Free superbill generator and template

What is a superbill?

A superbill is an itemized receipt for a medical visit that carries the codes an insurer needs. A cash-pay practice does not bill insurance. The patient pays you, takes the superbill and sends it to their own insurer to ask for out-of-network reimbursement. Whether they get anything back depends on their plan.

What is required on a superbill?

There is no single federal form. Insurers look for the same things they would see on a claim:

• Practice: name, address, phone and tax ID (EIN).
• Provider: name, credentials and NPI. Some insurers also ask for the license number.
• Patient: full name and date of birth. An address helps the insurer match the member.
• Visit: the date of service and the place of service code. Use 11 for an office visit, 10 for telehealth when the patient is at home and 02 for telehealth when they are somewhere else.
• Diagnosis: at least one ICD-10 code. A superbill without a diagnosis code is the most common reason for a rejection.
• Services: a CPT or HCPCS code for each service, with units and your fee. Add a modifier after the code if one applies, such as 95 for a telehealth visit.
• Payment: the total charged and the amount the patient paid.
• Signature: the provider's signature and the date.

You choose the codes. The generator does not suggest diagnosis or procedure codes, because the right code depends on what happened in the visit and what you documented.

How to save it as a PDF

Select Print or save as PDF. In the print window, choose Save as PDF as the printer (on a phone, choose Share, then Save to Files). Only the superbill prints, not the rest of this page. Send it to the patient through your patient portal or another channel that is safe for health information, not ordinary email.

When a superbill is the wrong tool

• Medicare patients. If you have not opted out of Medicare, you generally cannot charge a Medicare patient cash for a covered service and hand them a superbill. Check your enrollment status first.
• Services insurers do not cover. Membership fees, supplements and many wellness services have no procedure code. Give an ordinary receipt for those.
• HSA and FSA cards. Patients usually need only an itemized receipt, and sometimes a letter of medical necessity, not a superbill.

If your patients pay before the visit, see how to collect lab fees before the consult and whether payment links are safe for a medical practice. Self-pay patients are also owed a written estimate before a scheduled visit: use the good faith estimate template.