Built for chiropractic clinics

The chiropractor CRM that handles intake, reactivation, and insurance coordination without a ChiroTouch replacement.

ChiroTouch and Jane App do the clinical workflow well: SOAP notes, scheduling, charting. The gap is the patient-relationship side: intake conversion, reactivation campaigns, insurance coordination, referral tracking. Strkr fills that gap with HIPAA-compliant patient management that sits alongside your EHR instead of trying to replace it.

Start free trial See pricing
What this audience is actually dealing with

The pains that bring buyers here.

Chiropractic practices run two separate workflows most of the time. The EHR (ChiroTouch, Jane App, ChiroSpring, Platinum System) owns clinical documentation, SOAP notes, scheduling, and billing codes. The relationship workflow (intake conversion, reactivation of patients who stopped scheduling, insurance pre-verification, referral tracking, Google review requests) usually runs on a mix of email, phone calls, a spreadsheet, and whatever the front desk remembers. Patient reactivation alone represents 30 to 60 percent of potential revenue at a practice with 1,500 to 3,000 active patients. The front desk cannot run 400 reactivation calls a month manually and the EHR does not surface the reactivation opportunity in a workflow a non-clinical team member can run. The result is a practice that acquires patients well but drops a meaningful chunk of lifetime value because nobody is running the reactivation motion.

ChiroTouch is clinical, not relational

The EHR does SOAP; it does not run reactivation campaigns.

ChiroTouch, Jane App, ChiroSpring, and Platinum System are clinical workflow platforms. They handle SOAP notes, scheduling, charting, and billing codes well. They were not built to run intake conversion funnels, reactivation campaigns, or Google review automation. The practice that wants both ends up stapling an EHR to a general-purpose CRM and losing patient records in the gap. Strkr integrates with the EHR via the open REST API with webhooks so the clinical and relational workflows share one record.

The 1,500-patient reactivation gap

A third of your patient base stopped scheduling 6 months ago.

At a practice with 1,500 active patients, roughly 400 to 600 will have stopped scheduling in the past 6 months. Each represents 800 to 2,400 in lifetime value if reactivated. The front desk cannot manually run 400 reactivation calls a month and the EHR does not surface them in a workflow. Strkr fires reactivation campaigns at 90, 180, and 365 days of inactivity with the AI-drafted message personalized to the patient's treatment history.

Intake conversion leakage

35 percent of new-patient leads never book.

A new-patient lead calls or fills out a web form. The front desk is on another call. The lead goes to voicemail or the form sits in an inbox. Industry data shows roughly 35 percent of chiropractic leads never book the first visit. Strkr runs intake conversion as a flow: web form fires a Strkr Messaging reply within 60 seconds, the lead books through the self-serve link, the front desk sees the booking confirmed with the intake form pre-populated.

Insurance verification cycle time

The front desk burns 4 hours a day on insurance calls.

Pre-verification of insurance benefits before the first visit is a front-desk workload that eats 4 to 6 hours a day at a mid-sized practice. The call-and-hold pattern with major payers can take 20 to 45 minutes per patient. Strkr integrates with the common insurance eligibility APIs (Availity, Change Healthcare, Zelis) and runs the pre-verification as a flow with the benefit summary attached to the patient record 24 hours before the first visit.

HIPAA posture

A general-purpose CRM holding PHI needs a BAA.

Any CRM that holds patient information (name, DOB, treatment notes, insurance identifiers) must be HIPAA compliant with a Business Associate Agreement in place. Several general-purpose CRMs will not sign a BAA at the standard tier, which puts the practice at risk. Strkr is HIPAA compliant with BAA available for every tenant that holds PHI, and the compliance posture includes PHI-field audit logging, access controls, and the deprovisioning path that satisfies an OCR audit.

Referral tracking is a spreadsheet

The practice owner cannot tell which MDs are actually sending patients.

Referral tracking in most chiropractic practices is a spreadsheet the front desk updates when they remember. The practice owner cannot answer whether Dr. Chen at the family medicine group is actually sending patients this quarter versus last. Strkr tracks referrals as structured records with the referring provider, the referred patient, and the lifetime value of referrals from each source. The practice owner opens a dashboard and sees the top 10 referral sources by patient count and by LTV.

What Strkr for chiropractors does

The patient-relationship primitives, with the EHR integrated.

Strkr's chiropractic configuration ships the patient-relationship workflow (intake conversion, reactivation, insurance pre-verification, referral tracking, review automation) with the EHR integration that keeps the clinical and relational records in sync. The cards below are the capabilities that specifically ship for chiropractic tenants.

Patient record with EHR sync

ChiroTouch, Jane, ChiroSpring state visible on the record.

A patient record carries demographics, treatment history, SOAP note summary from the EHR, insurance benefits, visit cadence, and reactivation status. The EHR integration syncs patient demographics, appointment history, and SOAP note metadata via the open REST API with webhooks. The front desk opens the record and sees both the clinical history and the relationship context in one place without flipping to the EHR for each lookup.

Intake conversion flow

Web form to booked visit in under 10 minutes.

A new-patient web form fires a Strkr Messaging SMS reply within 60 seconds. The reply offers a self-serve booking link with available slots filtered by the practice's intake criteria (adjustment vs decompression vs sports injury). The lead books, the intake form sends automatically, the patient fills it out before the visit. The front desk sees the confirmed booking with the intake pre-populated 24 hours before the appointment.

Reactivation campaigns

90, 180, 365-day inactivity triggers with AI-drafted messages.

Strkr fires reactivation flows at 90, 180, and 365 days of inactivity with the Strkr AI drafted message personalized to the patient's treatment history. A patient who was treating for lower back pain gets a different reactivation message than a patient who was treating for a sports injury. The campaign tracks per cohort with reactivation rate, LTV captured, and the per-practice variance so the owner can tune the cadence.

Insurance pre-verification

Benefits summary attached 24 hours before the first visit.

The pre-verification flow integrates with Availity, Change Healthcare, and Zelis to pull the benefits summary (deductible, copay, coinsurance, visits remaining, chiro-specific coverage) 24 hours before the first visit. The summary attaches to the patient record and the front desk reviews instead of calling. For practices in states with surprise-billing requirements, the pre-verification output includes the good-faith estimate the patient needs for compliance.

Referral tracking

Top 10 referring providers surfaced on a dashboard.

Every patient record carries the referral source as a structured field (MD referral, patient referral, Google, Facebook, insurance network, other). Referral records tie to the referring provider for MD referrals. The dashboard shows the top 10 providers by patient count, by lifetime value, and by current-quarter referral activity. The practice owner sees which MDs are actually sending and can direct the relationship investment accordingly.

Google review automation

Review request fires post-adjustment on the right cadence.

A Google review request fires via Strkr Messaging 24 hours after a positive adjustment outcome. The timing avoids pattern-of-review flags that Google penalizes while still capturing the patient at their best moment. The practice can filter the request to patients with 10 plus visits (so new patients do not get asked prematurely) and to adjustments that resulted in a rebooking (so dissatisfied patients do not get asked at all).

Multi-location rollup

The 4-clinic group sees per-location metrics side by side.

Chiropractic groups with multiple locations run Strkr with per-location dashboards and a rollup view. Each location has its own patient base, its own front desk, its own provider team. The group owner opens the rollup and sees reactivation rate, intake conversion, review score, and net new patients per location side by side. Benchmark variance surfaces so the owner can direct the operations review to the location that needs it.

HIPAA compliance posture

BAA available, field-level audit, OCR audit path.

Strkr is HIPAA compliant with BAA available for every tenant that holds PHI. Field-level audit logging retains every PHI field access with user ID, timestamp, and source IP. Role-based access controls prevent front-desk staff from seeing SOAP note content when their role does not require it. The deprovisioning path on staff turnover retains the audit chain for the full HIPAA retention requirement. The practice owner can produce an OCR-audit-ready evidence packet from the admin console.

Flat per-seat pricing

The practice owner reads one line on the invoice.

Strkr pricing is per seat with the full chiropractic configuration on every paid tier: patient record, EHR integration, intake flow, reactivation campaigns, insurance pre-verification, referral tracking, review automation, multi-location rollup. No per-patient meter. No reactivation-SKU gate. For a 3-provider practice with 2 front-desk staff, the per-seat line is predictable 12 months out.

What chiropractic practice owners compare on

The evaluation checklist that actually decides chiropractic software.

Most comparison articles for chiropractic software rank by whether the vendor is a full EHR replacement, which misses the point for most practices. Strkr is not an EHR replacement; it is a patient-relationship CRM that sits alongside the EHR. The six criteria below are what practice owners actually care about when evaluating the patient-relationship side of the stack.

EHR integration depth

Does the CRM see the SOAP state and the appointment history.

Strkr: patient demographics, appointment history, and SOAP note metadata sync from ChiroTouch, Jane, ChiroSpring, Platinum via API. ChiroTouch: no CRM pairing, the practice runs reactivation manually. Jane App: strong on clinical workflow with limited patient-relationship automation. For practices that want both the clinical workflow and the patient-relationship motion, EHR integration depth is the first evaluation criterion.

Reactivation campaign depth

Does the system actually run campaigns at 1,500-patient scale.

Strkr: 90, 180, 365-day inactivity triggers with AI-drafted messages personalized to treatment history, running at any patient-base size. ChiroTouch: reactivation reporting without campaign automation. General-purpose CRMs: campaigns work but the chiropractic context (treatment type, visit cadence, insurance tier) is not modeled. The reactivation motion is where most practices leave the biggest revenue on the table, which makes campaign depth the second criterion.

HIPAA posture

Is the BAA included and is the audit evidence producible.

Strkr: HIPAA compliant with BAA included on every tenant holding PHI, field-level audit log, OCR audit-ready evidence packet. ChiroTouch: HIPAA compliant with BAA, mature. General-purpose CRMs: BAA sometimes requires enterprise tier or is not offered at all. For practices considering a general-purpose CRM for the patient-relationship work, the BAA question is the first thing to ask the vendor.

Insurance verification automation

Can the system pull benefits via Availity or Change Healthcare.

Strkr: integrates with Availity, Change Healthcare, Zelis for pre-verification 24 hours before the first visit. ChiroTouch: integrated verification via some payer connections. General-purpose CRMs: no healthcare-specific integration, verification runs manually. For practices burning 4 to 6 hours a day on insurance calls, this is a capability that pays back the subscription in the first month.

Multi-location rollup

Can a 4-clinic group see per-location metrics side by side.

Strkr: per-location dashboards with a rollup view, benchmark variance surfaced. ChiroTouch: multi-location configuration exists but the rollup reporting runs through standard reports. For groups growing past 2 locations, the rollup view is the operational tool that lets the owner run the right conversation at the right location without a weekly spreadsheet build.

Pricing clarity

Is the invoice line defensible 12 months out.

Strkr: flat per seat with everything included on every paid tier. ChiroTouch: license plus modules plus add-ons, which can shift at renewal. Jane App: per-provider pricing with a cleaner structure. General-purpose CRMs: per-seat with marketing-add-ons that often double the sticker price. For a practice owner planning the operating budget, the predictability of the per-seat line matters as much as the feature set.

What Strkr for chiropractors will not do

The limits.

Any vendor that will not tell you where their product falls short is selling you the demo and leaving the deployment problem for your team to discover. The list below is what Strkr for chiropractors does not do today, with the context on why we chose to focus on the patient-relationship side rather than trying to replace the EHR.

Not a clinical EHR

SOAP notes stay in ChiroTouch, Jane, ChiroSpring, Platinum.

Strkr does not replace ChiroTouch, Jane App, ChiroSpring, Platinum System, or similar clinical EHRs. SOAP notes, treatment plans, exam findings, chart notes, and clinical documentation remain in the EHR. Strkr reads appointment history and SOAP metadata via API, so the AE sees the clinical context in the relationship workflow, but the actual SOAP writing stays with the provider in the EHR where it belongs.

Not a billing engine

Claim submission stays with ChiroTouch, Office Ally, Kareo.

Strkr does not submit insurance claims. Claim coding, 837P transmission, ERA processing, and claim-denial management stay in the practice management system. Strkr tracks the claim state (submitted, pending, paid, denied) as a reference field on the patient record so the front desk sees the context, but the actual claim submission workflow stays with the practice management vendor.

Not a scheduling system

Appointment slot management stays in the EHR.

Strkr runs intake conversion with a self-serve booking link that writes back to the EHR scheduling system. We do not replace the provider calendar, the room scheduling, or the appointment slot management. For practices that need advanced scheduling features (template-based slot creation, provider preference rules, patient-specific booking constraints), those remain in the EHR.

No patient portal

Patient-facing portal stays in the EHR.

Strkr does not provide a patient-facing portal for scheduling, bill pay, or document access. Those capabilities stay in the EHR's patient portal where they are integrated with the clinical workflow. Strkr runs the practice-facing workflow (intake conversion, reactivation, insurance pre-verification, referral tracking, review automation) and leaves the patient-portal surface with the EHR.

Not a telehealth platform

Video consultation stays with Doxy, Zoom for Healthcare, Jane telehealth.

Strkr does not run telehealth video consultations. For practices offering telehealth, Doxy, Zoom for Healthcare, and the native telehealth features in Jane App or ChiroTouch are the right fit. Strkr tracks whether a visit was in-person or telehealth as a visit-type field on the patient record and surfaces the telehealth-eligible population for reactivation campaigns.

Not a credentialing tool

Provider credentialing stays with CAQH, Medallion, Verifiable.

Strkr does not run provider credentialing with payers. For practices adding providers or managing credentialing cycles, CAQH, Medallion, and Verifiable are the specialty tools. Strkr tracks provider credentialing status as a reference field on the provider record so the practice owner sees the context, but the actual credentialing workflow runs in the specialty tool.

Head-to-head

Strkr vs ChiroTouch for the patient-relationship workflow specifically.

ChiroTouch is the dominant chiropractic EHR and the comparison most practice owners run against anything new. Jane App is the modern-UX comparison. Here is the head-to-head against ChiroTouch for the patient-relationship side of the stack specifically, acknowledging that Strkr sits alongside ChiroTouch rather than replacing it.

Feature Strkr ChiroTouch (patient-relationship capabilities)
Primary purpose Patient-relationship CRM alongside the EHR Clinical EHR with limited relationship automation
Intake conversion flow Web form to booked visit in under 10 minutes via SMS Online intake form, manual follow-up
Reactivation campaigns 90, 180, 365-day triggers with AI-drafted messages Reactivation reporting, manual campaign execution
Insurance pre-verification Availity, Change Healthcare, Zelis integration Some payer verification, varies by connection
Referral tracking Top-10 referring providers dashboard with LTV Referral source field with reporting
Google review automation Timed request post-adjustment with filtering Via third-party integration
Multi-location rollup Per-location dashboards with group rollup Multi-location configuration with standard reports
HIPAA + BAA BAA included, field-level audit, OCR evidence packet HIPAA compliant with BAA, mature
EHR integration Reads ChiroTouch, Jane, ChiroSpring, Platinum via API Is the EHR; no external CRM pairing by default
Pricing Flat per seat with everything included License plus modules plus add-ons
How teams use Strkr

How chiropractic practices run Strkr today.

The common thread across chiropractic customers: they wanted the patient-relationship workflow running on structured records with the EHR integrated, so the front desk could run reactivation and intake conversion without a weekly spreadsheet. The playbooks below are motions live on practice customer accounts right now.

2-location practice, 1,800 active patients

Reactivation campaign recovered 92 lapsed patients in the first quarter.

A 2-location chiropractic practice with 1,800 active patients implemented the 90, 180, 365-day reactivation flow. In the first quarter, the campaign recovered 92 lapsed patients who scheduled at least one visit after the outreach. At an average lifetime value of 1,400 per reactivated patient, the quarter represented roughly 128K in recovered revenue. The front desk ran the campaign review as a 20-minute weekly ritual instead of a daily phone-call grind. The practice owner cited the reactivation revenue as paying back the Strkr subscription roughly 60 times over in the first quarter.

Single-location, 3 providers, 1,200 patients

Intake conversion lifted from 61 to 84 percent in 8 weeks.

A single-location practice with 3 providers was converting roughly 61 percent of web-form leads to a booked first visit. The 60-second SMS reply with self-serve booking link lifted the conversion to 84 percent over 8 weeks. The practice was running roughly 40 leads a month, so the 23-percentage-point lift represented roughly 9 additional booked first visits a month, projecting to roughly 110 incremental new patients a year. The front desk reclaimed roughly 90 minutes a day previously spent on initial-contact calls.

4-clinic group, 6,000 total patients

Multi-location rollup surfaced a 32-point reactivation variance.

A 4-clinic group with 6,000 total patients ran per-location dashboards for 60 days before the rollup revealed a 32-point variance in reactivation rate between the best-performing and worst-performing location. The group owner ran a operations review at the lagging location, identified a staffing gap in the reactivation workflow, and reorganized the front-desk responsibilities. Within 90 days the lagging location closed roughly 18 points of the gap, which represented an estimated 180K annualized revenue uplift at that location alone.

Sports chiropractic clinic, 900 patients

Insurance pre-verification cut front-desk call volume by 70 percent.

A sports chiropractic clinic with 900 patients was running 30 to 40 insurance verification calls a day. The Availity and Change Healthcare integration cut the manual verification call volume by roughly 70 percent, with the benefits summary attaching to the patient record 24 hours before the first visit. The front desk reclaimed roughly 3 hours a day, which the practice redirected to patient-relationship work including reactivation outreach and the Google review flow. Patient-reported satisfaction scores improved roughly 12 points in the first quarter.

Family chiropractic practice, 2,400 patients

Google review count grew from 142 to 318 over 10 months.

A family chiropractic practice with 2,400 active patients was sitting at 142 Google reviews after 8 years. The timed review-request flow (24 hours post-adjustment, filtered to 10 plus visit patients, filtered to rebooked outcomes) grew the review count to 318 over 10 months with the average rating holding at 4.8. The practice reported a measurable uplift in new-patient web-form submissions over the same period, which the owner attributed to the review-count visibility in Google Maps results.

A chiropractic CRM that handles the patient-relationship work your EHR was not built for.

Start a 14-day trial with the chiropractic configuration enabled. Intake conversion flow, reactivation campaigns at 90, 180, 365 days, insurance pre-verification via Availity and Change Healthcare, referral tracking, Google review automation, multi-location rollup. HIPAA compliant with BAA available. Integrates with ChiroTouch, Jane App, ChiroSpring, Platinum System.

Start free trial See pricing
Common questions

What buyers in this bucket ask most.

Does Strkr replace ChiroTouch or Jane App?

No. Strkr is a patient-relationship CRM that sits alongside your chiropractic EHR, not a replacement for it. ChiroTouch, Jane App, ChiroSpring, Platinum System, and similar clinical workflow platforms remain the system of record for SOAP notes, treatment plans, scheduling, and billing. Strkr runs the patient-relationship workflow: intake conversion, reactivation campaigns, insurance pre-verification, referral tracking, Google review automation, and multi-location rollup. The two integrate via the open REST API with webhooks so patient demographics, appointment history, and SOAP note metadata sync into Strkr, and bookings from the intake flow write back to the EHR scheduling system. The common pattern is: the EHR owns clinical, Strkr owns relational, and the integration keeps them in sync.

Is Strkr HIPAA compliant and do you sign a BAA?

Yes. Strkr is HIPAA compliant with BAA available for every tenant that holds PHI. The compliance posture includes field-level audit logging on every PHI field access with user ID, timestamp, and source IP retained for the full HIPAA retention requirement. Role-based access controls prevent front-desk staff from seeing SOAP note content when their role does not require it. The deprovisioning path on staff turnover preserves the audit chain. Practice owners can produce an OCR-audit-ready evidence packet from the admin console in minutes rather than weeks. The BAA is included at every paid tier that holds PHI, not gated to an enterprise package. For practice owners who have been told by a general-purpose CRM vendor that the BAA requires an enterprise upgrade, this is one of the reasons Strkr is the fit.

How does the reactivation campaign actually work at a 1,500-patient practice?

The reactivation flow fires at 90, 180, and 365 days of inactivity (configurable per practice preference). At each trigger, Strkr AI drafts the outreach message personalized to the patient's treatment history. A patient who was treating for lower back pain gets a different message than a patient who was treating for a sports injury or for a pediatric adjustment. The front desk reviews the drafted message in a daily queue, approves or edits in roughly 20 seconds, and the message sends via Strkr Messaging SMS or email based on the patient's preference. The campaign tracks per cohort with reactivation rate, visit count after reactivation, and lifetime value captured. The weekly review takes 20 minutes instead of the daily phone-call grind that most practices run manually, and the reactivation revenue typically pays back the subscription several times over in the first quarter.

What does the EHR integration actually sync?

The sync covers patient demographics (name, DOB, phone, email, address, insurance identifiers), appointment history (date, provider, visit type, duration, outcome), SOAP note metadata (date, provider, treatment area, treatment type, without the full note content unless the practice chooses to sync it), and referral source. Bookings from the Strkr intake flow write back to the EHR scheduling system so the practice sees the appointment in the EHR as the authoritative schedule. The sync runs via the open REST API with webhooks, with ChiroTouch, Jane App, ChiroSpring, and Platinum System supported. Change events in either system propagate to the other within seconds. For practices on EHRs not yet in the native integration list, the open REST API with webhooks lets a developer wire the integration in a sprint rather than a quarter-long project.

What is the implementation path for a chiropractic practice?

Most practices go live in 2 to 4 weeks. Week one covers the EHR integration setup, the patient-record data import, and the staff account provisioning. Week two covers the intake conversion flow configuration, the reactivation campaign setup, and the Google review flow. Week three covers insurance pre-verification integration (Availity, Change Healthcare, Zelis) and the referral tracking setup. Week four runs with the practice team as the first wave of reactivation campaigns fires and the intake conversion flow sees real production traffic. For multi-location groups, the per-location configuration adds a week or two for the rollup setup and the per-location dashboard configuration. The practice-side time investment runs roughly 2 to 4 hours per week during implementation, which is a operational concern most practice owners raise and the answer is designed around.

What does Strkr cost for a mid-sized chiropractic practice?

Strkr pricing is per seat with the full chiropractic configuration on every paid tier. A typical 3-provider practice with 2 front-desk staff runs 5 seats, which lands on the standard team-size per-seat line. For 2 to 4 location groups, the pricing scales with the staff seat count, not with the patient base or the campaign volume. There is no per-patient meter, no reactivation-campaign SKU, no insurance-verification add-on. The three-year TCO for a 5-seat practice usually comes in well under 10K, which the reactivation revenue alone typically covers in the first quarter at a 1,500-patient-plus practice. For specific pricing, the discovery call confirms the seat count and the EHR integration scope.

Also built for

Related audiences.

Chiropractors Small business SMB CRM All-in-one CRM AI CRM software Churches Electricians CRM software

Try it free. Bring your team next week.

No sales call, no migration consultant, no four-month implementation. Enter your card, get 14 days of the full Pro tier, cancel any time before day 14 with zero charge. Spin up a workspace, import your CSV, and have something useful before lunch.

Start free trial See pricing