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A superbill is an itemized form, used by healthcare providers in the United States, which details services provided to a patient. It is the main data source for creation of a healthcare claim, which will be submitted to payers (insurances, funds, programs) for reimbursement.
There is no standard format for a superbill but it usually covers certain key information about the provider, the patient, and the type of care.
Superbill utilization rules
- Some insurance companies require a provider signature, while others will process billing without a signature
- All required fields should be completed (with the exception of those that are considered optional)
- Provided information should be readable
- CPT and ICD-10 codes should be marked clearly
- In case if required CPT or ICD-10 code could not be found in the given list, Provider should give legible handwritten description of service/diagnosis, along with additional information (units, time, type, etc.)
- Only generally accepted medical terminology and abbreviations are allowed
- The Superbill-Guide to a Uniform Billing and-Or Claims System(ISBN 0685033295)by Medical Group Management Association Staff, Costello, William E.