A superbill is an itemized receipt a patient can give to their insurance company to request reimbursement for out-of-network or cash-pay care. Hint does not have a separate superbill form. Instead, you create a patient invoice that includes CPT and ICD-10 codes, then print or email that invoice to the patient.
What a superbill typically includes
Requirements vary by insurer, so the patient should confirm what their plan needs. Most superbills include:
Practice name, address, and EIN – your EIN prints automatically on invoice PDFs when it is entered under Admin > Account > General. This is the practice EIN, not a per-clinician EIN.
Date of service
CPT code(s) for each service, with a price
ICD-10 diagnosis code(s)
Amount paid by the patient
Step 1: Set up your visit charge items
This is a one-time setup for each service you want to appear on a superbill.
Go to Admin > Charges, Packages, & Taxes and create the visit charge item with its normal fee.
Enter the CPT code in the Code field and select CPT.
Add the ICD-10 code(s) to the Description field. Make sure the diagnosis entered is appropriate to the actual encounter.
Step 2: Cover the visit with your membership (coverage plan)
If the visit is included in a patient's membership, use a coverage plan to reduce what the patient owes, rather than pricing the charge item at $0.
Go to Admin > Membership Options > Coverage Plans.
Select +New Coverage Plan or add to an existing coverage plan
Connect the relevant membership plan(s) and add the visit charge item with one of these rules:
• Included at no additional cost – for unlimited covered visits
• Limited to a quantity – for a defined number of covered visits per periodPublish the coverage plan.
This keeps the standard fee available for non-covered services while letting membership coverage determine what the patient owes. A charge item priced at $0 would instead be free for everyone, regardless of membership coverage.
Learn more: Configure Coverage Plans and Quantity-Based Coverage Rule.
Step 3: Create the invoice for the patient
Open the patient's profile and click the Invoices tab.
Click + Add Invoice, then + Add Charge.
Add the coded visit charge item for each date of service you want included. If the patient's membership covers the visit, the coverage rule will reduce the patient's charge to $0.
How this works with Hint Clinical
Visits: A documented visit or calendar appointment in Clinical is not the same as an invoice charge. To include a visit on the invoice you use as a superbill, you still need to add the appropriate visit charge (Step 3). The coverage rule can then reduce the patient's charge to $0.
Labs and other services that already generate charges: Clinical sends these charges to Hint's billing system, and your coverage plans and billing settings handle how they are routed. Review the resulting invoice and its codes rather than adding the same service again.
Step 4: Print or email the invoice
Once the invoice includes all the necessary codes, print a copy for the patient to submit to their insurance, or email it to them. Patients can also download invoices (including your EIN) from their patient portal.
What if the patient already paid for the visit?
Creating a superbill invoice should not charge the patient a second time.
To give the patient a coded copy without charging them again, issue the invoice, print or email it, then void it so it does not affect billing or revenue reports. See Void a Patient Invoice.
Important: superbills are not insurance claims
Hint's superbill process creates a coded invoice that you print or email. It is not an insurance claim submission. Neither a $0 charge item nor a coverage rule establishes that a membership-covered visit is reimbursable.
Confirm with your practice's biller or the patient's payer how covered services and membership payments should be represented, and do not show a separate visit fee as paid if it wasn't.