Submitting a Superbill

After paying for your session, you may request a superbill to be provided for you to submit to your insurance company for reimbursement. 

A superbill is a detailed invoice that a healthcare provider gives to a patient for services rendered. It includes all the necessary information for submitting a claim to your insurance company, even if the provider doesn’t directly accept your insurance or doesn’t file claims for you. It includes information such as the patient's name and address, provider information, date of service, fees charged, payment information, and services provided (including CPT service codes and ICD-10 diagnosis codes).

How to Submit a Superbill to Your Insurance Company:

1. Pay for Services: You will first pay for services at Thriveable's therapy rate on the day that the service was provided.

2. Collect the Superbill: After your appointment, ask the provider to generate a superbill for the service provided. After each session, Thriveable will upload  your superbill to your client portal, or email it to you upon request.  

3. Submit the Superbill to your Insurer: Most insurance companies allow you to submit a superbill for out-of-network reimbursement, though policies vary. Many insurers have portals where you can upload the superbill directly, though some may require you to mail or email the superbill. Depending on your insurer's policies, you may be able to submit multiple superbills at once rather than separately after each session (e.g., submit all superbills at the end of each month). 

4. Wait for Reimbursement: The insurance company will process the claim, and you will be reimbursed based on your plan’s out-of-network benefits, if applicable. Please note that reimbursement from your insurance company is not guaranteed.

Call Your Insurance Company to Inquire:

To help you prepare and avoid any surprises, it’s a good idea to contact your insurance company in advance to confirm whether they reimburse for superbills. You can usually find their contact number on the back of your insurance card. Additionally, it may be useful to ask your child's therapist for a list of the specific CPT and ICD-10 codes that will appear on the superbills. Here are some key questions to ask:

• Does my plan cover out-of-network services?

• What is the reimbursement rate for out-of-network providers?

• Is there any additional paperwork or forms I need to submit along with the superbill?

• Is a doctor's referral for services required?

• What is the process for submitting a superbill?

• What is the deadline for submitting a superbill after the service is provided?

• Do I need to meet any specific criteria or thresholds to receive reimbursement?

• What’s the typical timeline for reimbursement?