A medical superbill or encounter form is the primary source of data for preparing claims. It contains the list of services provided to a patient. Along with the list of services, the superbill will show the costs and codes for each exam, treatment, or procedure. It will also contain information about the patient, provider, CPT codes, ICD-10 codes. These details have to be accurate so that claims can be prepared correctly. Incorrect information is likely to lead to rejections by payors.

A superbill is not necessarily needed for preparing claims by the provider. A patient would require a superbill in case (i) the provider is not part of their insurance company’s provider panel (ii) they are having a Health Savings Account (iii) they are utilizing out of network benefits and need to meet a deductible(s). In these cases, the superbill helps the patient to work directly with their insurance plans.

The US Medical Billing Services team are experts in superbill designing and will prepare superbills for insurance reimbursement that are accurate and complete in all respects. We ensure that your claims are reimbursed quickly.

This part of the superbill will contain all the patient information needed for claims preparation

• Name in full
• Address
• Phone number
• Date of birth
• Insurance details
• Date of the first symptom

The information regarding the patient visit is vital and it includes

• Date of visit
• Procedure Codes and Description (CPT-Current Procedural Terminology)

Diagnosis Codes and Description (ICD-10 – International Classification of Diseases Tenth Revision)

• Code Modifiers
• Time
• Units
• Quantity of items used
• Authorization information
• Fees charged item-wise (to understand what is being charged and why)

Notes made by the healthcare provider and comments that would help in the claims processing may also be included in the medical superbill to justify medically necessary care. Additional information in the superbill may help get the patient additional insurance coverage.

Our team of billers will ensure that all the information about provider, patient and visit are obtained and the superbill populated. We will ask for and collect all the additional information available if the situation warrants. All of the above information, when included in the medical superbill, makes it clear and organized, translating into clean claims that will be processed successfully. Effective superbill designing makes the reimbursement process easy and quick, ensuring steady cash flow for the provider. Patients are also happy when there is more insurance coverage for them and less co-pay.