Super Bill Request
What's a Superbill?
Many insurance plans include out-of-network coverage, which allows you to see providers outside your network and receive partial reimbursement. You'll pay us directly at the time of service, and we'll provide you with a detailed superbill (itemized receipt) that you can submit to your insurance company for reimbursement.
CPT codes
ICD-10 codes
Provider information and credentials
Date of service and treatment details
1 Step
Pay for your visit at the time of service
2 Step
Receive your detailed superbill from our office via online form or make request in person.
3 Step
Submit the superbill to your insurance company
4 Step
Your insurance company processes the claim and sends you reimbursement