When you visit a provider who isn’t familiar with Altrua HealthShare or who has chosen not to work with healthshares, you will want to ask for a Superbill so that you can submit for reimbursement for Altrua HealthShare. A Superbill is a document used by healthcare providers that provide important information used by Altrua Healthshare for processing your reimbursement request for an eligible medical need.
A Superbill is a specific list of all services a patient received from the healthcare provider during their visit. It includes things like provider information, various medical codes like CPT codes, HCPCS and REV Codes and ICD-10 codes, referral information, and other important items.
The following is required information:
- Provider Name
- Patient First Name and Last Name
- Patient date of birth (DOB)
- Date of visit / Date of Service
- Procedure Codes and Description (CPT / HCPC / REV)**
- Diagnosis Codes and Description (ICD-10)***
- Fees Charged
Optional but helpful information includes:
- Altrua Member ID
- Patient address
- Patient phone number
- Units or Minutes
** CPT (Current Procedural Terminology) Codes are used to describe the medical procedures that a provider performed on a patient. The American Medical Association (AMA) is the entity that issues and maintains CPT codes.
*** “ICD-10 is the 10th revision of the World Health Organization’s International Classification of Diseases (ICD) coding system. The ICD-10-CM (Clinical Modification) codes are used to capture diagnoses in all healthcare settings, while ICD-10-PCS (Procedure Coding System) codes are used to capture procedures only in inpatient settings.”
**** According to M-Scribe “A modifier is a code that provides the means by which the reporting physician can indicate that a service or procedure that has been performed has been altered by some specific circumstance but has not changed in its definition or code.”
You can submit your eligible medical need for reimbursement to Altrua HealthShare by following the steps outlined in How Do I File A Reimbursement Request?