What is a superbill?

Typically, you’ll need to ask for a superbill from a provider who is out-of-network with your insurance plan in order to request reimbursement for some portion of these services. For example, if a therapy provider your child sees is not contracted with your insurance plan and they require payment at the time of your child’s therapy visit, you can ask for a superbill and submit it along with your claim to your insurance.

In short, a superbill is not just a paid invoice; it is a medical receipt that the health plan will accept for processing out-of-network services because it contains specific medical information, such as a billing code and diagnosis code, identifying information for the provider, and your child’s full legal name.

To learn more and see an example superbill, check out this article.