Every chiropractic location you open adds a back office no one is staffing.

Chiropractic has unusually high eligibility friction. Personal injury, Medicare, and commercial plans each run a different verification path, and chiropractic benefits are frequently carved out to a separate benefit manager such as American Specialty Health or Optum. A multi-location group sees many distinct plan types every week, and benefits have to be re-checked after deductible resets, plan-year changes, and secondary-insurance events.

Relay's AI employee runs eligibility ahead of each scheduled visit across every location, identifies chiropractic benefit carve-outs, flags out-of-network or exhausted-benefit situations before the appointment, and surfaces the deductible balance so the front desk can collect at check-in. A staff member reviews the flags and confirms the fix.

Verification that runs the night before the appointment rather than the morning of gives the front desk time to act, so an out-of-network situation gets caught before it becomes a write-off.

Many commercial and managed-care plans require prior authorization for chiropractic after an initial acute-care window. The rules vary by state, payer, and benefit tier, and requests need clinical documentation in payer-specific formats covering diagnosis, treatment plan, and functional outcomes. Nothing in a typical chiropractic EHR proactively warns the front desk before authorized visits run out or the authorization end date passes.

Relay's AI employee tracks each active patient's authorization against their visit count, triggers the renewal workflow as the patient nears the limit, pre-populates the clinical packet from the chart, and routes it to a billing coordinator for final review and submission. It tracks the payer response and escalates stalled requests. Staff finalize and submit.

Catching the renewal before the cap is hit keeps authorized visits billable, and it prevents a denial that would otherwise need a retroactive appeal.

Chiropractic denials cluster around a few predictable failure patterns: exceeded visit caps, modifier mismatches, and missing medical-necessity documentation. Payers scrutinize chiropractic care aggressively, so a wrong region count on a CMT code or a missing AT modifier sends the claim back and risks the timely-filing window. At scale across locations, small clean-claim-rate gaps compound into a denial backlog that grows faster than the billers can work it.

Relay's AI employee runs a pre-submission scrub on every claim, validating the CMT region count against the note, checking AT-modifier presence and appropriateness, and cross-checking diagnosis codes against the payer's covered list. On the back end it works the denials, classifying each one by type and payer and ranking them by amount owed and age. It drafts the appeal with chart documentation pre-pulled, flags notes that fail medical-necessity criteria or look cloned, and surfaces underpayments against the contracted fee schedule. A billing coordinator reviews and submits.

The pre-submission scrub stops predictable denials before they leave the clinic, and the back-end triage keeps the appeal queue from aging past the timely-filing window.

Workers' Comp cases in chiropractic operate on a separate billing track: state-specific fee schedules, employer and insurer billing rather than the patient, treatment authorization tied to claim acceptance, and case management correspondence that standard practice management tools were not designed to handle. A group carrying Workers' Comp cases across several locations is managing a parallel workflow that looks nothing like commercial insurance billing.

Relay's AI employee monitors open Workers' Comp files, tracks treatment authorization status and utilization limits by case, triggers follow-up on unanswered correspondence, flags cases where authorization has lapsed before the next scheduled visit, and surfaces the outstanding A/R by case for staff review. A staff member works each flagged file.

When cases are tracked systematically across every location, lapsed authorizations get flagged before the next visit is scheduled, so the group stops absorbing unbillable appointments after the fact.

Chiropractic care plans run multiple visits per week, which means the front desk is tracking recurring-visit cadence, lapsed care plans, waitlists, and next-day confirmations across every location at once, while still fielding phone, web-form, Google Business, and direct-message inquiries. Done by hand, it falls behind during peak patient flow, and a missed PI or Workers' Comp inquiry means unbilled visits lost before the patient ever books.

Relay's AI employees monitor every inquiry channel, pre-screen new PI and Workers' Comp cases with triage details populated, generate and chase intake packets by case type, fill same-day cancellations from a waitlist, and run reminder and recall sequences timed to each clinic's no-show pattern. A staff member confirms bookings and handles exceptions.

PI and Workers' Comp intake requires a lien agreement and case-type documentation before the first visit. The AI employee chases the packet automatically, so the front desk does not have to track it down manually while managing the rest of the schedule.

Personal injury and motor-vehicle-accident cases are a real revenue channel in chiropractic, and they are often billed on a lien basis: paid at settlement, not at the visit. That creates a workflow standard insurance-billing tools ignore entirely, covering attorney communication, lien tracking, and settlement follow-up. Without a systematic process, cases close and the lien goes uncollected.

Relay's AI employee monitors lien status across the group's open PI caseload, triggers attorney follow-up, surfaces settlement-ready cases for staff action, and flags PI files missing a lien agreement before the first visit. A staff member works each flagged case.

Lien-based PI billing is a distinct workflow most standard insurance-billing tools were not built to track. Tracking it systematically means the lien is ready when the settlement is.

When a group adds providers or opens a location, billing under a provider not yet enrolled with a payer produces denials that cannot be corrected retroactively without re-credentialing. Multi-location groups lose billable visits when a provider works a second site before their payer enrollment is updated for that location's group NPI.

Relay's AI employee monitors credentialing expirations and CAQH re-attestation deadlines across every provider, watches payer enrollment when a provider adds a location, and alerts the credentialing coordinator before a claim goes out under an uncredentialed provider. A staff member signs off on each renewal.

Catching the enrollment gap before the claim runs is the difference between a routine update and a denial that requires re-credentialing to fix.

ChiroTouch holds the operational record, visit counts, auth approvals, eligibility, and charge data, but its native workflows leave staff manually tracking denials, re-entering eligibility, and chasing prior auths. ChiroTouch has no publicly documented open REST API; integration runs through its partner program, structured exports, and clearinghouse modules (CT Verify for eligibility, CT MaxClear and CT ProClear for claims). Relay's AI employees work on top of ChiroTouch, never replacing it: watching visit counts against authorized limits, drafting renewal packets, running batch eligibility sweeps the night before appointments, and triaging denials. A staff member finalizes.

Genesis does not expose a public third-party API; it connects internally to ClinicMind RCM, PatientHub, ClinicMindPay, and CredEdge, plus pre-built connectors. Relay integrates via those connectors and structured exports to handle what ClinicMind's own automation misses: chasing incomplete intake before first visits, monitoring A/R aging, drafting denial-appeal letters, and surfacing CredEdge enrollment alerts tied to scheduling or billing events. A staff member finalizes.

Jane exposes a partner-gated REST API (the Jane Developer Platform), available to approved technology partners only, plus an integrations hub and report exports. Jane's US insurance billing is a known gap (stronger for cash-pay), so Relay's AI employees integrate as an approved partner to automate waitlist fill, eligibility pre-checks before bookings, and the multi-location communication sequences Jane does not natively run for groups. A staff member finalizes.

ChiroSpring does not expose a public API; its differentiator is a single unified database across locations, which removes per-location silos but limits extensibility. Relay integrates via structured exports and middleware connectors to handle what ChiroSpring's built-in multi-location reporting does not automate: denial-appeal drafting, PI and Workers' Comp tracking, prior-auth renewal, and care-plan recall sequences. A staff member finalizes.

Availity, pVerify, and Waystar return eligibility and benefit detail; Waystar and Office Ally route claims and denials. None of them batch-check tomorrow's schedule, draft appeals, or detect underpayments on their own. Relay's AI employees call these surfaces on a scheduled or event-driven basis (new booking, auth renewal, date of service), push results into your EHR workflow, and triage denial queues into pre-built action packets for staff.

When a group's payers route PA through Cohere Health or the Availity network, Relay's AI employees prepare the documentation package the portal expects, pre-populate the submission fields, and route to the provider for sign-off, reducing manual assembly per request. A staff member submits.

Zingit and Weave send reminders; they do not fill cancellations from the waitlist, re-verify insurance for a rescheduled visit, or run care-gap outreach tied to clinical data. IntakeQ and Phreesia capture intake but do not chase incomplete packets or verify coverage. Relay's AI employees sit on top of these comms and intake layers to close those downstream gaps, with staff confirming every send.

Relay is not an EHR. The AI employees read the data your platform already holds, through its partner connectors, structured exports, or clearinghouse modules, and act on it: drafting renewals, triaging denials, running eligibility. Your EHR, clearinghouse, and team stay exactly where they are.

Yes. They run eligibility ahead of each visit across every location, identify chiropractic benefit carve-outs (often administered by a separate benefit manager), and flag out-of-network or exhausted-benefit cases before the appointment. A staff member reviews the flags.

Yes. They track each patient's authorization against their visit count, trigger the renewal as the cap approaches, pre-populate the clinical packet, and route it to a coordinator to submit. No chiropractic-native EHR does this proactively on its own.

They scrub each claim before submission, validating CMT region count against the note, checking AT-modifier use, and cross-checking diagnosis codes against the payer's covered list, then classify and draft appeals on denials that still land. A billing coordinator reviews and submits.

Yes. The AI employee monitors lien status across the group's open PI caseload, triggers attorney follow-up, and surfaces settlement-ready cases for staff to bill, so settlements stop closing unrecovered.

Yes. The AI employee tracks open Workers' Comp files, monitors treatment authorization status by case, flags lapsed authorizations before the next scheduled visit, and surfaces outstanding A/R by case for staff. Workers' Comp billing follows state-specific fee schedules and case-management rules; the AI employee handles the tracking and correspondence queue while a staff member works each case.

Yes. It tracks care-plan cadence, fills cancellations from a waitlist, runs recall for lapsed patients, and sends reminders timed to each clinic's no-show pattern across every location. A staff member confirms bookings. This is a multi-location workflow layer, not a single-location voicebot.

A human is always in the loop. The AI does the bulk of the work, pulling data, preparing the action, and drafting the document, and a staff member reviews and finalizes. The AI never submits autonomously.

It is built for multi-location chiropractic groups specifically. The whole point is that admin work scales with each location while headcount does not, and the AI employees absorb that expansion overhead. It fits small groups as much as large ones.

The AI employee classifies denials by type and payer, ranks them by amount owed and age, drafts appeals before the timely-filing window closes, and produces a daily AR worklist by location and payer aging bucket for staff to work.

Yes. It monitors credentialing expirations and CAQH re-attestation deadlines, watches payer enrollment when a provider adds a location, and alerts the coordinator before a claim goes out under a provider not yet enrolled for that site.

It starts with a free 30-minute intro call. The first 2 to 3 weeks are discovery: working sessions to map your operation and build the first AI employee. Full builds run 8 to 12 weeks. Pricing is a recurring monthly fee.

No. The AI employees work on top of the platform you already run. There is no rip and replace.

Hiring adds fixed overhead and still leaves the coordination gap across locations. Relay's AI employees run the eligibility, prior-auth, denial, and PI and Workers' Comp workflows across every location simultaneously, surfacing a finished worklist for one or two staff members to finalize. The AI scales with your location count; a new hire does not.