“Sooo… what is a Superbill?”
Not surprisingly, we get this question a few times each week, from nutrition entrepreneurs ranging from those brand new in their careers to those who have been at it for awhile. In this article, we break down the Superbill components, walk through how to fill one out, and lay out the benefits of offering Superbills to your clients.
Sooo… what is a Superbill?
A Superbill is essentially a receipt of the services you have provided your client. Clients can submit these to their insurance companies to (potentially) get reimbursed for your services. Alternatively, we’ve even seen some dietitians submit them on behalf of their clients! The important thing to note is that even when you submit a Superbill, you still collect payment from the client (generally before or during the time of service) and any reimbursement provided by an insurance company goes to the client directly.
Unlike typical receipts, Superbills require specific information about the nature of your services, like tax numbers, CPT codes, ICD-10s, and more. Though the format of a Superbill can vary slightly, here are the information you need to put on one:
- Basic information. This includes the basics about your client (like name, date of birth, address, and phone number) and basics about your practice (e.g., your office address)
- Provider information. If your client was referred to you by a physician, you’ll need to include the MD’s information (e.g., Name, NPI)
- ICD-10 code. The International Statistical Classification of Diseases and Related Health Problems, usually referred to as the ICD for simplicity’s sake, is a WHO certified listing of every health issue you can possibly encounter. Make sure you’re using ICD-10 codes, not ICD-9 (these are likely to be rejected as being outdated!).
- CPT codes. The Current Procedural Terminology code is an index of medical and health services created by American Medical Association. Be sure to list all codes that correspond to services you have provided your client, as insurance companies will be reimbursing based off the codes you list.
Why offer Superbills to your clients?
We sometimes call Superbills the “Junior Varsity” version of offering insurance benefits to your clients. Even if you aren’t credentialed by insurance, or if you’re considered out-of-network by some carriers, you can still provide a Superbill to your clients for a chance their services will be covered. It’s a great way to potentially reduce the cost of care for your clients!
By the way, it takes 90 seconds (seriously) to prepare and deliver a Superbill to your clients on Healthie. With our templates, all you need to complete are the client-specific CPT & ICD-10 codes, and enter your units + fees, and our system auto-generates the rest. Plus, it’s HIPAA-compliant 🙂