Superbill
Updated October 20261 minute read
A superbill is an itemized receipt from a healthcare provider that includes the diagnosis and treatment codes an insurance company needs to process an out-of-network reimbursement claim submitted by the patient.
Unlike a normal receipt, a superbill carries the ICD-10 diagnosis code, the CPT treatment codes, and the provider's license and NPI numbers — everything an insurer needs to process a claim you submit, rather than one the provider files.
See What Is a Superbill? for how to submit one and what your plan might reimburse.
Sources (5)
- Claim. HealthCare.gov Glossary, Centers for Medicare & Medicaid Services. — HealthCare.gov
- CPT code set overview. American Medical Association. — American Medical Association
- Allowed amount. HealthCare.gov Glossary, Centers for Medicare & Medicaid Services. — HealthCare.gov
- Out-of-network coinsurance. HealthCare.gov Glossary, Centers for Medicare & Medicaid Services. — HealthCare.gov
- Publication 502: Medical and Dental Expenses. Internal Revenue Service. — IRS
This article is for education only and isn't medical advice. Always talk to a licensed clinician about your specific situation.