Superbill

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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.[1]

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[edit]

  1. Some insurance companies require a provider signature, while others will process billing without a signature[citation needed]
  2. All required fields should be completed (with the exception of those that are considered optional)
  3. Provided information should be readable
  4. CPT and ICD-10 codes should be marked clearly
  5. 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.)
  6. Only generally accepted medical terminology and abbreviations are allowed[citation needed]

References[edit]

  1. ^ Backer, Leigh Ann (2006-09-01). "In Search of a Super Superbill". Family Practice Management. 13 (8): 43. ISSN 1069-5648.

Further reading[edit]