What is a Superbill, and what do I need to do for insurance reimbursement?

At Keystone Wellness Group, we strive to provide high-quality mental health services to our clients. While we do not directly accept insurance, we understand that many of our clients may have insurance benefits they wish to utilize for reimbursement. To facilitate this process, we offer a Superbill of services rendered, which you can submit to your insurance provider for potential reimbursement. Below are 7 easy instructions on how to utilize a superbill for insurance reimbursement at Keystone Wellness Group:

What is a Superbill?

A superbill is a detailed invoice provided by healthcare providers to patients, listing the services rendered during a visit, along with corresponding diagnosis and procedure codes. It serves as a comprehensive record for patients to submit to their insurance companies for reimbursement of medical expenses.

Step-by-Step Instructions for Submitting a Superbill for Insurance Reimbursement

  1. Request & Review the Superbill: Request a superbill from you Keystone Wellness Group provider during or outside of sessions, once the superbill is filled out they will send you a copy. Carefully review the superbill to confirm that it includes all the services you received, along with the associated diagnosis and procedure codes. [ Purple & Blue Section of the Superbill ]

  2. Check Insurance Coverage: Before submitting the superbill, verify with your insurance provider that the services listed are covered under your plan and that out-of-network services are eligible for reimbursement.

  3. Complete Insurance Claim Form: If required by your insurance company, fill out the appropriate claim form provided by your insurer. Include your personal information, policy number, and any other required details.[ Gray Section of the Superbill ]

  4. Attach the Superbill: Enclose the completed claim form along with the superbill detailing the services rendered and their corresponding codes. Ensure that all documentation is securely attached.

  5. Submit to Insurance: Send the completed claim form and superbill to your insurance company through the preferred method, whether it's by mail, online portal, or email. Retain a copy of all documents for your records.

  6. Follow Up: After submitting the claim, follow up with your insurance company to confirm receipt and inquire about the status of your reimbursement. Be prepared to provide any additional information or documentation if requested.

  7. Review Reimbursement: Once processed, review the reimbursement provided by your insurance company. If there are any discrepancies or if certain services were not covered, contact your insurer for clarification or to appeal the decision if necessary.