I have health insurance. Do you accept my plan?

Artes Tenebris is an out-of-network provider for all major health insurance policies. Furthermore, medicare patients are not treated for chiropractic care at our practice, but we have excellent recommendations for you to be seen by a local chiropractor!

What about an auto accident, or a worker’s compensation claim?

These claims are handled regularly at Artes Tenebris, and we look forward to helping guide your recovery, or assisting another provider that you’re already seeing to ensure a return to pre-injury status!

Guide to Submitting a Superbill to Your Insurance Company

Submitting a superbill allows you to get reimbursed by your insurance company for services you've paid for out-of-pocket, typically when your healthcare provider is out-of-network. It might seem a little complicated at first, but by following these steps, you can confidently navigate the process.

What is a Superbill?

A superbill is essentially a detailed receipt provided by your healthcare provider that includes all the information an insurance company needs to process a claim. It's different from a regular receipt because it contains specific codes that describe the services you received and why you received them.

Below, you will find a guide to getting reimbursed through your health insurance provider!

Step 1: Obtain Your Superbill

First things first, you need to get the superbill from us - the sooner we know that you need it, the better! Prior to your first visit is ideal.

• Check for completeness: We will make sure the superbill includes the following crucial information:

  • Your information: Your full name, date of birth, and contact information.

  • Provider's information: Their name, address, National Provider Identifier (NPI), and tax ID number.

  • Service details:

    • Dates of service: The specific dates you received care.

    • CPT codes: These are 5-digit codes that describe the services performed (e.g., a therapy session, a specific medical procedure).

    • Diagnosis codes (ICD-10 codes): These codes explain why you received the service (your diagnosis).

    • Fees: The amount you paid for each service.

    • Place of service: Where the service took place (e.g., office, telehealth).

    • Signature: Sometimes a provider's signature is required, especially for older superbills or certain insurance companies.

Step 2: Understand Your Insurance Plan

Before submitting, it's wise to know what your plan covers.

• Call your insurance company: Look for the customer service number on your insurance card.

• Ask about out-of-network benefits: Inquire about your out-of-network deductible and your reimbursement rate for the type of service you received (e.g., mental health, physical therapy).

• Understand the process: Ask if there's a specific form they prefer you use for out-of-network claims or if a superbill is sufficient. Also, ask where to send the superbill (address, fax number, or online portal).

Step 3: Prepare Your Submission

Gather everything you need to send to your insurance company.

• Superbill: Make a copy for your records before sending the original (or a clear copy).

• Claim form (if required): Some insurance companies have their own out-of-network claim forms. You can usually download these from their website. Fill it out completely.

• Proof of payment (optional but recommended): While the superbill shows the fees, including a receipt or bank statement showing proof of payment can sometimes expedite the process.

• Cover letter (optional): A simple letter stating your name, policy number, dates of service, and a clear request for reimbursement can be helpful, especially if you have multiple superbills.

Step 4: Submit Your Superbill

Now it's time to send everything in!

• Online Portal: Many insurance companies have secure online portals where you can upload documents directly. This is often the fastest and most convenient method.

• Mail: Send all documents to the address provided by your insurance company for out-of-network claims.

  • Tip: Send it via certified mail with a return receipt requested. This provides proof that your documents were received.

• Fax: If they accept faxes, make sure to get a confirmation page that your fax was successfully sent.

Step 5: Follow Up

Submitting isn't always the end of the story.

• Keep records: Maintain copies of everything you send, including dates sent, confirmation numbers, and who you spoke with if you called.

• Track your claim: Most insurance companies have a way to track the status of your claim online or by phone.

• Be patient: Processing out-of-network claims can take anywhere from a few weeks to a couple of months.

• Address rejections: If your claim is denied, call your insurance company to understand why. It might be a simple error that can be corrected, or you may need to appeal their decision.

By following these steps, you'll be well-equipped to submit your superbill and get the reimbursement you're entitled to. Do you have your superbill ready, or are you still waiting to receive it from your provider?