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Billing and payment collection automation

Automates the billing and payment collection process for chiropractic practices from treatment completion through payment posting. Reduces manual administrative work and improves cash flow by streamlining insurance claims and patient payments.

Workflow Trigger

Patient treatment session is marked as complete in practice management system.

Visual Flow

Each node represents an automated step. Connections show how data and decisions move through the workflow.

Step-by-Step Breakdown

Detailed explanation of each automated stage in the workflow.

  1. 1
    Trigger

    Treatment Session Completed

    Patient's chiropractic treatment session is marked complete in the practice management system. Treatment notes and billing codes are automatically captured for processing.

  2. 2
    Action

    Generate Treatment Documentation

    Extracts SOAP notes and treatment codes from session data to create standardized billing documentation. Ensures all required fields are populated for insurance submission.

  3. 3
    Decision

    Determine Primary Payment Method

    Checks patient insurance coverage and treatment type to route billing appropriately. Branches workflow between insurance claim submission or direct patient billing.

  4. 4
    Action

    Submit Insurance Claims

    Automatically generates and submits electronic insurance claims with proper CPT codes and documentation. Tracks claim status and manages resubmissions if needed.

  5. 5
    Action

    Process Patient Billing

    Creates patient statements for copays, deductibles, and non-covered services. Sends automated payment reminders and processes online payment transactions.

  6. 6
    Action

    Post Payments and Reconcile

    Automatically posts insurance payments and patient payments to accounts. Reconciles EOBs and updates patient balances in real-time.

  7. 7
    Output

    Generate Financial Reports

    Produces daily billing summary reports and accounts receivable aging reports. Updates practice dashboards with key financial metrics and outstanding balances.

Outputs

  • Electronic insurance claims submitted
  • Patient payment statements generated
  • Financial reconciliation reports

Key Metrics

  • Claims processing time
  • Collection rate percentage
  • Days in accounts receivable
OA

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