We analyzed dozens of virtual assistant companies serving chiropractic practices and narrowed the list to the top eight that can carry a chiropractic front desk. Our team checked every rate and privacy claim against each provider’s own pages and third-party reviews, then weighted the factors below.
How We Scored Every Company
- Chiropractic Front-Desk Workflow Support (30%): Patient calls, scheduling, and recall outreach.
- Pre-Visit Insurance Verification (25%): Benefits and visit limits checked before treatment.
- Documented HIPAA Training (20%): Published privacy training for anyone touching records.
- Same Assistant Every Day (15%): One person who learns your office.
- Published Pricing (10%): A public rate you compare without a sales call.
| Rank | Company | Front-Desk Workflow Support | Pre-Visit Insurance Verification | Documented HIPAA Training | Same Assistant Every Day | Published Pricing |
|---|---|---|---|---|---|---|
| 1 | DocVA | Calls, intake, scheduling, recall | Yes, plus prior authorizations | Yes, before placement | Yes | $10.95 per hour |
| 2 | Remote CoWorker | Intake, scheduling, reminders | Yes, plus billing and coding | Yes, with ISO 27001 and SOC 2 | Yes | Quote only |
| 3 | Outsource Strategies International | Billing desk only | Yes, before every visit | Yes, with SOC 2 | No | Quote only |
| 4 | TaskBullet | General admin only | No | None published | Yes | $6.54 to $10.50 per hour |
| 5 | Zirtual | Calendars, inboxes, outbound calls | No | None published | Yes | $599 to $1,699 per month |
| 6 | Smith.ai | Call answering and booking | No | Cannot handle PHI | No | $300 to $2,100 per month |
| 7 | Somewhere | Whatever you train the hire to do | Depends on the hire | None published | Yes | Quote only |
| 8 | Upwork | Whatever the freelancer offers | Depends on the freelancer | None published | Yes | 3% to 5% platform fee |
Descriptions and Reviews
1. DocVA
DocVA staffs chiropractic offices with healthcare professionals who already worked inside U.S. clinics, so a new assistant picks up adjustment scheduling in week one. Practices that outgrow one seat add another without restarting the search, and one client grew on a team of five.
Key factors
- Front-Desk Workflow Support: Answers patient calls and runs recall outreach.
- Pre-Visit Insurance Verification: Confirms visit limits and copays, then chases authorizations.
- Documented HIPAA Training: Assistants train on privacy expectations before placement.
- Same Assistant Every Day: One person works your hours, and DocVA replaces a poor match fast.
- Published Pricing: $10.95 per hour, no lock-in period, cancel anytime.
2. Remote CoWorker
Remote CoWorker runs a healthcare line covering patient intake and billing support well below what managed services charge, and its security certification matters once an assistant touches patient records.
Key factors
- Front-Desk Workflow Support: Handles intake, reminders, and EMR data entry.
- Pre-Visit Insurance Verification: Verifies coverage, supports billing and coding.
- Documented HIPAA Training: Staff train under ISO 27001 and SOC 2 Type II.
- Same Assistant Every Day: Places full-time staff on your schedule.
- Published Pricing: A calculator quotes your rate, with no public card.
3. Outsource Strategies International
Outsource Strategies International works the chiropractic billing desk instead of the front desk, coding spinal manipulation and validating AT modifier use on Medicare claims. A practice bleeding revenue on denials gains more here than from a generalist.
Key factors
- Front-Desk Workflow Support: None, because the team never answers calls.
- Pre-Visit Insurance Verification: Checks eligibility and benefits before each visit.
- Documented HIPAA Training: Runs HIPAA workflows with SOC 2 and encryption.
- Same Assistant Every Day: An account manager owns your file while a team bills.
- Published Pricing: Quotes by full-time equivalent or by verification.
4. TaskBullet
TaskBullet sells buckets of hours that roll over for 90 days, which suits an office whose admin volume swings week to week. Clients often split one bucket across several assistants.
Key factors
- Front-Desk Workflow Support: Covers general admin, with no clinical background.
- Pre-Visit Insurance Verification: Not offered.
- Documented HIPAA Training: None published.
- Same Assistant Every Day: Assigns a dedicated assistant plus an account manager.
- Published Pricing: $210 for 20 hours to $1,099 for 168 hours, no contract.
5. Zirtual
Zirtual places college-educated assistants who live in the United States, which appeals to chiropractors who want a native-English voice greeting patients. Dividing a plan by its hours puts the rate near $50.
Key factors
- Front-Desk Workflow Support: Manages calendars and inboxes, calling sold separately.
- Pre-Visit Insurance Verification: Not offered.
- Documented HIPAA Training: None published.
- Same Assistant Every Day: Pairs your practice with one dedicated assistant.
- Published Pricing: $599 for 12 hours to $1,699 for 45 hours, month to month.
6. Smith.ai
Smith.ai answers your phone around the clock with live North America-based agents who book appointments into your calendar. The company states plainly that it cannot handle protected health information, which caps what a chiropractic office hands off.
Key factors
- Front-Desk Workflow Support: Answers calls day and night, then books the visit.
- Pre-Visit Insurance Verification: Not offered.
- Documented HIPAA Training: Cannot handle protected health information.
- Same Assistant Every Day: A shared pool of agents takes your calls.
- Published Pricing: $300 for 30 calls to $2,100 for 300 calls, month to month.
7. Somewhere
Somewhere recruits offshore candidates and hands you the hire, so your practice owns the employment relationship and every management decision. Its fee drops as you hire more people, which rewards a group opening several seats.
Key factors
- Front-Desk Workflow Support: Depends on who you hire and train.
- Pre-Visit Insurance Verification: No program sits behind it.
- Documented HIPAA Training: None published.
- Same Assistant Every Day: You employ the person, so continuity is your job.
- Published Pricing: A one-time percentage of first-year salary, quoted per search.
8. Upwork
Upwork opens the widest candidate pool at the lowest platform cost and puts the vetting burden on your practice. Escrow protects payment, though nothing screens a freelancer for privacy training.
Key factors
- Front-Desk Workflow Support: Depends on the freelancer you contract.
- Pre-Visit Insurance Verification: No program sits behind it.
- Documented HIPAA Training: None published.
- Same Assistant Every Day: You contract one freelancer and manage them.
- Published Pricing: A 3% or 5% marketplace fee plus $0.99–$14.99 per contract.
Best for Hiring Multiple Assistants at Once
| Rank | Company |
|---|---|
| 1 | DocVA |
| 2 | Remote CoWorker |
| 3 | Somewhere |
| 4 | TaskBullet |
Best for Testing Support Without a Long Commitment
| Rank | Company |
|---|---|
| 1 | TaskBullet |
| 2 | DocVA |
| 3 | Smith.ai |
| 4 | Zirtual |
This ranking reflects a scored evaluation of virtual assistants for chiropractors across five weighted criteria, drawn from publicly available provider information and client feedback as of 2026. Providers may be added or reordered as new information becomes available.
