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Affordable and Reliable

Chiropractic Credentialing Services

Done-For-You Chiropractic Credentialing That Actually Understands Spinal Codes

From MCO applications to CAQH maintenance, we speak chiropractic (98940-98943, 97140) fluently – no more denials for incorrect modifier usage

Medicare & Private Payer Enrollment

Get Enrolled with Major Payers in 60-90 Days, Guaranteed.

No upfront fees. Pay only after approval

starting from

$ 140

PER insurance application

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First Time Approval

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Insurance Payers

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Serving Nationwide

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Specialities

Chiropractic Insurance Credentialing

Chiropractic Insurance Credentialing

chiropractic payer credentialing

We fast-track your first-year credentialing with Medicaid, PIP carriers, and worker’s comp boards while you build patient volume.

Multi-Location Chiropractic Group Credentialing That Scales With Your Practice

We know your unique needs – HVLA coding, maintenance care documentation, and PI attorney networks included in every application package

Stop losing patients to paperwork delays – our DC-focused specialists handle all major payers (Medicare, Blue Cross, UnitedHealthcare) so you can focus on adjustments.

american chiropractic network credentialing

Multi-Location Chiropractic Group Credentialing
Get Medicare enrollment quickly
End-to-End Credentialing for New Practices
HIPAA-Compliant

99% Approval Rate

Get Optimized Fee Schedules During Credentialing with UnitedHealthcare, Aetna & BCBS

Includes I&A verification, PTAN renewal, and CMS-855I submission with guaranteed compliance for manual therapy and therapeutic exercise codes.

Your CAQH is Never Outdated: Our Credentialing Team Manages Quarterly Attestations & Expiration Alerts

Smooth transition from private pay to in-network status with our hybrid credentialing strategy – maintain your cash patients while building insurer referrals.

Chiropractic Credentialing

Services We Offer

Medicare credentialing for Chiropractors

Benefits of our service

Faster Approval for Chiropractic CPT Codes

We specialize in ensuring chiropractors get credentialed quickly for the most commonly billed spinal manipulation (98940-98943), therapeutic procedures (97140), and neuromuscular reeducation (97112) codes. Our team understands payer-specific requirements, reducing delays in approvals for the services you provide most.

Expertise in Chiropractic-Specific Payer Policies

We navigate Medicare’s strict documentation rules for manual manipulation (98940-98942) and ensure compliance with private payers like BCBS, Aetna, and Cigna—who often require additional documentation for active care vs. maintenance care claims.

Avoid Denials for Common Chiropractic Diagnoses

We optimize your credentialing to align with ICD-10 codes frequently used in chiropractic care (e.g., M54.5 (Low back pain), M99.01 (Segmental dysfunction), S13.4 (Sprain of cervical spine)). This reduces claim rejections due to mismatched diagnoses.

CAQH & OIG Compliance for Chiropractors

We handle CAQH reattestation, OIG exclusion checks, and state-specific licensing updates—critical for chiropractors to avoid audits or payment suspensions. We also ensure your NPI and taxonomy codes correctly reflect chiropractic specialty (X for Medicare, 111N00000X for NPPES).

Chiropractic Insurance Credentialing

Credentialing Process

Benefits of Outsourcing

Chiropractic Credentialing Services

Chiropractic Credentialing Services - 9 Key Benefits

Medicare SPT/MPT Approval

60-day enrollment for spinal manipulative treatment (CPT 98940-98943) with proper documentation review.

Diagnosis-Specific Credentialing

Optimized for M54.5 (low back pain), M99.01 (segmental dysfunction), and S13.4 (cervical sprain) claims.

Therapeutic Procedure Setup

Proper enrollment for 97140 (manual therapy) and 97530 (therapeutic activities) with major payers.

X-Ray Requirement Navigation

Compliance with BCBS/Aetna policies requiring imaging documentation for certain manipulations.

Maintenance Care Compliance

Proper credentialing for payers with specific maintenance care limitations (e.g., UHC, Cigna).

State-Specific Scope Compliance

Ensures credentialing matches your state's physical therapy/delegation rules.

CAQH Reattestation Alerts

Quarterly reminders with pre-filled chiropractic specialty responses.

Manipulation Denial Recovery

92% success rate fixing 98940-98943 denials from incorrect credentialing.

PI/Work Comp Integration

Specialized enrollment for auto/PI cases requiring S39.012A diagnoses.

Insurances Covered

Chiropractic Credentialing Services

Insurance Providers

FAQ

Ask us anything

We prioritize proper credentialing for high-usage chiropractic codes like:

98940-98943 (Chiropractic Manipulative Treatment codes)

97035 (Ultrasound therapy)

97140 (Manual therapy techniques)

99202-99215 (Evaluation & Management for new/established patients)

We ensure compliance with:

“AT” modifier requirement for active treatment

Diagnosis code restrictions (Only M99.01-M99.09 for subluxation)

Documentation of medical necessity for CMT (98940-98942)

Medicare’s 12-visit threshold monitoring

We specialize in:

State-specific workers’ comp fee schedules (e.g., California’s OMFS vs Florida’s FFS)

IME/Peer Review panel requirements

Pre-authorization protocols for chiropractic care

Diagnosis coding for occupational injuries (e.g., S13.4XXA for cervical strain)

Yes, we:

Confirm “Chiropractic Physician” is listed as primary taxonomy (111N00000X)

Cross-check state license numbers with chiropractic boards

Validate malpractice insurance meets minimums ($1M/$3M typical requirement)

Update specialty certifications (CCSP, DACBSP, etc.)

Our proactive approach includes.

Payer-specific documentation templates for medical necessity

Functional improvement metrics (Oswestry, NDI scores)

Pre-credentialing agreements clarifying coverage limits

Appeal strategies for denied maintenance claims

 
 
 
 
 
 

We help navigate:

Pediatric adjustment techniques credentialing

Webster protocol certification verification

Prenatal chiropractic payer requirements

 
 
 
 
 
 

Trusted by chiropractors nationwide.

Verified Credentialing Results

We strive to maximize your revenue & reduce expenses with our expertise to get your credentialing done in the minimum possible time.

Get your concerns resolved in real time. Talk to your dedicated manager whenever you want.

What Chiropractors Say About Our Credentialing

"

"They navigated Medicare's AT modifier requirements perfectly and got me credentialed in 38 days. Their team caught that my CAQH profile needed my chiropractic school details listed differently than MDs - saved us months of delays!"

DC

Dr. Carter, DC

Solo Chiropractic Practice

Medicare • BCBS • Workers' Comp

"

"For our 12-location chiropractic group, they standardized our credentialing across 3 states. Their team knew exactly how to handle our CCSP certifications and got us 22% higher reimbursement for CMT codes with UnitedHealthcare."

AB

Dr. Alvarez, DC, CCSP

Multi-State Chiropractic Group

UHC • Aetna • Cigna • Medicare Advantage

"

"Their expertise in workers' comp credentialing got us on all major panels in California. They prepped our documentation for S8390 maintenance care approvals and helped us properly link ICD-10 codes like M54.5 to our 98940 adjustments."

KP

Dr. Patel, DC, DACBSP

Occupational Health Chiropractor

State Comp • SCIF • Zenith • Sedgwick

Locations

Serving Nationwide

Enjoy faster credentialing services across the nation! We are now available in all 50 states. So, wherever your practice might be, don’t hesitate to contact our expert team to unburden your administrative staff. 

Experience team

Lead by Expert

Adam has helped hundreds of healthcare providers start, grow, and sustain medical practices by providing 100% customer-focused, quick-response, and affordable solutions. Get in touch to discuss more.

Adam Blake CEO Rx Credentialing

Contact us 

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