Looking at the landscape of the chiropractic practice management, we see a playing field tipped to benefit the payers and hurt physicians. By increasing billing costs, underpaying claims and conducting a growing number of post-claim audits, insurance companies strive to keep profits high while depressing those of individual practice owners. To counteract these methods, healthcare providers need to streamline their business practices and take advantage of a chiropractic billing network. The relationship between payers and providers is adversarial, but a billing network offers solid strategies that allow providers to get back into–and win–the game. The “billing network effect” allows a large number of disparate practice owners to capitalize upon their strength in numbers.