Built for PI chiropractors.
From intake to settlement.
ChiroDNA manages your full PI workflow: lien billing, case tracking, attorney communication, AI SOAP documentation, and PI Risk Scan - all in one platform built for high-volume personal injury chiropractic practices.
What is personal injury chiropractic billing?
Personal injury (PI) chiropractic billing covers care for patients injured in motor vehicle accidents (MVA), slip-and-falls, and other liability events. Unlike standard insurance billing, PI cases often involve multiple payers (auto insurance, MedPay, health insurance), lien agreements with attorneys, and longer billing cycles tied to legal settlements.
PI cases are among the most lucrative - and most complex - cases in chiropractic. They require meticulous SOAP documentation (because records are reviewed by insurance adjusters, defense attorneys, and IME physicians), careful case management, and clear attorney communication throughout the case lifecycle.
ChiroDNA is designed for high-volume PI practices. The PI workflow starts the moment Whitney identifies a PI inquiry on an inbound call, continues through AI-assisted SOAP documentation and PI Risk Scan review, and extends through settlement tracking and final billing reconciliation.
PI Risk Scan - AI documentation audit for every SOAP note
After every PI SOAP note is generated, run the PI Risk Scan. ChiroDNA's AI reviews your note against PI billing best practices and identifies documentation vulnerabilities that could create problems at settlement: vague functional limitations, missing objective support for subjective complaints, cloned-note patterns, and billing code concerns.
The scan returns a risk level (Low / Medium / High / Critical), specific findings with explanations of why each is risky, and concrete suggestions for improving the note before it becomes part of the billing record.
Sample PI Risk Scan output
- Functional limitations mentioned but lack quantifiable detail
- No documentation of radiculopathy to support reported arm numbness
- "Patient reports improvement" is vague - quantify with VAS or NRS
3 documentation strengths identified ✓
The complete PI case workflow in ChiroDNA
From the moment a PI patient calls to the day the case settles, ChiroDNA manages every step.
Inquiry
Whitney identifies PI call, flags for priority. Case created in pipeline with accident details.
New Patient Exam
Intake form auto-sent. Exam notes generated with PI-specific SOAP template. LOP documented.
Active Care
Each visit generates AI-drafted SOAP note. PI Risk Scan runs after every note. Billing codes applied.
Attorney Communication
Treatment records, billing summary, and case status available for attorney requests. Progress tracked.
Settlement
Lien balance tracked. Settlement amount entered. Final billing reconciliation completed.
Collected
Payment posted. Case closed in pipeline. Collections report updated.
PI billing pathways ChiroDNA supports
Lien / Letter of Protection
Attorney issues an LOP guaranteeing payment from settlement. ChiroDNA tracks the lien balance, case status, and running treatment total through settlement.
MedPay
Auto insurance Medical Payments Coverage pays first, quickly, regardless of fault. ChiroDNA bills MedPay alongside lien and other payers from the same billing center.
Auto Insurer (Direct)
Some PI cases bill directly to the at-fault driver's liability insurer. ChiroDNA handles these as standard claims with liability insurer payer IDs.
PI Chiropractic Billing - Questions Answered
What is personal injury (PI) chiropractic billing?+
Personal injury chiropractic billing is the process of billing for chiropractic care provided to patients injured in auto accidents, slip-and-falls, or other third-party liability events. Instead of billing a health insurance plan, PI cases are billed to an auto insurer, general liability insurer, or managed on a lien basis - meaning the provider bills after the case settles. ChiroDNA handles all three billing pathways: direct insurance, MedPay, and lien/letter of protection.
What is lien billing in chiropractic?+
In lien billing (also called letter of protection billing), the chiropractor agrees to treat the patient and be paid from the settlement proceeds of a personal injury lawsuit. The patient's attorney typically issues a Letter of Protection (LOP) guaranteeing payment. ChiroDNA tracks lien cases from first visit through settlement: attorney contact, lien balance, running case total, and estimated settlement date.
How does ChiroDNA handle PI case management?+
Each PI patient in ChiroDNA has a dedicated case profile: accident date, mechanism of injury, attorney name and contact, insurance adjuster, authorization status, lien balance, case-specific SOAP templates, and estimated settlement timeline. The PI Risk Scan AI tool reviews completed SOAP notes for documentation gaps that could create billing vulnerabilities at settlement.
What is a PI Risk Scan?+
ChiroDNA's PI Risk Scan is an AI tool that reviews your completed SOAP note and identifies documentation weaknesses that could jeopardize billing at settlement: vague functional limitations, missing objective findings to support subjective complaints, cloned-note patterns, billing concerns, and documentation strengths. It provides a risk level (Low/Medium/High/Critical) with specific, actionable findings. Run it after every PI SOAP note.
Does ChiroDNA have PI-specific SOAP templates?+
Yes. ChiroDNA includes PI-specific SOAP note templates pre-loaded with the documentation elements most important for PI cases: mechanism of injury, functional limitations (sitting, standing, driving, sleeping), pain severity and character, radiation and neurological findings, and treatment response. The AI SOAP generator uses these templates automatically when a patient is flagged as PI.
How does ChiroDNA handle communication with PI attorneys?+
ChiroDNA's PI case profile includes attorney contact fields, a notes section for case updates, and a document archive for LOPs, authorization letters, and case correspondence. You can generate billing summaries and treatment histories formatted for attorney review directly from ChiroDNA.
Can ChiroDNA identify PI patients on inbound calls?+
Yes. Whitney, ChiroDNA's AI calling agent, is trained to identify personal injury inquiries - patients who mention a car accident, MVA, slip-and-fall, or similar injury. These calls are flagged for priority routing to your PI case coordinator or designated front desk staff.
What is MedPay billing for chiropractic?+
Medical Payments Coverage (MedPay) is an optional auto insurance add-on that pays medical bills - including chiropractic care - regardless of fault. MedPay pays quickly, typically within 30–60 days, and is not subject to settlement delays. ChiroDNA handles MedPay billing alongside lien and health insurance billing for the same patient.
Run your PI practice on one platform.
From intake call to settlement - ChiroDNA manages every step of the PI case lifecycle.
No contracts · Cancel anytime · From $297/mo