Here at Claimeye we want to be certain that all our users understand the process that goes along with claim(s) submission when seeing a doctor/provider outside of your coverage network. The best way to ensure this process is successful and hassle-free, it is important to know what documents and essential information are required prior to submission.
Taking these steps will assist you in minimizing clerical errors and common mistakes while decreasing the likelihood that your claim will be returned or rejected and guaranteeing faster reimbursement.
What is a Superbill?
A Superbill is a document that outlines the care a patient has received and if you have paid out-of-pocket, it contains the important information you will need to get reimbursed from your health insurance company.
When do I get a Superbill?
After paying for your visit with an out-of-network provider you will receive a basic receipt. This basic receipt of payment will not have all the required information. What appears on a Superbill (also referred to as a “coded bill”) is not only the itemized care you received and payment rendered, but the specific medical codes and other pertinent details necessary for your insurance company to process your claim(s). It is important to note that you will most likely need to request a Superbill from your provider.
Stay tuned until next week when we will share a pre-populated Superbill along with a detailed guide for your reference. Our goal is to provide you with all the information you need for a fast, easy and accurate process. Utilizing these tools in coordination with the Claimeye app will help minimize mistakes and facilitate a streamlined claim submission experience.