A superbill is a detailed receipt that families can use to request possible reimbursement from their insurance company when working with an out-of-network provider. It includes the information insurance companies typically require to review a claim, such as the provider's identifying information, dates of service, and the types of services provided. When appropriate, it may also include diagnosis and procedure codes.
What's Included on a Superbill
Superbills are provided after services have been completed and payment has been received. To request a superbill:
Once you receive your superbill, follow these steps to seek reimbursement from your insurance company:
Check that all information is accurate, including dates of service and your personal information.
Most insurers allow submission through their online member portal. Some also accept claims by email, fax, or mail.
Save copies of the superbill and any confirmation of submission for your records.
Contact your insurance company after 2-4 weeks if you haven't received a response about your claim status.
Out-of-network reimbursement is determined entirely by the insurance company and depends on the details of your individual plan. Reimbursement is not guaranteed. Insurance carriers may deny a claim, reimburse only part of the fee, or apply reimbursement toward a deductible or out-of-network maximum. Coverage decisions and reimbursement amounts are made by the insurance company, not by Pediatric Neuropsychology Associates PLLC.
Because insurance plans vary widely, families are encouraged to contact their insurance company in advance to understand their specific out-of-network benefits. This may include asking whether neuropsychological evaluations are covered, whether prior authorization is required, and what documentation the insurer may need. Families are responsible for submitting claims and following up with their insurance company regarding claim status, additional requests, and reimbursement timelines.