PaySec + ChiroTouch: Zero Processing Fees for Chiropractic Practices

Rachel D.2026-04-30

How chiropractors using ChiroTouch are eliminating credit card processing fees on patient payments with PaySec's Network Offset Pricing.


ChiroTouch is the most widely used chiropractic EHR and practice management platform — handling SOAP notes, scheduling, billing, and patient communication for thousands of chiropractic offices across the country. If you run a chiropractic practice, there is a good chance you either use ChiroTouch now or have used it in the past. It is the industry standard for a reason.

But there is one cost that ChiroTouch cannot optimize for you: the 2.5-3% credit card processing fee deducted from every patient payment. Chiropractic practices collect frequent, moderate-value payments — copays, wellness visits, care packages — and each one of those transactions loses money to the processor. Over a year, the total is staggering.

PaySec eliminates those fees entirely through Network Offset Pricing.

Why Processing Fees Hit Chiropractors Especially Hard

Chiropractic care involves high visit frequency. Patients in corrective care come in multiple times per week. Wellness patients visit weekly or biweekly. Each visit generates a payment transaction, and each transaction costs you money:

Patient TypeVisits/MonthPayment/VisitMonthly Processing Fee
Corrective care12$45 copay$14.04
Wellness4$55$5.72
Cash plan8$40$8.32

Now multiply by your active patient base:

Active PatientsMonthly CollectionsAnnual Fees (2.6%)
100$20,000$6,240
200$40,000$12,480
400$80,000$24,960

A busy two-doctor chiropractic practice with 200 active patients is paying over $12,000 per year in processing fees. That money could fund new equipment, additional marketing, staff bonuses, or flow directly to your bottom line.

What Is the PaySec + ChiroTouch Integration?

PaySec connects directly with ChiroTouch's billing and checkout workflow. When a patient finishes their visit and heads to the front desk, the staff member initiates payment through ChiroTouch. The PaySec terminal receives the amount and displays dual pricing: one price for cash, check, or debit, and a slightly higher price for credit card. The patient chooses, the payment processes, and it posts back to the patient's account in ChiroTouch.

This is Network Offset Pricing (NOP) — a transparent, card-network-compliant approach that is legal in all 50 states. Both prices are displayed before the patient makes a decision. There are no hidden surcharges and no surprise fees. The practice receives the full payment amount regardless of which option the patient selects.

How It Works at Checkout

Visit-Based Collections

  • Patient checks in for adjustment
  • Copay or visit fee displayed on PaySec terminal with dual pricing
  • $45 cash/check or $46.80 card
  • Payment posts to ChiroTouch patient account
  • Next visit, same seamless process

Care Packages and Prepaid Plans

Many chiropractors sell prepaid visit packages to improve compliance and cash flow:

PackageCash/Check PriceCard Price
10-visit package$400$416
20-visit package$720$748.80
Monthly wellness plan$150/mo$156/mo

Large upfront package payments generate significant savings. A $720 package payment would cost $18.72 in processing fees under traditional rates — with PaySec, it costs nothing.

Supplement and Product Sales

ChiroTouch practices selling supplements, pillows, and ergonomic products benefit too:

  • Product sales process at checkout with NOP alongside the visit payment
  • No separate transaction needed — rings together with the visit fee
  • Retail margins are fully preserved instead of being eroded by processing fees

Patient Portal Payments

For patients paying outstanding balances through ChiroTouch's patient portal:

  • Balance displayed with ACH and card options
  • Patient pays online at their convenience
  • Automatic posting to their account in ChiroTouch

Chiropractic Practice Savings

Practice TypeMonthly CollectionsAnnual Savings
Solo chiropractor$25,000$7,800
2-doc practice$50,000$15,600
Multi-doc/multi-location$100,000$31,200
High-volume/wellness$75,000$23,400

Patient Communication and Adoption

Chiropractic patients visit frequently — they become familiar with your payment process quickly:

  • First visit: Patient notices dual pricing on the terminal and may ask a brief question
  • Second visit onward: Routine, no conversation needed
  • Over time: Many patients switch to debit or bring cash/check to save the small difference
  • Overall satisfaction: Patients appreciate the transparency of seeing both options upfront

Because chiropractic patients come in regularly, the learning curve is essentially one visit. By their second appointment, the dual pricing display is completely familiar.

Technical Details

FeatureSpecification
ChiroTouch VersionCloud and on-premise supported
IntegrationPayment bridge
TerminalNOP-enabled contactless
PortalPatient portal payments
PCILevel 1 compliant
HIPAACompliant
Package BillingSupported
Recurring PlansSupported
ContractsNone required
MinimumsNone required

Getting Started

  1. Contact PaySec for a chiropractic merchant account — approval takes 3-5 business days
  2. Deploy your NOP terminal at checkout — a single countertop device at the front desk
  3. Connect to ChiroTouch payment flow — PaySec's integration team handles the setup
  4. Brief your staff — a 10-minute walkthrough is all it takes
  5. Process your first patient payment at zero cost — most practices are live within two weeks

There is no disruption to your existing ChiroTouch workflow, no changes to your scheduling or documentation process, and no retraining required beyond the brief staff introduction to dual pricing.


PaySec + ChiroTouch: the chiropractic EHR standard paired with zero-fee payment processing. Every adjustment earns you more.

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