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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!

If your provider is out-of-network (OON), it means they do not have a contract with your health insurance company. In other words, they don't accept your insurance.

However, your health insurance plan may still reimburse you for a portion of your healthcare expenses! These are called out-of-network benefits. Some health plans offer these benefits, and others do not.

To check your OON benefits, you can visit your health insurer's website to view your plan details, call the customer service number on the back of your insurance card, or we can verify your benefits for you after you create your account here! If you have OON benefits, SuperBill can file your claims directly with your insurer!

Learn more in our article, The Case for Out-of-Network Reimbursement.

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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). 

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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.

Insurance Reimbursement

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:

• For a $200 bill, you would pay $5.80 to SuperBill.
• For a $500 bill, you would pay $14.50 to SuperBill.
• For a $1000 bill, you would pay $29 to SuperBill.

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.

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Medical Bill Negotiation Service

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.

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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.

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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:

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'.
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.

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.

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.

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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?

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