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For the counterfeit U.S. currency, see Superdollar.

Superbill is an itemized form utilized by healthcare providers for reflecting rendered services. Superbill is the main data source for creation of healthcare claim, which will be submitted to payers (insurances, funds, programs) for reimbursement. Although the superbill form is not unified, and it is created/modified depending on healthcare provider specialty, type of rendered services, additional requirements, as well as ease of handling, there is a set of obligatory attributes, relevant to all superbill types.

Superbill form consists of 4 main parts, containing mandatory fields to be completed for accurate claim creation:

Provider Information[edit]

Rendering Provider[edit]

Ordering/referring/attending physician[edit]

Patient Information[edit]

Visit information[edit]

Additional information[edit]

Superbill utilization rules[edit]

  1. Each superbill must be signed by rendering provider of service. Superbill without a signature cannot be processed by medical biller. By signing the document the healthcare provider is acknowledging the services rendered and confirming that information on superbill is permitted to be sent to insurance company by medical biller.[citation needed]
  2. All required fields should be completed (with the exception of those that are considered optional)
  3. Provided information should be readable
  4. CPT and ICD-9 (ICD-10 -Starting October 1, 2014) codes should be marked clearly
  5. In case if required CPT or ICD-9 code could not be found in the given list, Provider should give legible handwritten description of service/diagnosis, along with additional information (units, time, type, etc.)
  6. Only generally accepted medical terminology and abbreviations are allowed

Further reading[edit]

External links[edit]