What is a superbill and will it help cover the cost of my ketamine infusion treatments?
When patients call asking about insurance coverage, we will often reply: “Unfortunately, because it is an off label use, we are unable to partner proactively with insurance at this time. However, we can provide superbills and many patients have submitted them to insurance after treatment for partial or full reimbursement!”
Ok but what is a superbill?
A superbill is an itemized form used by healthcare providers for reflecting rendered services. It is the main data source for creation of healthcare claims, which will be submitted to payers (insurances, funds, programs) for reimbursement. Superbills contain codes based on the treatment you received. There are codes for your diagnosis, office visit, procedure, medication and supplies. Superbills also include the company’s Tax ID and Provider NPI number. Theses are all crucial in the superbill being accepted by your private insurance company for possible monetary reimbursement.
Keep in mind that not all superbills are created equally! We make sure our superbills are as extensive and detailed as possible at Ketamine Wellness Centers. Not only do we include more codes than others, we also include full treatment vitals, notes and dosages. We want help put our patients in the best possible position to receive reimbursement for treatment from their insurance provider. Thankfully, many of our patients have been successful in doing so.
In 2018, KWC has seen a number of patients get reimbursed through Aetna, UMR and Blue Cross Blue Shield plans. These patients received significant or full coverage after submitting our superbills to their insurance provider. Feel free to ask your KWC Office Administrator for a superbill after your initial stabilization treatments, as well as after your maintenance treatments. All of us here at KWC believe that the more people submit to their insurance carriers, the more likely this life changing treatment will be covered.
If you go to one of our Arizona locations, we know someone who can help you submit them. Gina Henderson is an insurance biller in Arizona who can file patient’s superbill or help them with billing for a flat fee.
Kayla is a Office Administrator at the Littleton-Denver, Colorado clinic of Ketamine Wellness Centers.
Further Reading: Getting Insurance To Pay For Your Ketamine Treatments