AI Claims Assistant
ChiroSpring’s AI Claims Assistant is an integrated feature within the ChiroSpring chiropractic practice management platform. It uses artificial intelligence to analyze large volumes of historical and real-time claims data to help practices make smarter billing decisions, reduce claim errors, and improve reimbursement outcomes.
By combining predictive analytics with advanced claim scrubbing and automated workflows, the AI Claims Assistant supports faster payments, fewer denials, and a more efficient revenue cycle for chiropractic clinics.
You can see the Predicted Payment Days for Insurance Payment and Predicted Payment Coverage for Claim in the BILLING -> PENDING CLAIMS far right column
Key Functions
Predictive Analysis
The AI analyzes millions of claims data points to estimate the likelihood of claim approval before submission. This allows practices to anticipate reimbursement outcomes instead of reacting to denials after the fact.
Billing Guidance
Based on predicted outcomes, the system helps providers determine whether billing insurance or collecting cash is the more effective option for a given visit or service.
Advanced Claim Scrubbing
Potential errors such as missing data, coding issues, or payer-specific requirements are identified before claims are submitted, reducing preventable denials.
Automated Workflows
The AI Claims Assistant works alongside automated claim creation and clearinghouse integrations, minimizing manual work and streamlining the billing process.
How It Works
Data Analysis
The system processes large volumes of claims data from multiple sources.
Prediction
AI models evaluate the probability of claim approval based on historical patterns and payer behavior.
Actionable Insights
Providers receive guidance on optimal billing strategies, such as choosing cash versus insurance.
Error Prevention
Claims are scrubbed prior to submission to catch issues early, reducing delays and resubmissions.
Benefits for Chiropractic Practices
Faster Payments
Improved claim accuracy and fewer denials lead to quicker reimbursement.
Increased Efficiency
Automation reduces the time staff spend on manual billing tasks and follow-ups.
Improved Revenue Performance
Better claim outcomes and smarter billing decisions directly support stronger financial results.
Important Note
AI-generated insights are designed to support decision-making, not replace clinical or billing judgment. AI responses may occasionally include inaccuracies, and final billing decisions remain the responsibility of the practice.
Watch this Webinar Replay with ChiroSpring CoFounder, Brian Albery on The EBC