The problem
Out-of-network clients need a superbill to claim from their insurer, and many therapists still build them in a document template. At 12 clients a month and 15 minutes each, that's 3 hours a month, and a wrong CPT or diagnosis code means a rejected claim and a frustrated client.
What the AI does
Every SimplePractice account can generate a superbill from a client's record, using the sessions, codes and fees already in the system, and SimplePractice describes generating superbills as one of the tasks it automates. The therapist checks each superbill before sharing it and sends it through SimplePractice's secure messaging or Client Portal rather than ordinary email, since it carries a diagnosis. SimplePractice's Business Associate Agreement covers the account. For self-pay clients, the No Surprises Act also requires a Good Faith Estimate of expected charges, which is a separate document.
A worked example
A marriage and family therapist in Los Angeles sees 12 out-of-network clients at $175£132€157A$253C$247 a session and moves superbills from a document template to SimplePractice Starter.
Before
15 minutes building each of 12 superbills: 3 hours a month
After
About 3 minutes to generate and check each one: 36 minutes a month
What it's worth
About $180£135€161A$260C$254 a month of your time, against $49£37€44A$71C$69 for SimplePractice Starter. Saving 12 minutes on each of 12 superbills is 2.4 hours; if an hour of your time is worth $75£56€67A$108C$106 that's $180£135€161A$260C$254. Switching systems only for superbills rarely pays; it works when SimplePractice also runs your scheduling, notes and billing. Add the $20£15€18A$29C$28 a year AMA CPT fee per clinician.
How to set it up
- Enter your NPI, license, practice address and tax ID in the account, and each client's diagnosis, so every superbill has what insurers ask for.
- Generate superbills from the client's record monthly, or after each session for clients who claim as they go.
- Check the dates of service, CPT codes (for example 90837 for a session of 53 minutes or more) and the diagnosis on each one before sharing it.
- Send superbills through SimplePractice's secure messaging or Client Portal, not as attachments to ordinary email.
- Give self-pay clients a Good Faith Estimate before their first session, as the No Surprises Act requires, and keep a copy.
What goes wrong
- A superbill is only as accurate as the codes you entered. A wrong diagnosis or CPT code gets the client's claim rejected, and the fix comes back to you.
- A superbill doesn't guarantee reimbursement. Tell clients to check their out-of-network benefits, and don't promise a refund amount.
- The diagnosis on a superbill goes to the client's insurer. Talk it through with clients who are worried about a diagnosis on their insurance record.