Home → Features → Out-of-network billing
Superbill software for out-of-network and self-pay practices
A superbill is the itemized receipt your patient sends to their insurer to claim reimbursement. DrinCloud produces it with the identifiers, codes and amounts a plan expects, right after the visit is billed.
What a superbill is, and what has to be on it
It is not a claim. It is a detailed receipt the patient submits themselves, and it fails if a single identifier is missing.
- Practice and rendering provider name, address and phone
- Provider NPI and the practice tax ID or EIN
- Date of service and place of service for each line
- CPT procedure code with the fee charged for that line
- ICD-10 diagnosis codes supporting each procedure
- Amount already paid by the patient and any balance due
Codes you enter once, carried into the receipt
You type the CPT and ICD-10 codes on the billing line and they flow through to the superbill. No re-keying into a separate document.
- CPT and ICD-10 entered directly on each invoice line
- Several coded lines on one document for multi-service visits
- Fee per line so the patient sees exactly what each service cost
- No built-in CPT lookup: the code set is AMA property and needs a license
- Codes stay attached to the visit for later review
- Reissue or correct a superbill when a code changes
Payment first, reimbursement second
Out-of-network practices get paid at the time of service. The superbill is what the patient does afterward, on their own.
- Collect in full at check-out by card, link or terminal
- Superbill generated from the invoice already paid
- Send it by email or hand the patient a printed copy
- Works for a single visit or a course of treatment
- Same document for cash-pay patients with no insurance at all
- Payment status visible on the record if a balance remains
Keep the paper trail for when a plan asks questions
Insurers sometimes come back months later. Everything issued stays searchable and exportable.
- Full history of documents issued per patient
- Retrospective search across any field in the clinical record
- Audit log showing which user created or changed a document
- Export the full billing history to CSV
- Access limited by user profile so front desk sees only what it needs
- Automatic backups and a private instance for your practice
Honest about where the superbill stops
A superbill puts the reimbursement request in the patient's hands. DrinCloud does not verify benefits, does not check eligibility and does not send anything to a payer on your behalf. Whether the plan pays, and how much, is between the patient and their insurer.
Questions we get asked
Will my patient's insurance accept a DrinCloud superbill?
That depends on the plan, not on the software. A superbill has to carry the provider NPI, the practice EIN, dates of service, CPT codes, ICD-10 codes and the amount paid. DrinCloud includes those fields.
Can I search for CPT codes inside DrinCloud?
No. CPT is owned by the American Medical Association and an integrated code search requires a license we do not resell. You type the codes you use into the billing line.
Do you check the patient's out-of-network benefits first?
No. There is no eligibility check. Many out-of-network practices ask the patient to call the number on their card and confirm their deductible before the first visit.
Is a superbill the same as a claim?
No. A claim is filed by the practice to the payer through a clearinghouse. A superbill is a receipt the patient files themselves. DrinCloud produces the second, not the first.
Keep reading
Medical scheduling software for cash-pay practices
Run every provider, room and service on one calendar. Set the shifts you actually work, take deposits when the slot…
Read moreOnline appointment booking for medical practices, with…
Embed a booking page on your own website and let patients pick a real open slot. Take the full fee or a deposit…
Read moreEHR software with charting templates you design yourself
Write the note the way your specialty actually documents it. Build unlimited templates, reuse text with one…
Read moreSee it with your own patients
Fifteen days free, no credit card, and your account opens instantly with sample data.