Insurance  Information

No! You do not need a referral to be treated by a physical therapist in the state of South Carolina. After your first visit, we fax over the evaluation paperwork for your doctor's signature. 

Submitting a superbill receipt typically involves providing detailed information about the medical services received so that you can seek reimbursement from your insurance company. Here are general instructions on how to submit a superbill receipt:

Obtain a Superbill:

• • Request a superbill from your healthcare provider. A superbill is a detailed invoice that includes the services provided, diagnosis codes, and other relevant information.

Review the Superbill:

• • Carefully review the superbill to ensure that all the information is accurate and complete. Check for the date of service, provider information, services rendered, and any applicable codes.

Check Insurance Coverage:

• • Verify with your insurance provider that the services listed on the superbill are covered under your plan. Some services or procedures may not be eligible for reimbursement.

Complete Insurance Claim Form (if applicable):

• • Some insurance companies may require you to fill out a specific claim form in addition to submitting the superbill. Obtain and complete any necessary forms provided by your insurance company.

Make Copies:

• • Make photocopies of the completed superbill and any additional claim forms. Keep the copies for your records.

Submit to Insurance Company:

• • Send the superbill and any required claim forms to your insurance company. This can often be done through an online portal, by mail, or by fax. Check with your insurance provider for their preferred method of submission.

Include a Cover Letter (if necessary):

• • In some cases, it may be helpful to include a cover letter explaining any additional information, special circumstances, or details that you want the insurance company to consider.

Keep Records:

• • Keep a copy of all documents submitted, including the superbill, claim forms, and any correspondence with the insurance company. This will be important for tracking the status of your reimbursement.

Follow Up:

• • After submitting the superbill, follow up with your insurance company to ensure they received the documents and to inquire about the status of your claim. Be persistent in following up until the matter is resolved.

Address Denials or Issues:

• • If your claim is denied or there are issues with the reimbursement, work with your healthcare provider and insurance company to address and resolve any discrepancies.

Remember that the specific process and requirements may vary depending on your insurance provider. Always consult with your healthcare provider and insurance company for any specific instructions or forms they may require.

A superbill is a detailed invoice created by healthcare providers to document the services rendered to a patient. In this guide, we'll walk you through the steps to ensure a smooth and efficient reimbursement experience.

Gather Essential Information:

• You will find all of your essential information at the top of the superbill. This will include patient details (name, date of birth, address, and insurance information), and provider information.  

Accurate Codes:

• You will find all of the relevant diagnosis codes at the top of the superbill next to your name. 

• The services codes are found next to the date of service.  

• This will also include all of the Modifier Codes. Modifier codes provide additional information about the services rendered. Common modifiers include those indicating multiple procedures, bilateral procedures, or services performed by different providers.

Attach Supporting Documents:

• To strengthen your reimbursement claim, attach any necessary supporting documents. These may include lab results, imaging reports, or any other relevant documentation that validates the services provided. We can also send you a copy of  the notes from your therapy session. 

Submit Superbill to Insurance:

• Once the superbill is complete, submit it to your insurance company. This can typically be done electronically through the insurance portal or by mail. Some insurance companies may have specific submission requirements, so be sure to follow their guidelines closely.

Keep a Copy for Your Records:

• It's crucial to keep a copy of the submitted superbill and all supporting documents for your records. This documentation serves as proof of the services provided and can be useful for tracking the reimbursement process.

Follow Up on the Reimbursement Status:

• After submitting the superbill, regularly follow up with the insurance company to check the status of the reimbursement. This may involve contacting the insurance provider, checking the online portal, or reviewing any correspondence from the insurance company.

Address Denials or Discrepancies:

• If the reimbursement is denied or if there are discrepancies, address them promptly. Review the denial reasons, correct any errors, and resubmit the superbill if necessary. Clear communication with the insurance company is key to resolving issues.