AI agents for physiotherapy and chiropractic

A physiotherapy or chiropractic clinic sees the same patients many times over weeks. Therapists, assistants and chiropractors evaluate, treat and write the daily notes. The front desk books visits, takes intake forms, checks insurance and explains costs. Billing staff request prior authorizations and fight denials, and the director keeps up relationships with referring physicians.

Much of the paper arrives by fax. Referrals sit in a tray while the patient books elsewhere. Authorized visits run out before anyone notices. Medicare plans of care wait in a physician's office for a signature. Notes stay unsigned for days, so claims wait. A patient who cancels and says they will rebook quietly drops out before the plan of care ends.

An agent reads the clinic's exports and inboxes and gives the desk a short, ordered list each day.

• Turns incoming referrals from fax and email into an intake queue, so every one gets a call within a day.
• Watches authorized visits against booked visits and prepares the renewal request before they run out.
• Tracks which plans of care still need a physician's signature and which recertifications are coming up.
• Compares booked visits with each plan's prescribed frequency and lists patients who dropped off before discharge.
• Lists unsigned treatment notes at the end of each day, by clinician.
• Pre-checks Medicare chiropractic claims for the AT modifier and a signed ABN, matching what the chiropractor documented.
• Keeps a personal injury case tracker and a prepaid package tracker that shows visits left.

The plan of care, the diagnosis, how often a patient is seen, discharge, and whether care is active or maintenance are the clinician's judgement; coding choices stay with the chiropractor and the biller. What is said to a patient about their care, and anything sent to a payer or an attorney, is handled by people; records go to an attorney only with the patient's written authorization. Clinics that bill insurance electronically fall under HIPAA, so patient information goes only into AI tools approved under a business associate agreement, and an intern builds with synthetic rows. Card numbers never pass through the agent, and every outgoing message uses a template the owner has approved.