Chiropractic billing companies, compared from their own websites.
The best chiropractic billing company is the one whose answers fit your office. Below: seven companies you will come across, in alphabetical order, each described only from its own website, then the questions that tell them apart, and where Valian fits.
15 minutes. We size the plan from your own numbers.
The companies, in their own words.
Every line comes from the company’s own website, read November 8, 2026. Plans and claims change; check each one before you decide.
247 Medical Billing Services
Says it is a "U.S.-focused medical billing company."
- Lists charge entry, eligibility verification, prior authorization, claim submission, denial management, appeals, A/R follow-up and coding
- Says it supports 42+ specialties, including cardiology and chiropractic
- Says it has run as an extension of in-house teams for 20+ years
ACOM Health
Sells chiropractic software and a U.S.-based chiropractic billing service.
- Says each office gets "a dedicated chiropractic billing expert"
- Says its EHR and practice management software come free with the billing service
- Says its billers handle the extra paperwork for workers’ comp and personal injury
- Lists its corporate office in San Diego, CA
AMS Solutions
Says it is a physician-founded medical billing company serving practices across the United States.
- Lists medical billing, outsourced billing, credentialing, payer enrollment and practice management consulting
- Has specialty pages for cardiology, chiropractic and family practice
- Says it was physician-founded in 1992
Medical Billers and Coders
Says it is a "US-based revenue cycle management company."
- Lists medical billing and coding, credentialing, denial management and AR recovery
- Says it serves practices across all 50 states, since 1999
- Has specialty pages for family practice, cardiology and chiropractic
Outsource Strategies International
Offers medical and dental revenue cycle management, including chiropractic billing.
- Lists coding support for spinal manipulation and related therapy services
- Says it checks modifier use, such as the AT modifier, for Medicare billing
- Says it codes with its own AI platform, MedGenX
- Lists its address in Tulsa, OK
PGM Billing
Says it has been "independently owned and operated since 1981, serving physicians and laboratories across all 50 states."
- Its chiropractic page covers coding for adjustments by region, therapy modalities like ultrasound and electrical stimulation, and evaluation visits
- Lists claims submission, medical coding, denial management and payer credentialing
- Lists its address in Lyndhurst, NJ
The Red Carpet Billing (TRCB)
Says "TRCB delivers white-glove revenue growth for healthcare practices nationwide."
- Offers chiropractic medical billing services
- Lists medical billing, medical coding, old AR recovery, credentialing, revenue cycle management and denial management
- Lists its address in Suwanee, GA
Valian
OursChiropractic billing software and a billing team in one. Your team runs billing in Valian, or ours takes it over.
- Chiropractic claims go out electronically today, each reviewed by Valian before it goes
- Insurance checks show the visit limit and visits left when the plan sends them
- Medicare’s chiropractic rules checked on every claim
- In New Jersey, Robert comes to your office
What we do not do yet
- We do not do credentialing
- We are not an EHR
- We are new: we are taking our first offices now
Six questions that tell chiropractic billing companies apart.
How do you handle Medicare chiropractic claims?
Medicare pays chiropractors for active treatment of the spine, marked on the claim with the AT modifier, and not for maintenance care. Ask how each company tracks the difference.
Will you sign a BAA first?
Claims carry patient information. The business associate agreement should come before the first report leaves your office.
Who picks the codes?
The answer should be your doctor. A company that changes codes to get paid puts your license at risk, not theirs.
How will I see my claims?
You should see every open claim, its status and what is being done about it, without waiting for a monthly report.
What happens to claims already out?
Ask how the switch works for claims your current biller sent, and who finishes them.
What exactly is included?
Verification, prior authorizations, posting, follow-up calls, appeals, patient balances, and the old claims already sitting unpaid.
Where the established companies win.
An honest list says where the others are the better pick.
They win
Years of history
PGM Billing says it has been in business since 1981, and others above say they have billed for decades. Valian is new.
They win
Software in the package
ACOM Health says its EHR and practice management software come free with its billing service. Valian is not an EHR.
They win
Credentialing
Several of them list credentialing. Valian does not do credentialing.
What practices ask.
Is this list a ranking?
No. It is alphabetical, and every fact about another company comes from its own website, with the link and the date we read it. Check each company yourself before you decide.
How do billing companies charge?
Usually one of three ways: a share of what is collected, a fee per claim, or a flat monthly fee. Ask what each one includes, and what happens to claims that are already old when you start.
Do chiropractic billing companies handle personal injury and workers’ comp?
Some say they do. ACOM Health, for one, says its billers handle the extra paperwork for workers’ comp and personal injury cases. Ask each company about the cases your office sees most.
Does Valian send chiropractic claims today?
Yes. Chiropractic claims go out electronically today, and every claim is reviewed by Valian before it goes. Your doctor keeps picking the codes.
Ask us the six questions.
In 15 minutes we answer every question above about Valian, plainly, and look at how your chiropractic claims go out today.
- Chiropractic claims sent today
- Your doctor keeps picking the codes
- A BAA before any patient data moves
- 15 minutes, video or in person
1. Pick a time
15 minutes · times in Eastern Time (ET)
Where every fact on this page comes from (10 sources, read November 8, 2026)
- 247 Medical Billing Services: 247medicalbillingservices.com
- ACOM Health: acomhealth.com/chiropractic-billing-service
- ACOM Health: acomhealth.com
- AMS Solutions: ams-solutions.com
- Medical Billers and Coders: medicalbillersandcoders.com
- Outsource Strategies International: outsourcestrategies.com/chiropractic-medical-billing
- Outsource Strategies International: outsourcestrategies.com
- PGM Billing: pgmbilling.com/chiropractic-billing-services-revenue-cycle-experts-for-chiropractors
- PGM Billing: pgmbilling.com
- The Red Carpet Billing (TRCB): trcb.com/chiropractic-billing-services