InvoiceFlow for Chiropractors: The Complete Billing Guide
Billing for cash-pay sessions, wellness plan memberships, family plans, corporate wellness, and superbills
Cash-pay chiropractic practices need billing that generates professional session invoices with superbills, manages monthly wellness plan memberships, handles family plan accounts, and invoices corporate employer wellness contracts. InvoiceFlow covers the complete billing stack for cash-pay and hybrid chiropractic practices.
Cash-Pay Session Invoices
Every cash-pay session should generate an invoice and superbill at checkout.
Chiropractic Session — [Patient Name] — [Date]:
- Provider: [Name], DC | NPI: [XXXXXXXXXX] | Tax ID/EIN: [XX-XXXXXXX]
- Practice: [Practice name] | Address: [Address]
- Patient: [Name] | Date of birth: [DOB]
- Service date: [Date] | Duration: [N] min
- Service: [Initial exam / Adjustment / Modality / Re-exam]
- CPT code(s): [See list below]
- ICD-10: [See list below]
- Session total: $[amount]
- Payment: Paid in full at checkout (card / QR / payment link shown on invoice)
Common Chiropractic CPT Codes
- 98940: Chiropractic manipulative treatment (CMT), 1–2 spinal regions
- 98941: CMT, 3–4 spinal regions
- 98942: CMT, 5 spinal regions
- 98943: Extraspinal CMT (extremity)
- 97012: Mechanical traction (unattended)
- 97014: Electrical stimulation (unattended)
- 97110: Therapeutic exercise (15-min units, timed)
- 97140: Manual therapy / soft tissue (15-min units, timed)
- 97035: Ultrasound (15-min units, timed)
- 72040–72110: Spinal x-ray series
- 99202–99215: E&M codes (if applicable for new patient evaluation)
Note: CPT code selection depends on services provided, regions treated, and documentation. Consult your state chiropractic association or a healthcare billing specialist to confirm appropriate coding.
Common ICD-10 Codes for Chiropractic
- M54.5: Low back pain
- M54.2: Cervicalgia
- M99.01: Segmental and somatic dysfunction, cervical region
- M99.03: Lumbar region
- M25.511: Pain in right shoulder
- M54.6: Pain in thoracic spine
Superbills for Out-of-Network Reimbursement
Generate a superbill at every cash-pay checkout for patient insurance submission.
Superbill — [Patient Name] — [Date of Service]:
- Provider: [Name], DC | NPI: [XXXXXXXXXX] | Tax ID: [XX-XXXXXXX]
- Practice address: [Address]
- Patient name: [Name] | DOB: [DOB]
- Service date: [Date] | Place of service: 11 (office)
- Diagnosis (ICD-10): [Code — description]
- Procedure (CPT): [Code] | Units: [N] | Description: [Service]
- Fee charged: $[amount]
- Amount paid: $[amount]
- Balance: $0.00 (paid in full)
“This superbill is for patient insurance reimbursement documentation. It does not constitute a claim submission to any health insurance plan.”
Email from InvoiceFlow at checkout. Patients with commercial insurance commonly receive 40–70% out-of-network reimbursement for chiropractic.
Monthly Wellness Plan Memberships
Wellness plan memberships are the primary revenue structure for cash-pay chiropractic practices. A monthly membership provides predictable recurring revenue and commits patients to ongoing care.
Wellness Plan Membership — [Patient Name] — [Start Date]:
- Plan: [Essential / Comprehensive / Premium]
- Includes:
- [N] chiropractic adjustments per month
- [N] therapeutic modality sessions per month
- Monthly wellness check-in
- [Priority scheduling / X-ray review / Access to add-on services at member rate]
- Monthly rate: $[amount]/month
- Plan term: [3-month / 6-month / 12-month]
- Auto-billed on the [N]th of each month
- Payment via the method shown on the invoice
- Cancel: 30 days written notice before next billing date
Wellness Plan Tiers
- Essential: [N] adjustments/month. $[amount]/month
- Comprehensive: [N] adjustments + [N] therapeutic sessions/month. $[amount]/month
- Premium: Unlimited adjustments + [N] therapeutic sessions + priority scheduling. $[amount]/month
Build a separate InvoiceFlow template for each tier. Set billing date at enrollment. InvoiceFlow generates and sends the invoice monthly.
Family Wellness Plans
Family Wellness Plan — [Primary Account Holder] — [Start Date]:
- Plan: Family [Essential / Comprehensive]
- Members: [List all members by name]
- Includes: [N] adjustments per member per month + [shared modality sessions]
- Family rate: $[amount]/month
- Plan term: [6-month / 12-month]
- Auto-billed on the [N]th | Pay via method on invoice | 30 days cancel notice
Family plans are billed on one invoice to one account. Note each member’s visit usage in session notes, not on the invoice.
New Patient Exam and X-Ray Packages
New Patient Package — [Patient Name] — [Date]:
- Comprehensive chiropractic examination
- Orthopedic and neurological testing
- X-rays as indicated: [Cervical / Lumbar / Full spine series]
- Report of findings consultation (30 min)
- Package rate: $[amount]
- Payment: Due at appointment (card / QR / payment link shown on invoice)
Corporate Employer Wellness Invoices
On-site chiropractic programs for employer wellness require EIN, W-9, PO numbers, and net-30 terms.
Corporate Wellness Services — [Company Name] — [Month Year]:
Billing Period: [Month Year]
- On-site chiropractic sessions: [N] employees × [N] sessions × $[rate] = $[total]
- Ergonomic assessment and consultation: $[amount]
- Injury prevention workshop (if applicable): $[amount]
- Monthly program reporting: $[amount]
- Invoice total: $[total]
Remit to: [Name], DC | EIN: [XX-XXXXXXX] PO Number: [PO-####] Payment Terms: Net-30 W-9 on file | Submitted: [Date]
Pre-load EIN in the corporate template. Corporate AP cannot process payment without it.
Using InvoiceFlow for Chiropractic Billing
Wellness plan templates: Build one template per tier. Include plan terms, visit count, and billing date. Set auto-billing at enrollment — invoices generate and send monthly without manual action.
Session + superbill at checkout: Generate invoice with CPT and ICD-10 codes at checkout. Email superbill directly. Patient submits to insurance.
Family plan management: One invoice, one account. Note individual member usage separately in records.
Corporate template: Pre-load EIN, W-9 status, PO field, net-30. Bill by 1st of month.
New patient packages: Fixed-price exam package eliminates surprise billing. Paid at appointment via the method on the invoice.
Download InvoiceFlow. Build wellness plan templates for each tier. Set auto-billing at enrollment. Add superbill fields to your per-visit template. Add EIN and PO field to your corporate template.
InvoiceFlow is a free Android invoicing app built for small business owners. Manage chiropractic wellness plan memberships, generate superbills at checkout, invoice corporate wellness accounts, and handle family plans — all from your phone.