INSURANCE SUPERBILL

What is a Superbill?

A superbill is a detailed receipt that you can submit to your insurance company for possible reimbursement. We collect payment at the time of service and provide all necessary documentation for you to file an out-of-network claim. Reimbursement depends on your individual insurance benefits.

How Does an Insurance Superbill Work?

A superbill is a detailed receipt that patients can submit to their insurance company for possible reimbursement after paying out-of-pocket for physical therapy.

Since we are out-of-network with insurance plans, we collect payment at the time of service and provide a superbill upon request.

What Is Included on a Superbill?

A superbill typically includes:

  • Patient name and date of birth

  • Provider name and credentials

  • Practice information (NPI, EIN, address)

  • Date(s) of service

  • Diagnosis codes (ICD-10)

  • Treatment codes (CPT codes)

  • Amount paid

It contains everything insurance needs to determine reimbursement eligibility.

How the Process Works (Step-by-Step)

1️⃣ Patient Pays at Time of Visit

Payment is made directly to the clinic.

2️⃣ We Provide the Superbill

After the session (or at the end of a care plan), we generate a superbill.

3️⃣ Patient Submits to Insurance

The patient submits the superbill to their insurance company:

  • Through an online portal

  • By email

  • Or by mailing it in

4️⃣ Insurance Reviews the Claim

The insurance company processes it as an out-of-network claim.

5️⃣ Patient May Receive Reimbursement

If they have out-of-network benefits, insurance may reimburse:

  • A percentage of the visit cost (commonly 50–80%)

  • After the deductible is met

Reimbursement is sent directly to the patient — not to the clinic.

Important Things Patients Should Know

  • Reimbursement depends entirely on their specific plan.

  • Some plans have no out-of-network benefits.

  • Deductibles must often be met first.

  • We cannot guarantee reimbursement.

We always recommend patients call their insurance and ask:

  • Do I have out-of-network physical therapy benefits?

  • What percentage is reimbursed?

  • Is there a deductible?

  • Is there a visit limit?

Why This Model Still Works Well

Many patients discover:

  • Their deductible is so high they would pay out-of-pocket anyway.

  • They receive partial reimbursement.

  • They prefer transparent, upfront pricing with no surprise bills.

Our process is simple and thoughtful.

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