Using a Superbill
Using a Superbill to Submit To Insurance for Reimbursement
To process a reimbursement claim, insurance companies require certain materials and information. The following guide will help you navigate submitting your claim to your insurance company.
What Is a Superbill?
A superbill is a form used by medical practitioners who do not work directly with insurance companies to allow for reimbursement by insurance companies or an employer.
A ‘superbill’ will be prepared for each appointment once payment has been received and a request has been made.
The ‘superbill’ will contain the following elements:
- Your name
- Your date of birth
- Provider’s name
- Provider’s license number, NPI number, tax ID number
- Provider’s/Practice address
- Your diagnosis code
- The treatment(s) rendered to you
- The cost of the treatment
- The amount you paid
- Provider’s signature
For reference sake, a superbill is considered a financial document. Superbills (i.e. itemized statements) are not a part of the medical record but do contain medical information.
Submitting to Insurance
In order to maximize your reimbursement and expedite your insurance claim, we suggest that you include the following items in your claim submission to your insurance company:
- A superbill of services rendered at LindenBP.
- A patient claim form from your insurance company.
- A copy of your insurance card that includes your subscriber or member identification number.
Requesting a Superbill
When you are ready to submit to your insurance company for reimbursement:
- Ask the Front Desk staff for a “Superbill.”
- The superbill request form will be completed and the superbill will be processed within 48 hours.
- Indicate whether you would prefer your superbill to be mailed, emailed, or ready for you at your next visit.
***Please note that all charges must be paid before a superbill request can be processed.
Claim Form Information
- Claim forms can be found most easily on your insurance company’s general website under the “Claims” section.
- It is absolutely necessary that you fill out all requested information on this form.
- For your convenience, any information requested regarding your diagnosis and/or treatment codes is already included in your superbill.
When To Request Your Superbill/How Often to Get Reimbursement
This is a matter of personal preference. Here are some commonly utilized strategies patients use for applying for reimbursement:
- After every visit.
- Request your superbill after scheduled appointment.
- Your superbill will include just the single date of service.
- At regular intervals throughout treatment (ex. monthly or quarterly).
- Request your superbill based on specified time frame.
- Your superbill will include all dates of service since your last request.
- At the end of treatment.
- Request your superbill at your last scheduled visit.
- Your superbill will include every date of service throughout your course of care.
How do I submit to insurance
Prior to submitting the superbill (or claim form), we recommend that you call your insurance company and tell them you are going to send in a claim and that you want to verify that you have done it correctly.
- Review all the paperwork you have with them and ask if there is anything else you need. Some insurance companies require you to mail in original copy of their own insurance form. If so, be sure to fill that in, sign in, and attach the LindenBP superbill. We also encourage sending in a copy of your insurance card (front and back) with the claim.
- Confirm that mailing address that you should use to send in the superbill and ask your how long should you expect to wait for your claim to be paid (mark that date on your calendar).
- Once you have everything in order, send out the claim form to your insurance company. The address to send the claim form should be on the claim form itself.
- Keep a copy of the superbill for your records (and any other documentation that you submit). Make sure you receive a response for EACH claim mailed in (typically you will receive a response within 2-6 weeks).
- If you not have not received a response from the insurance company by the date marked on your calendar (or after 6 weeks), CALL them.to make sure they have received it and get an estimate for when you get a response. This is a very important step in processing your claim.