Atlanta & Alpharetta Mental Health Self-Pay & Insurance:
Self-pay options can feel daunting, but Atlanta Specialized Care makes it easier. Our detailed therapy superbills simplify the process of submitting out-of-network claims, helping you seek insurance reimbursement with confidence and peace of mind.
What is a Superbill for Therapy and How Do You Submit One?
A superbill for therapy is a detailed receipt that includes the specific information insurance companies need to review an out-of-network claim. Unlike a simple invoice, a superbill lists your provider’s credentials, diagnosis codes, and procedure codes so your insurer can determine if your session is eligible for reimbursement.
Atlanta Specialized Care does everything possible to support our patients, including providing accurate superbills upon request. While insurance reimbursement is ultimately handled by your plan, using the guidance in this resource can help you submit your superbill with confidence and improve the likelihood of a smooth process.
A typical therapy superbill contains:
- Client information, including full name and date of birth
- Provider’s name, practice address, and National Provider Identifier (NPI)
- Date and type of therapy session
- CPT (Current Procedural Terminology) codes for the service provided
- ICD-10 (diagnosis) codes when applicable
- Amount charged and method of payment
Superbills are most often used when you see an out-of-network provider, pay out-of-pocket, and then seek reimbursement from your insurance plan. While reimbursement is not guaranteed, a properly completed superbill gives you the documentation insurers require to process your claim.
How to Use a Superbill for Therapy Reimbursement
Submitting a superbill may seem intimidating at first, but breaking the process into simple steps makes it manageable. Atlanta Specialized Care provides detailed superbills upon request, and this guide can help you understand how to submit them so your insurance company has the information it needs to review your claim.
Verify Your Benefits
Check with your insurance provider to confirm whether you have out-of-network mental health benefits, what your deductible is, and what percentage of therapy costs may be reimbursed.
Request Your Superbill & Complete Your Insurer’s Claim Form
Ask for your superbill through the Patient Portal or at your appointment. This document includes all the codes and details your insurer requires. Most insurers require you to fill out a claim form. You can usually download it from their website or member portal.
Attach Your Superbill & Submit the Claim
Include the superbill with the claim form, making sure the patient information, provider information, CPT codes, and ICD-10 codes are complete. Send your completed claim by the method your insurer specifies. Options often include uploading through an online portal, mailing it, or sometimes faxing it.
Track Your Claim & Follow up If Needed
Monitor your insurer’s portal or wait for your Explanation of Benefits, EOB. This will show how much was applied to your deductible and whether reimbursement was approved. If your claim is denied or only partially reimbursed, review the reason. Many denials are due to minor errors and can be corrected and resubmitted.
Use Hsa or Fsa Funds if Applicable
Even if reimbursement is limited, therapy costs are often eligible expenses under Health Savings Accounts, HSA, and Flexible Spending Accounts, FSA.
End Your Worrying on How to Pay for Mental Health & Start Therapy Today
Whether you are using insurance, HSA/FSA funds, or paying privately, Atlanta Specialized Care is here to support your mental health journey. If you are ready to begin therapy or have questions about getting started, connect with our team today.
FAQs about Superbills for Therapy Reimbursement
How do I request a superbill from Atlanta Specialized Care, and how often is it issued?
You can request a superbill through the Patient Portal or at your appointment. Many clients ask for one monthly, though you can request it per visit if you prefer.
Do I need a diagnosis code on the superbill to get reimbursed?
Most insurers require an ICD-10 diagnosis code to process a claim. Your clinician will include this code on the superbill when clinically appropriate.
Which CPT codes are commonly used for therapy visits?
Common outpatient codes include 90791, 90832, 90834, and 90837. The correct code depends on the service delivered.
How long do I have to submit my claim after a session?
Insurer deadlines vary. Some plans allow 90 to 180 days from the date of service. Check your plan and submit as soon as possible.
Does telehealth qualify for out-of-network reimbursement?
Many plans cover telehealth therapy, but coverage rules differ. Confirm your benefits and any location or platform requirements before submitting.
What if my claim is denied or only partially paid?
Read the Explanation of Benefits for the reason. Correct simple issues like missing documents, then resubmit. If needed, follow your plan’s appeal steps.
Can I use HSA or FSA funds for therapy?
Therapy is often an eligible expense. Keep your receipts and superbills for HSA or FSA documentation and for tax records. Atlanta Specialized Care is able to process your HSA/FSA debit card right here in the office.
Does Atlanta Specialized Care submit claims to my insurance for me?
We provide accurate superbills at your request. You are responsible for submitting claims and tracking status with your insurer.
Will using a superbill affect my privacy?
Insurers typically require limited clinical details, including diagnosis and dates of service. Ask your plan about its privacy policies before submitting.
What documents should I keep?
Save your superbill, claim form, receipts, and all EOBs. Keep copies of any appeal letters and insurer responses for your records.