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What is a Superbill?

As a therapist in private practice, navigating administrative work can be daunting — especially when it involves insurance. A valuable tool that can bridge the gap between private pay and insurance reimbursement is the superbill. Whether you’re new to private practice or refining your billing processes, understanding superbills can help you better support your clients and streamline your practice.

A client opens an envelope containing a mental health superbill.

What is a superbill?

A superbill is essentially an itemized receipt provided by a mental healthcare provider to a client following a session. It contains all the necessary information a client will need to submit to their insurance company for out-of-network reimbursement.


Unlike in-network claims, where providers bill insurance companies directly, a superbill empowers private pay clients to potentially receive reimbursement for your services from their out-of-network benefits. This can help clients receive affordable healthcare and providers to expand their client base.


Who can you provide superbills for?

Superbills are typically given to clients who pay out of pocket and wish to submit claims to their out-of-network insurance provider. This includes:

  • Clients with PPO or POS insurance plans (which often allow for out-of-network benefits)

  • Clients using Health Savings Accounts (HSAs) or Flexible Spending Accounts (FSAs) to pay for services

  • Clients who have exceeded their in-network therapy benefits but want to continue care


You cannot typically provide superbills for clients whose services are being reimbursed through an in-network contract, Medicaid, or Medicare unless your contract explicitly allows it.


Components of a Superbill

To be considered valid and accepted by most insurance companies, a superbill must include specific information. A typical superbill will include the following:


Provider Information:

  • Full name

  • Clinic/business name (if different)

  • NPI number (National Provider Identifier)

  • License number and credential (e.g., LCSW, LMFT, PsyD)

  • Clinic/business address

  • Contact information (phone/email)


Client Information:

  • Full name

  • Date of birth

  • Insurance and group ID numbers (optional, but can be helpful)


Session Details:


Below is an example of a superbill:




An example of a superbill used in a mental health setting for an out-of-network client seeking reimbursement from their insurance payer.

What is a bulk superbill?

A bulk superbill refers to a consolidated document that includes multiple sessions over a specified time period—usually a month or a quarter. This is particularly useful for:

  • Clients who prefer submitting claims periodically instead of after each session

  • Reducing administrative time on your end (batch processing tends to be more efficient)

  • Offering convenience for clients and promoting consistent reimbursement habits


Make sure that each session entry in a bulk superbill includes the necessary CPT and diagnosis codes, dates of service, and payment details.


Tips for using superbills effectively

  1. Clarify at intake: During your initial paperwork or informed consent process, explain the option of receiving a superbill and how reimbursement works.

  2. Stay updated on codes: CPT and ICD-10 codes are periodically updated. Use current codes to avoid claim rejections.

  3. Automate when possible: Many EHR systems, including Empathic Software, offer the ability to generate individual or bulk superbills.

  4. Avoid guaranteeing reimbursement: Encourage clients to check with their insurer about out-of-network coverage. While a superbill supports a claim, it does not guarantee reimbursement.


By understanding how to generate and manage superbills —including bulk superbills — you can offer your clients greater flexibility and support in navigating the financial aspects of therapy. This small step can go a long way in increasing client satisfaction and helping sustain your practice’s financial health.

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