Home/Chiropractic/Jane
Chiropractic revenue management, for clinics on JaneYour Clinic Is Not Only a Chiropractic Clinic. Your Billing Knows It.
Jane is chosen by multi-discipline clinics more often than most chiropractic systems, and that single fact changes the revenue cycle more than any feature does. Chiropractic, physiotherapy, massage and acupuncture under one roof means several sets of payer rules, several enrollment records and several definitions of a covered visit, all running through one schedule and one set of claims.
Start with the free CareVixis practice assessment. No email required.
Jane Already Does the First Half.
Policies captured at intake, eligibility checked, claims scrubbed, secondary claims pre-populated, patient balances requested automatically.
That is a lot of a revenue cycle, and it runs without anyone thinking about it.
So the Leftovers Are the Hard Ones.
What is left over is not badly formatted. It is contested, or unclear, or about whether the care was covered in the first place.
No amount of automation decides those.
And You Are Probably Billing More Than Chiropractic.
Clinics choose Jane to run several disciplines under one roof, each with its own coverage rules and its own enrollments.
A denial on a chiropractic claim can have its cause somewhere else entirely.
Nobody Owns the Matrix.
Which practitioner is enrolled with which payer, for which service, from what date.
Gaps in it produce denials that read exactly like coding mistakes.
Keep Jane. Hand Over the Rest.
CareVixis manages denials, appeals, accounts receivable, payer follow-up and credentialing across every discipline you bill.
Nothing clinical changes and your patients keep booking the same way.
Jane runs the clinic. CareVixis runs the revenue cycle around all of it.
The detail, if you want it
What Jane publishes about its billing, why automation leaves the hardest claims behind, where a multi-discipline clinic loses money, and what to ask any billing company.
Can a multi-discipline clinic keep Jane and outsource billing?
Yes, and the multi-discipline part is the reason it is worth doing. Booking, charting, claim creation and payments stay in Jane. CareVixis manages denials, appeals, accounts receivable, payer follow-up and credentialing around it, across every discipline the clinic bills for rather than the chiropractic side alone.
CareVixis has no API integration, native integration, certification or partnership with Jane and claims none. It works from the claim and remittance data the clinic is able to make available, which Jane and its clearinghouse partner already produce.
What Jane Publishes About Its Billing
['Jane describing Jane, quoted from its own billing and insurance page and cited below.', 'The structural fact worth knowing before any billing conversation: Jane states that it “integrates with Claim.MD to handle every step of your revenue cycle, from eligibility checks all the way through to collecting payments”. CareVixis has documented that clearinghouse separately.']
| What it does | How Jane describes it |
|---|---|
| Clearinghouse | Jane “integrates with Claim.MD to handle every step of your revenue cycle, from eligibility checks all the way through to collecting payments”. |
| Before the visit | “Patients can share policies in advance on their online intake form”, with an insurance card upload field. |
| Eligibility | Eligibility can be checked “through the Claim.MD integration”. |
| Scrubbing | “Claim.MD checks every claim for errors before sending to payers.” |
| Secondary claims | “Jane pre-populates secondary claims with primary responses.” |
| Patient responsibility | It can “automatically calculate amount owed based on your patient’s policy” and “securely collect a credit card on file”. |
| After settlement | It can “automatically request payment for remaining balances after claims settle”. |
| At checkout | Billing details carry over from past visits to “speed up checkout”. |
CareVixis has not independently tested any of these features and does not restate Jane’s published customer figures anywhere on this page.
Automation Handles the Rules. It Does Not Handle the Judgements.
That list above is a genuinely complete front half of a revenue cycle. Eligibility before the visit, scrubbing before submission, secondary claims populated from the primary response, patient balances requested automatically once the payer has settled. Most of what a billing company historically did by hand in the first week of a claim's life is already done.
Which means the claims still failing are not failing for want of automation. They are failing on determinations: whether care was active treatment, whether documentation supports the level billed, whether this plan covers this discipline for this diagnosis, whether a practitioner was enrolled on the date of service.
In a clinic billing several disciplines, those determinations multiply. Each discipline has its own coverage logic and its own enrollment trail, and a denial arriving on a chiropractic claim can have its cause sitting in a completely different part of the clinic.
What the workflow already settles
- Policy captured before the patient arrives.
- Eligibility checked ahead of the visit.
- Format and code errors caught pre-submission.
- Secondary claims populated from the primary.
- Patient balance requested once the payer settles.
What still needs a person
- Whether this plan covers this discipline.
- Whether the note supports the level billed.
- Which practitioner is enrolled with which payer.
- Why one payer denies what another pays.
- An appeal, and the call behind it.
Where a Multi-Discipline Clinic Loses Money
None of these is unique to Jane. They are the failures that a clinic running more than one discipline is more exposed to, and they are the ones automation is least able to close.
Coverage differs by discipline
A plan can cover chiropractic and exclude massage, or cover both with different visit limits and different authorisation rules. One patient, one clinic, two answers.
Enrollment per practitioner, per payer
Every practitioner needs their own enrollment with every payer they bill. In a clinic with several disciplines and some part-time staff, that matrix gets large and its gaps look like coding errors.
The chiropractic coverage question
Whether care is active treatment or maintenance is a clinical determination that governs whether Medicare pays at all. CareVixis sets out the published rule on its chiropractic revenue management page.
Shared visits, split billing
Where a patient sees two practitioners on one day, what gets billed, under whom, and in what order is a rule the payer has an opinion about and the schedule does not.
Secondary claims that stall
Populating a secondary claim is the easy half. The hard half is noticing when the secondary never adjudicated and the balance simply sat.
Liability and auto cases
Chiropractic carries an unusually high share of personal injury and auto work. Those balances age on their own timeline and are easy to leave alone too long.
CareVixis publishes no denial rate, recovery rate or resolution time, and does not suggest every clinic experiences any of this. What is happening in a particular clinic is a question for its own data.
Where This Fits Around What You Already Run
Where a claim goes in a Jane clinic, and where CareVixis joins it. The first five steps are the clinic's existing workflow and do not change.
- Online intakeThe patient uploads their policy before arriving, and eligibility can be checked ahead of the visit.
- Visit and chartThe practitioner documents in Jane, whichever discipline they practise.
- Claim creation and scrubbingClaims are created inside the existing workflow, and the clearinghouse checks them for errors before they reach the payer.
- Payer adjudicationThe claim is paid, adjusted, denied, or rejected before adjudication. A rejection never became a claim, so there is nothing to appeal.
- Remittance, secondary and patient balanceSecondary claims are pre-populated from the primary response, and the remaining balance can be requested automatically once the claim settles.
- VixisIQ™CareVixis revenue intelligence reads the resulting remittance information, where appropriate data can be obtained and normalized, and looks at accounts receivable, payer behaviour and denial patterns across every discipline rather than claim by claim.
- VixisTrace™For a failed claim, CareVixis claim root cause analysis applies eight stages: Detect, Investigate, Identify, Correct, Prevent, Resubmit, Verify, Monitor.
- The CareVixis teamNamed people handle the appeal, the payer call, the aged balance and the enrollment gap, across every discipline the clinic bills. Denials are worked the day they arrive; submitting the corrected claim or appeal the same day is the CareVixis standard.
What to Ask a Billing Company If You Run Jane
Put these to CareVixis as well. The differences between the answers tell you more than any page like this one.
-
Do you bill every discipline we run, or only chiropractic?
Ask first. A partner who handles one discipline leaves the clinic coordinating the rest, which is the problem you were trying to solve.
-
Who tracks which practitioner is enrolled with which payer?
Ask for the mechanism and who owns it. This matrix is where multi-discipline clinics lose money quietly.
-
What happens to a denial the scrubber could not have caught?
The front half is already automated here, so this is the whole job. Ask what they actually do with it.
-
How would you notice a secondary claim that never adjudicated?
It was submitted, so it looks handled. Ask what surfaces one that simply stopped.
-
How would an underpayment surface?
It was paid, so it appears on no denial report. Ask what catches a claim paid below the contracted rate.
-
Who decides whether care is active treatment?
The clinician decides and the documentation supports it. A billing company offering to make that call is offering the wrong thing.
-
How do you handle personal injury and auto balances?
Ask specifically. A general accounts receivable process tends to leave these until they are no longer collectable.
-
Do you handle credentialing as well?
In a clinic adding practitioners regularly, enrollment and billing are the same problem viewed from two ends.
-
Where is your team?
Ask where the people working your claims sit and whether you can speak to them. CareVixis is 100% US based with no outsourcing.
Using Jane? Keep It.
Your practitioners know this software, your patients book in it, and your intake, charting and payments already run through it. Nothing on this page is an argument for changing that.
Keeping your system is a supported outcome, not a fallback. CareVixis manages the revenue cycle around whatever a clinic runs. If a clinic later wants to move to the CareVixis platform, that move may be offered at no additional migration charge, and everything the patient sees still carries the clinic’s own name and branding.
Keep Jane. Hand over the determinations it cannot automate.
Questions Clinics Ask About Jane and Billing
Does CareVixis work with chiropractic clinics using Jane?
Yes. CareVixis provides chiropractic revenue cycle management for clinics on Jane, and bills the other disciplines a clinic runs as well. The clinic keeps Jane and CareVixis manages denials, accounts receivable, payer follow-up and credentialing around it.
Do I have to replace Jane to work with CareVixis?
No. Jane does not need to be replaced for a clinic to use CareVixis revenue cycle services. Booking, charting, claim creation and payments stay exactly where they are.
Can CareVixis work with Claim.MD?
Yes. Jane states that it integrates with Claim.MD across the revenue cycle. CareVixis works from the claim and remittance data a clinic is able to make available, whichever clearinghouse produced it, and documents Claim.MD separately.
Can CareVixis bill for more than chiropractic?
Yes. CareVixis manages the revenue cycle for the whole clinic rather than one discipline, which matters most where coverage rules and practitioner enrollments differ between the services under one roof.
What is VixisIQ™?
VixisIQ™ is the CareVixis revenue intelligence technology. It analyses revenue cycle and remittance data to surface payment patterns, adjustments, denial and rejection patterns, payer behaviour and accounts receivable trends. What it can analyse for a particular clinic depends on the data that clinic is able to make available.
What is VixisTrace™?
VixisTrace™ is the CareVixis claim root cause analysis technology, covering rejected, denied, underpaid and otherwise problematic claims across eight stages. The objective is continuous improvement: identify preventable patterns, address their causes, and reduce unnecessary repeat failures.
Can CareVixis take on our existing aged balances?
Yes, as a separate arrangement. It is charged on what CareVixis actually recovers rather than on the size of the balance transferred. Terms are published on the pricing page.
Does CareVixis handle credentialing for a multi-discipline clinic?
Yes, through VixisCred™. Each practitioner needs their own enrollment with each payer they bill, and gaps in that matrix produce denials that read as coding problems. See the pricing page.
Keep Jane. Add Revenue Intelligence.
Keep the software your whole clinic runs on. Let CareVixis be accountable for the money across every discipline in it.
Free. No obligation. No email required.
Sources
- Jane, Billing & Insurance feature page. Source of the statements that Jane integrates with Claim.MD to handle every step of the revenue cycle from eligibility checks through to collecting payments, that patients can share policies in advance on the online intake form, that eligibility can be checked through the Claim.MD integration, that Claim.MD checks every claim for errors before sending to payers, that Jane pre-populates secondary claims with primary responses, that it can automatically calculate the amount owed based on the patient’s policy and collect a card on file, that it can automatically request payment for remaining balances after claims settle, and that billing details carry over from past visits. jane.app. Accessed 21 September 2026.
- Centers for Medicare & Medicaid Services, Billing and Coding Guidelines for Chiropractic Services (L34585). Cited for the existence of the active treatment and maintenance therapy distinction that governs chiropractic coverage. CareVixis states the rule in the source’s own terms on its chiropractic specialty page. cms.gov. Accessed 21 September 2026.
Jane publishes customer figures on its own site. None is restated here.
Trademarks and non-affiliation
Jane is a trademark of its respective owner and is used here descriptively, to identify software a clinic may already use. Claim.MD is a trademark of its respective owner. Quoted product descriptions are Jane’s own words, cited above.
CareVixis is not affiliated with, endorsed by, sponsored by or certified by Jane. No API integration, native integration, certification or partnership with Jane is claimed.
Keep Your Chiropractic Software. Connect the Revenue Work Around It.
VixisChiro™ represents CareVixis's chiropractic-specific clinical experience, but switching systems is not required. CareVixis can work around the chiropractic platform you already use while connecting revenue management, credentialing and claim intelligence through the broader Vixis ecosystem.