scheduling, records, care plans, SOAP notes, insurance billing and reminders in one practice system are the natural audience. It is particularly compelling for clinics that will use its documentation workflows and can match their provider count and messaging volume to the tier caps. Practices wanting AI should budget for the add-on and establish patient-consent procedures. A clinic seeking an uncomplicated low-cost option, or one needing more provider seats than the listed tiers accommodate, should compare alternatives.

Pros and cons

• Pro: Chiropractic-specific records, care plans and customizable SOAP notes are paired with scheduling and billing, reducing the need to assemble separate tools for core workflows.
• Pro: Claims automation, scrubbing and ERA posting cover useful billing steps; the Clearinghouse option includes a TriZetto connection.
• Pro: Provider and patient apps, plus reminders by email, text or voice, support access and communication across the clinic-patient relationship.
• Con: The entry 360 plan covers one provider and 150 messages; overages and separately priced services can raise costs as a clinic grows.
• Con: AI is not included in the listed base tiers: it adds $49 a month and calls for consent procedures before recording or transcription.
• Con: The highest listed 360 tier covers two providers, which may not suit larger practices without custom pricing.

Alternatives

Chiropractic Practice Software is the broader category directory for comparing options across the field.

• zHealthEHR is worth comparing for clinics needing broader device coverage, including Mac and Windows, or a one-provider Essentials plan at $119 a month; its Professional plan is $249 a month.
• Platinum System may suit a clinic seeking a paid Align plan at $299 a month that bundles EHR, charting and SOAP notes, scheduling, billing and payments, reporting and analytics, and AI integrations.
• IMS for Chiropractic is another paid option for clinics considering web, Windows, iOS and Android support.
• ChiroTouch is a paid web-based alternative to compare.
• PracticeEHR Chiropractic EHR is worth considering for clinics comparing paid plans that include unlimited patients; pricing is custom.
• ChiroFusion is another paid web-based option.
• Eclipse EHR is a web-based alternative to compare.
• ChiroScribe may suit a solo practitioner looking for unlimited SOAP notes at $179 a month, or a practice comparing its $299 a month plan for up to five providers; it also offers a free trial.

Verdict

ChiroSpring 360 is a strong fit for chiropractic practices that want clinical documentation, billing and patient engagement under one cloud-based roof, especially when the clinic can use its chiropractic workflows and fit within the seat and message limits. Its main advantage is that breadth, supported by configurable SOAP notes and optional AI. Look elsewhere if keeping costs simple is the priority: multiple paid components, overages and the two-provider ceiling on the listed 360 tiers can make growth expensive or awkward.