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Creating and Using Transaction Presets in ChiroHD

Streamline billing with customizable service bundles using Transaction Presets in ChiroHD.

Updated over 2 weeks ago

📝 Overview

Transaction Presets in ChiroHD allow you to bundle services, apply discounts, and standardize workflows across promotions, insurance cases, and default visit types. Whether you're creating a "$21 New Patient Special" or grouping services for Medicare patients, this tool helps automate and simplify transaction entries across your clinic(s).

This guide will walk you through:

  • What transaction presets are

  • When and why to use them

  • How to create and apply them

  • Where they appear within ChiroHD

  • Best practices and troubleshooting


🔹 1. What Are Transaction Presets?

Transaction presets are predefined bundles that may include:

  • Services

  • Inventory items

  • Pricing rules and write-offs

They can be used for:
✅ Promotions (e.g., Facebook ads)
✅ Insurance-specific setups (e.g., Medicare)
✅ Default treatment plans
✅ SOAP note efficiency
✅ Network-wide billing consistency

📌 Example:
"$21 New Patient Special" = 2 X-rays + Initial Consultation, with write-off reducing the price from $100 to $21.


🔹 2. Key Configuration Settings

  • Name: Be clear and descriptive (e.g., "$21 Facebook Special – Day 1").

  • Visible for Transactions:
    Toggle on to make it searchable on the Transaction screen.

  • Visible for Case Settings:
    Toggle on for it to be selectable during case setup.

  • Override Case Pricing:
    Use when preset pricing should take precedence over a patient's case prices.


🔹 3. Example Use Cases

🟢 Promotional Preset – "$21 New Patient Special"

  • Day 1: X-rays + Brief Exam

  • Day 2: Adjustment + Report of Findings (free)

🟢 Insurance Preset – “Medicare Services”

  • Medicare-eligible services

  • CMS-allowed pricing for compliance

🟢 Default Case Services – “Standard Insurance Patient”

  • Common services and codes used for insured patients

  • Applied automatically when setting up new patients


🔹 4. Where Can You Use Transaction Presets?

a. 🗒️ SOAP Note Screen

  • Click “Quick Add”

  • Choose preset (e.g., "$21 Day 1 Special")

  • Services auto-apply to note and transaction

b. 💲 Transaction Screen

  • Type "preset" in service field

  • Choose from listed presets

  • Populates all bundled items and pricing

c. 📁 Case Defaults

  • During case setup, type "preset"

  • Apply bundle as case default services


🔹 5. Important Notes and Troubleshooting

⚠️ Presets may appear inaccurate if:

  • Write-off settings were changed

  • Shared environments caused unintended edits

  • Services were modified after preset creation

📌 Services must exist in your Services list before adding to a preset
📌 Updating service pricing? Manually update presets to reflect changes


🔹 6. Best Practices

Name presets clearly (e.g., “Medicare Day 1 Bundle”)
Group services logically by visit structure or insurance
Standardize across clinics using system-level presets
Test presets with a dummy patient to ensure accuracy


🔹 7. Action Step

Take a few minutes now to create your top transaction presets:

  • "$21 New Patient Special"

  • "Standard Insurance Visit"

  • "Medicare Bundle"

  • "Pediatric Exam Package"

  • "Massage + Adjustment Combo"

  • Any promotion bundles you plan to offer

📌 Need help? Review during your onboarding call for expert input!


✅ Key Takeaways

  • Transaction presets group services, pricing, and write-offs for efficiency

  • Use them across promotions, insurance billing, and SOAP notes

  • Easily accessible from Transaction, Case, or SOAP Note screens

  • Keep services and preset pricing up to date for accuracy

  • Streamline workflows and ensure consistency across your team


📌 Conclusion

Transaction presets in ChiroHD are a powerful way to speed up billing, improve consistency, and simplify workflows. By building service bundles around patient types or promotions, your team can work faster, more accurately, and with fewer errors. Start creating your key presets today—and elevate your billing process with automation and clarity.

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