SuperBill is on a mission to save you time and money. We do this by making it easier than ever to get reimbursed for out-of-network services.
If you are a patient who uses healthcare providers who don't accept your insurance (out-of-network providers) AND you have out-of-network benefits through your insurance plan, SuperBill is here to help! Our team of insurance experts will take your superbills and file claims directly with your insurance company. We'll fight to get you reimbursed.
SuperBill is not a service designed for:
Sign up, check your benefits and upload your medical bills. We'll turn your bills into health insurance reimbursement claims so that you can get your money back from your insurer.
Sign up and you'll be taken to your dedicated portal where you can upload your superbills. We turn your superbills into insurance reimbursement claims!
Here are more details about the process:
Yes! SuperBill uses best-in-class security standards to keep your information secure. Our infrastructure and services are HIPAA-compliant.
For more information on how SuperBill securely processes your information, please see our Privacy Notice.
Charges you pay to SuperBill are non-refundable. SuperBill has no obligation to provide refunds, but may grant them on a case-by-case basis at SuperBill’s sole discretion.
All SuperBill plans come with everything you need to get out-of-network reimbursements from your insurance, including unlimited:
At SuperBill, our mission is saving patients time and money! We strive to keep costs as low as possible, while providing invaluable support to patients.
For out-of-network reimbursement claims, we offer simple, pay-as-you-go pricing at 2.9% of the billed amount. We check your benefits, file and track your claims until they are completed, review your EOBs, and fight any denied claims. Our team of insurance experts works tirelessly to get you the best reimbursement possible! There are no monthly subscriptions or hidden fees.
Here are pricing examples:
Want to know how to get SuperBill's services for free? Head on over to learn about SuperPay for patients and providers.
Please note, as of December 13, 2022, new subscriptions to monthly and annual patient/family plans are no longer being offered. Patients and families on a current subscription may continue on their current plan, or can contact the support team to transition to pay-as-you-go pricing.
Our medical bill negotiation service is risk-free. You pay nothing until we reduce your bill. If we successfully lower your medical bill, we charge you 15% of the savings. For example, if we save you $500, you'll pay us $75 and keep the rest - that's $425! If we don't lower your bill, you owe us nothing.
Health insurance reimbursement can leave patients feeling overwhelmed. The team at SuperBill is here to help! First, here is a simple explanation of how superbill reimbursement works:
First, you see an out-of-network provider. They don't accept your current health insurance plan, so you pay for their services in full.
Next, you can request a superbill from the provider or facility. This itemized receipt includes details about the care provided. A superbill document enables you to get money back from your insurer. The amount you can get back all depends on the out-of-network benefits in your insurance plan.
The next step in the reimbursement process is submitting the claim to your insurance, along with your superbill document. When your insurer processes the claim, they will decide to approve or deny your claim. If they deny your claim, they will mail you a letter explaining why.
If your insurer approves the claim, they apply the amount covered to your out-of-network deductible. And finally, once you've met your deductible, you can get reimbursed! Approved reimbursement claims are paid directly to you, the patient! You will receive a check in the mail. Your reimbursement amount will depend on your health plan. Learn more in our article, The Complete Guide to Out-of-Network Reimbursement.
When you use our company for your superbill reimbursements, we do the heavy lifting. We file and track your claims, keeping you informed every step of the way. We even fight any denied claims to get you the best reimbursement possible. Patients shouldn't have to navigate the out-of-network insurance appeals process alone!
Having an accurate superbill from your care provider is crucial for out-of-network reimbursement. It must include all the details your insurer needs to process the claim. Before you submit a claim, check your policy to see what your insurance plan covers for out-of-network care.
A superbill for insurance claims contains information you would expect to find on an invoice. First, make sure the superbill includes a date. It should then include the care provider's name, address, NPI number, and tax ID. A superbill lists the patient’s name, address, and contact information, such as an email address or phone number. The patient's health insurance information is also required.
Now for the healthcare service details. Superbills should contain diagnosis codes (in ICD-10 format). Next, there should be an itemized breakdown of every item or service provided (in CPT code format).
Extra details, like patient notes, are not required on a superbill for insurance claims. Some insurers may request the provider’s signature on a superbill insurance document to confirm its validity. But this is an uncommon practice.
If this list of requirements seems overwhelming, don't fret. SuperBill makes your out-of-network reimbursement claims easy. We know the ins-and-outs of filing superbill insurance out-of-network claims. We review your superbill to identify errors and ensure it includes all necessary information. Want to learn more? Check out our article, What is a SuperBill?
Health care providers create a superbill for insurance claims when they are 'out-of-network' (OON). This means they do not accept their patient’s insurance plan. Common OON providers include therapists, dietitians, and dermatologists, among others.
Sometimes patients choose to see an OON provider instead of using their insurance plan's network. Some insurance networks are limited, and the in-network providers might not have appointments available. Other times, a patient may want a certain type of specialist or a specific provider recommended by others.
OON care providers bill the full cost of items and services directly to patients. Then, they can provide a superbill as a receipt showing the patient's diagnosis and treatment details. If the patient has OON benefits, they can submit a claim to get money back from their health insurer.
Superbills enable patients to use their OON insurance benefits. By submitting a claim, a patient may get reimbursed for part of their health care costs. Many patients who see OON providers need help with insurance claims. These claims can be really complicated! Fortunately, when you use SuperBill for insurance support, our team of experts handles the entire process for you.
We work with the vast majority of private insurers, big and small. If you have out-of-network benefits with your plan, we can submit claims for you!
At this time, SuperBill does not work with public insurance including Medicare, Medicaid, or Tricare (in most cases).
SuperBill is proud to work with any licensed out-of-network providers who have an NPI number. These include, but are not limited to:
Therapists, counselors, clinical social workers, psychologists, psychiatrists, speech language pathologists, lab testing clinicians, pain management clinics, dietitians, dermatologists, plastic surgeons, dentists, orthodontists, optometrists, ophthalmologists, midwives, obstetricians, family physicians, lactation specialists, fertility clinics, physical therapists, occupational therapists, chiropractors, podiatrists, massage therapists, acupuncturists, physicians, physician assistants, registered nurses, nurse practitioners, and pharmacies.
SuperBill is completely free for providers when their patients use SuperPay. The provider's billing system will deduct its standard credit card processing fees from each transaction, and SuperBill integrates with your EHR to automatically file the patient's out-of-network claims. There are no additional fees to use our service.
This means patients can now get reimbursed for out-of-network services simply by paying with SuperPay.
If your patients do not wish to use SuperPay, they can opt to use SuperBill's pay-as-you-go pricing (2.9% of the billed amount) when they are ready to submit a superbill for reimbursement.
Please note, as of December 13, 2022, new monthly and annual provider plans are no longer available. Providers on an existing monthly or annual plan may continue on their current plan, or contact our sales team to transition to SuperPay.
1. Your client completes our one-time, HIPAA-compliant onboarding.
2. We verify their insurance information and check their out-of-network benefits.
3. Assuming the client is eligible for out-of-network reimbursement, we notify you that they have consented to us receiving their superbills and filing claims on their behalf.
4. Whenever you see the client, you can upload their superbills through our HIPAA-compliant portal.
5. Using the superbill, we generate a claim and file it with the client’s insurer.
6. If the client has met their deductible, they will receive reimbursement from their insurer. Otherwise, each claim counts toward their deductible.
Providers who are uploading their superbills on behalf of their patients should follow these steps:
Here is a helpful script you might refer to when explaining SuperBill's service:
“If you do not want to request reimbursement from insurance yourself, I can send your bills to SuperBill, a company that will securely file and track your claims for you. To opt in, you'll need to set up your account on SuperBill's website, thesuperbill.com.”
There is no cost to you when you link a bank account to SuperPay, and your claims are filed automatically, for free.
If you choose to link a credit or debit card instead of a bank account, you will be charged 2.9% of your bill to cover the cost of SuperBill's services. For example, for a $200 therapy session, the cost would be $5.80.
SuperPay is an easy, secure way to pay for out-of-network health services.
The greatest benefit of using SuperPay is that we file your out-of-network claims automatically after you see your provider, for FREE.
When paying with SuperPay, you get:
SuperPay is designed so you can ‘set it and forget it.’ Link your bank account or card (such as a credit, debit, or FSA/HSA card) to your account, and you’re done. It’s that easy.
No more insurance headaches. Get the care you need and sit back while SuperBill fights to get you reimbursed!
We would love to help your provider get set up! Invite them to SuperPay today.
You can also sign up for SuperBill on your own. You’ll pay just 2.9% of your bill to have us handle all of your out-of-network claims.
Patients can still opt to pay for SuperBill’s services without using SuperPay. Get started here.
For now, patients and providers with paid subscriptions to SuperBill can continue using SuperBill as they have in the past.
Yes! SuperPay uses best-in-class security standards to keep your information secure. Our infrastructure and services are HIPAA-compliant.
For more information on how SuperBill securely processes your information, please see our Privacy Notice.
Because SuperPay connects to your existing EHR and billing system, nothing in your workflow changes. Collecting patient payments using SuperPay is just like charging a patient’s credit or debit card. You can expect to receive the funds on your normal schedule.
The difference is that SuperPay's out-of-network insurance billing system combines your patient’s payment and insurance information on one simple platform to streamline their reimbursement claims.
The amount your patients will be reimbursed for out-of-network services depends on several factors:
SuperPay takes the guesswork out of insurance reimbursement. Your patient can receive notifications from SuperBill of their reimbursement amounts once each claim is processed, and then their insurer sends the out-of-network payment directly to them. We also offer an Out-of-Network Benefits Calculator that can be embedded on your practice website.
Say goodbye to complicated patient billing and your patients waiting months for reimbursement. The beauty of SuperPay is that your patient’s out-of-network claims are filed automatically after they receive your services. SuperBill files and tracks their claims electronically, cutting the process down to a matter of weeks, not months.
Think about all the time saved through the power of SuperPay billing. Your practice no longer needs to create and send superbills to your patients. Your patients don’t have to wait for a superbill from your facility. And they don’t have to go through the trouble of uploading a superbill and filling out confusing claim forms with their insurer.
With SuperPay, insurance claims are processed quickly behind the scenes and monitored by our team of insurance experts. Depending on their insurer and health care policy, the out-of-network payment sent to patients should arrive within three to six weeks.
Our friendly support team is available to assist your patients should they encounter any issues. They can help with technical requests and answer any questions your patients have about out-of-network reimbursement.
Fortunately, our out-of-network insurance billing technology is very simple to use. It only takes two minutes for patients to set up an account! Our goal is that patients can ‘set it and forget it’—focusing on getting the health care they need and letting us handle everything related to their reimbursement claims.
First and foremost, providers trust SuperBill for insurance reimbursement support because we save their patients time and money. This makes for a better patient experience, and by eliminating insurance headaches, providers can focus on what they do best—providing excellent care.
There are many things to consider when running a successful healthcare practice. For instance, private practice billing services can ease the process of collecting patient payments and filing insurance claims, but they require time and resources. Online patient payments systems are convenient for both you and your patients, but your private pay patients are still left to file complicated reimbursement claims on their own. SuperBill offers the best of both worlds: secure out-of-network online payments and automated claim filing and tracking.
Using SuperPay, you collect your full rate without extra fees or monthly subscription plans. You won’t have to sacrifice your time helping your patients navigate their benefits and get reimbursed. When you use our platform, you’re giving your patients a more convenient out-of-network insurance billing experience while streamlining your practice operations. And your patients have the support of SuperBill’s team of insurance experts to fight any claim denials.
Schedule your free demo and discover why so many medical providers and specialists choose SuperBill!
Yes! SuperPay uses best-in-class security standards to keep your patients' information secure. Our infrastructure is fully HIPAA-compliant, and we have signed BAAs for all third parties that help us securely process data. With SuperPay, your patient’s information is stored on SuperBill’s secure platform, while your practice remains compliant with privacy laws.
For more information, please refer to our Privacy Notice.
When you set up your SuperPay account, we will provide you with step-by-step instructions for Electronic Health Record (EHR) integration. It's a simple process! By connecting with your EHR, we are able to send HIPAA-compliant email invitations to your patients, update the patient's payment method to SuperPay once they have completed onboarding, and collect their superbills after you collect payment to file and track their out-of-network claims.
With SuperPay, providers can refund patients using their existing billing system, according to their refund policy.
If a patient’s linked payment method has insufficient funds or fails for any other reason, SuperBill will decline the transaction. Our support team will work with the patient and provider to complete the transaction.
SuperPay is always free for providers and for their patients when they link their bank account. SuperBill’s out-of-network insurance billing services are covered by the standard payment processing fees that providers already pay to charge a patient’s credit or debit card.
Patients are invited to use SuperPay when their provider sets up an account. Schedule a demo to get started!
Patients can now get reimbursed for your out-of-network services simply by paying with SuperPay.
The greatest benefit of using SuperPay is that we file your patients' out-of-network claims automatically, for FREE.
Your patients get the full suite of SuperBill services when they pay with SuperPay:
With SuperPay, nothing changes with your existing patient payments workflow. Patients link their bank account or card (such as a credit, debit, or FSA/HSA card) to their account. They can then use SuperPay for multiple providers.
No more insurance headaches. Focus on providing exceptional care while SuperBill fights to get your patients reimbursed!
For providers, SuperPay is just like charging a patient's credit or debit card for services. Your billing system will deduct its standard credit card processing fees from each transaction. There are no additional fees to use SuperPay, and the provider and patient get free access to SuperBill.
There is no cost to the patient when they link a bank account, and their claims are filed automatically, for free.
If the patient chooses to link a credit or debit card instead of their bank account, they are charged 2.9% of their bill to cover the cost of SuperBill's out-of-network insurance billing services. For example, for a $200 therapy session, the cost to the patient would be $5.80.