SuperBill Overview

Written By Amber Bollinger (Super Administrator)

Updated at November 24th, 2020

Overview – SuperBill is used to calculate procedure codes based on category selections. These categories consist of:

  • History (HPI)
  • Review of Systems (ROS)
  • Personal Family/Social History (PFSH)
  • Examination
  • Number of DX or Treatment Options
  • Review Data and Risk

The SuperBill will also allow providers to choose multiple procedures during one office visit. In the primary care office this happens regularly. SuperBill can be used for Add On Codes too! 

Setup – To setup the SuperBill users must first enter Service Types, Procedure Codes and complete the Billing Matrix. 

Utilization - What the provider will see, how the SuperBill is linked to the progress note and how these claims look at the charge batch. 

Purpose – This SuperBill is to bill the medical provider services.

 What to know – To complete the SuperBill, all services that will be used will need to have a Service Type, Procedure Code and Billing Matrix.

 SuperBill – Used for licensed staff, mainly doctors and nurses.

 Procedure Code - Set up the Procedure Code – Best Practice is to make it the same as the Service Type.

  • Start with your Code i.e. 99201
  • Complete as normal. The following fields are necessary:  1) Procedure Code Options 1 tab, Is Primary Code, will need to be set to Yes or No and,      2) Add on Code will need to be set to Yes or No
  • New Procedure Code will need to be added for all Codes that can be used as Primary Codes or Add on Codes

* If the procedure code is a Primary Code then the 'Is Primary Code' will be set to Yes, and the 'Is Add on Code' will be set to No. If the procedure code is an Add on Code, 'Is Primary Code' will be set to No and 'Is Add On Code' will be set to Yes.

For more SuperBill details, see our SuperBill, Set-up and Utilization Article.

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