ChiroTouch and ChiroFusion are two of the names that come up most often when a chiropractor starts shopping for chiropractic software. Both handle scheduling, SOAP notes, billing and patient intake, and both run in the cloud. The difference is in scale and approach: ChiroTouch is a large, AI-heavy platform sold in tiered packages through a demo, while ChiroFusion is a lean browser-based system with prices published on its website.
We compared the two using each vendor’s own product, pricing, support and FAQ pages, checked at the time of writing. Where a vendor does not publish a detail, we say so rather than guess. For the wider market, see our roundup of the top chiropractic practice management software, and for growth topics beyond software, start at our chiropractic marketing hub.
Quick verdict: Choose ChiroTouch if you run a busy or multi-location practice and want AI charting, an AI scribe, built-in reputation and recall tools, and a single vendor for claims, eligibility and payments, and you are comfortable with quote-based pricing. Choose ChiroFusion if you are a solo or small practice that wants a straightforward cloud EHR with transparent monthly pricing, month-to-month terms and free unlimited e-claims through its integrated clearinghouse.
| Feature | ChiroTouch | ChiroFusion |
| Deployment | Cloud product, with a separate support line for legacy Server accounts | 100% cloud-based, runs in a web browser on PC, Mac, tablet or phone |
| Best for | Growing, insurance-heavy or multi-location practices that want AI tools | Solo and small practices that want simple, published pricing |
| Scheduling | Natural-language smart scheduling, reminders, automatic recall on higher tiers | Custom appointment types, self check-in, online booking, email and text reminders |
| Documentation | Rheo AI charting, AI Scribe on Grow and Scale, custom SOAP templates and macros | SOAP templates and macros, care plans, digital outcome assessments |
| Billing and claims | CT Billing Suite add-on, integrated clearinghouse priced by volume or unlimited | Integrated clearinghouse, unlimited e-claims via Office Ally, ERA auto-posting |
| Patient portal and intake | Patient portal and digital intake with AI summarization on every plan | Online intake forms and online scheduling (add-ons on Essentials, included on Complete) |
| Pricing model | Quote-based, three plans: Start, Grow, Scale | Published: Essentials and Complete, monthly or annual, plus a setup fee |
| Integrations | Fullscript, Trizetto and Change Healthcare claims, CT Pay, CT Verify | Office Ally clearinghouse, OpenEdge payments, add-on marketplace |
| Support | Guided onboarding and unlimited support on every plan, phone, chat and tickets | Five one-hour live training sessions, email support, phone support on Complete |
ChiroTouch is a chiropractic EHR and practice management platform. Its website says it is used by more than 12,500 chiropractic practices. The current product is cloud-based, and the support page still lists a separate phone line and community portal for Server customers, which tells you the company has a long installed base that predates the cloud version.
The headline feature in 2026 is Rheo, ChiroTouch’s AI layer. Rheo drafts SOAP notes from intake forms, check-ins, typed context and prior notes, and the higher tiers add an AI Scribe that listens to the visit. Around the core EHR sits a family of add-on products: CT Engage for patient communication, CT InForms for intake, CT Pay for payments, CT Verify for eligibility, CT SmartFit for exercise programs, and CT ProClear and CT MaxClear for claims through Trizetto and Change Healthcare. ChiroTouch also markets two product positions, ChiroTouch Core for cash-based practices and ChiroTouch Advanced for insurance-billing practices.
ChiroFusion is a cloud-based chiropractic EHR, scheduling and billing system. Its FAQ says the company was founded in 2009 and that the software is 100% cloud-based: you log in through a browser, nothing is installed, and updates (usually monthly) and data storage are included in the subscription. It runs on PCs, Macs, tablets and smartphones.
ChiroFusion keeps its product deliberately compact. It covers scheduling, SOAP notes and care plans, an integrated clearinghouse with ERA auto-posting, integrated payment processing with wellness plans and auto-debit, a practice dashboard, online intake and online scheduling. The company also runs a separate chiropractic billing service for practices that want to outsource claims, and its homepage lists telehealth consultations, exercise prescriptions, outcome measures and a practice marketing platform among its tools.
Documentation is where the two products differ most. ChiroTouch has invested heavily in AI. Every plan includes basic AI charting with Rheo and digital intake with AI summarization, so intake answers can flow into the note. The Grow and Scale plans add the AI Scribe and advanced AI charting. ChiroTouch also offers custom SOAP templates, smart macros, diagnosis and charge code bundles, patient progression summaries, and a Compliance Scan that flags missing documentation before a claim goes out. ChiroTouch publishes headline figures for time saved, but they are vendor-reported, so treat them as a reason to test the feature in a demo rather than as a guarantee.
ChiroFusion takes a template-and-macro approach. Its homepage says you can create a compliant SOAP note and claim in about 30 seconds, and its features page describes customizable templates and macros, stored care plans, digitally scored outcome assessments, one-click note sharing, and charges that flow automatically to billing. ChiroFusion does not advertise an AI scribe. If your providers already chart quickly with macros, that may not matter. If after-hours charting is your biggest pain point, ChiroTouch’s AI tools are the stronger draw. For a deeper look at documentation-first products, see our list of the best chiropractic EHR software.
Both systems cover the front desk basics: an online schedule, appointment reminders and online booking. ChiroTouch adds natural-language smart scheduling, where staff can create or move appointments by typing a request, plus automatic patient recall, reputation management and office chat on the Grow plan. The Scale plan goes further into marketing with an AI review responder, AI translator, AI-powered campaigns and lead management.
ChiroFusion offers custom appointment types, patient self check-in, tracking for missed appointments and cancellations, 24/7 online booking, and email and text reminders. On the Essentials plan, text reminders, online intake forms and online scheduling are paid add-ons; on Complete they are included. If online booking is a priority, test the patient-facing booking flow on a phone during each demo.
ChiroTouch structures billing as add-ons. The CT Billing Suite provides the practice ledger, bulk statements and superbills, advanced A/R views and AI compliance scans. On top of that, an integrated clearinghouse option adds eligibility verification, claims scrubbing, electronic submission and ERA auto-posting. The clearinghouse comes in two forms, volume-based claims billed at the practice level on total monthly claim volume, or unlimited claims, and both require the CT Billing Suite. ChiroTouch says its ProClear connection (Trizetto) has a 98% payer acceptance rate; that is the vendor’s figure.
ChiroFusion bundles billing into both plans: medical billing, ERA auto-posting, unlimited e-claims, digital statements and online bill pay. The unlimited e-claims run through Office Ally, which ChiroFusion recommends for its integration. One detail worth reading closely: ChiroFusion’s pricing page notes that Office Ally charges $44.95 per Tax ID/NPI in any month with non-participating claims, a fee billed by Office Ally rather than ChiroFusion. If you bill out-of-network claims regularly, include that in your cost model. Practices that would rather hand off billing entirely can look at our list of chiropractic billing services.
Pricing is where the two vendors are furthest apart. ChiroTouch pricing is not published. Its pricing page lists three plans, Start, Grow and Scale, and directs buyers to book a demo or call sales. Every plan includes AI core features, guided onboarding and unlimited support. Add-ons such as CT Pay, the CT Billing Suite, the integrated clearinghouse and CT SmartFit are also quote-based. The page mentions special pricing for new practices through a program called CT Launch, without amounts. What drives your quote: plan tier, number of providers and locations, whether you bill insurance, and which add-ons you need.
ChiroFusion pricing is published. At time of writing, its pricing page lists:
Annual plans auto-renew unless cancelled within 30 days before renewal. ChiroFusion also runs time-limited promotions for new clients, so check the current offer before you sign. If you need a single number for budgeting, ChiroFusion lets you calculate it from the website; with ChiroTouch you will need a written quote. Our ChiroTouch review and pricing guide covers what to ask for in that quote.
ChiroTouch describes a five-step onboarding process: book a demo, choose a plan and package, start guided onboarding training, transfer data with a dedicated support team, then go live. Support runs through the ChiroTouch Community, which offers live chat, help articles and ticket submission, plus phone lines for Cloud and Server accounts. Unlimited support is included on every plan.
ChiroFusion gives every client five one-hour live training sessions over a secure remote connection, an account manager, video tutorials and a help center. It says most offices are running within two to three weeks. Essentials includes unlimited email support; phone support is included on Complete or available as a paid add-on. ChiroFusion transfers demographic data from your current system for free, but its FAQ is clear that medical records and accounting ledgers cannot be migrated and should be exported and stored in a HIPAA-compliant location. ChiroFusion does not offer a live demo; it provides an interactive video demo instead.
Still undecided? Our list of the best ChiroTouch alternatives covers other options, and our Jane vs ChiroFusion comparison shows how ChiroFusion stacks up against another popular cloud system.
ChiroFusion publishes prices starting at $129 per month on an annual Essentials plan, plus a $299 setup fee. ChiroTouch does not publish prices, so a direct comparison requires a written quote from ChiroTouch for the same number of providers, locations and add-ons.
Yes. ChiroFusion is entirely browser-based. ChiroTouch’s current product is cloud-based, and the company continues to support existing Server customers through a separate support line.
ChiroFusion’s website does not advertise an AI scribe. It relies on SOAP templates and macros. ChiroTouch includes basic AI charting on every plan and the AI Scribe on its Grow and Scale plans.
ChiroFusion transfers demographic data for free but does not migrate medical records or ledgers. ChiroTouch includes data transfer with a dedicated team as part of onboarding. In either direction, ask for a written scope of exactly which data will move before you sign.
ChiroTouch vs ChiroFusion comes down to how much platform you need. ChiroTouch is the broader system, with AI charting, an AI scribe, built-in engagement and marketing tools and a deep set of billing add-ons, but you have to go through a demo to learn the price. ChiroFusion is the simpler, more transparent choice, with published monthly pricing, flexible terms and free unlimited e-claims, at the cost of fewer advanced features. Shortlist the one that matches your practice size and billing mix, then ask each vendor to walk through a full day of your own workflow before you commit.