Frequently Asked Questions

  1. How it works
  2. plans and payment
  3. insurance
  4. for providers

How it works

Is SuperBill right for me?

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:

  • Uninsured patients
  • Patients with NO out-of-network benefits
  • Hospital bill negotiation
  • In-network insurance claims
  • Medicaid or Medicare patients (but we CAN serve Medicare Advantage patients!)

How does SuperBill work?

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.

How do I submit a superbill for myself or a family member?

Patients who are uploading their own superbills for reimbursement for themselves or a family member should follow these steps:

  1. Sign up for a SuperBill account at https://app.thesuperbill.com/sign-up. If you have already signed up, you may sign in at https://app.thesuperbill.com/sign-in.
  2. In your dashboard, click 'File Claim'. If you or your provider have not yet purchased a subscription, you will be prompted to select a plan.
  3. Select the patient that you wish to file a claim for from the dropdown menu.
  4. Click to select a file to upload, or drag and drop your superbill(s) in PDF format into the window.
  5. Click the checkbox to acknowledge the terms, allowing SuperBill to file claims to your insurance.

Is SuperBill HIPAA-compliant?

Yes! Our infrastructure is HIPAA-compliant, and we sign Business Associate Agreements (BAAs) with all third parties who help us securely process your data.

Plans and Payment

What do I get with my SuperBill plan?

All SuperBill plans come with everything you need to get out-of-network reimbursements from your insurance, including unlimited:

  • Benefits checks
  • Claim filing and tracking
  • Claim denial resolution
  • Support from health insurance experts

How much does SuperBill cost patients?

SuperBill offers a variety of plans to meet patients' needs. Either a patient or provider can pay for access to SuperBill's services. All plans include unlimited benefits checks, claim filing, claim tracking, and claim denial resolution.

Individual Plans

Individual patients can pay monthly or annually for SuperBill. If you choose monthly, $9.99 will be automatically charged to your credit card each month. If you choose an annual plan, $95.88 will be automatically be charged to your credit card each year, a 20% savings!

Family Plans

Families with multiple patients can pay monthly or annually for SuperBill. If you choose monthly, $24.99 will be automatically charged to your credit card each month. If you choose an annual plan, $239.88 will be automatically be charged to your credit card each year, a 20% savings!

Insurance

Which insurance plans does SuperBill work with?

We work with the vast majority of private insurers, big and small. If you have out-of-network benefits with your plan, we can almost definitely submit claims for you!

For Providers

What types of providers does SuperBill work with?

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.

How does SuperBill work for providers?

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.

How much does SuperBill cost providers?

SuperBill offers a variety of plans to meet out-of-network providers' needs. Providers may pay for their patients to access to SuperBill's services to make insurance reimbursement easier for their patients. All plans include unlimited benefits checks, claim filing, claim tracking, and claim denial resolution.

Pay-Per-Patient Plan

Providers looking to start out with a few patients may opt for the pay-per-patient plan. This is a monthly plan that costs $9.99/patient per month. There is a $29/month minimum, which covers your first three patients. After your first three patients, your card will be charged $9.99/patient/mo for each of your patients who used SuperBill in the past month (i.e., submitted at least one bill).

Unlimited Plans

Providers with several established patients should select an unlimited plan, which offers priority customer support, customized benefits checks, and EHR integration for effortless claim filing.

The Unlimited Annual plan is the best value -- at $79/mo (billed annually), you'll save $120 per year over the $89/mo Unlimited Monthly plan. If you select the Unlimited Annual Plan, your card will be charged $948 each year, and you'll have unlimited access to SuperBill.

Providers who prefer paying month-to-month can select the Unlimited Monthly plan. Each month, $89 will be charged to your credit card.

As an added bonus, all Unlimited Annual and Monthly providers receive a customizable benefits calculator widget to embed on their websites.

Custom Pricing

SuperBill offers custom pricing for group practices with five or more providers. Please contact our sales team for details.

How do I submit a superbill on behalf of my patient or client?

Providers who are uploading their superbills on behalf of their patients should follow these steps:

  1. Sign up for a SuperBill account at https://app.thesuperbill.com/provider-sign-up. If you have already signed up, you may sign in at https://app.thesuperbill.com/provider-sign-in.
  2. In your dashboard, find the patient you wish to add a superbill for, and click 'File Claim'. If you have not yet purchased a subscription, you will be prompted to select a plan.
  3. Click to select a file to upload, or drag and drop the patient's superbill(s) in PDF format into the window.
  4. Click the checkbox to acknowledge the terms, allowing SuperBill to file claims to the patients' insurance.

How do I explain SuperBill to my patients?

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.