Hey There Provider!
Although we are a Fee-for-service practice we do still offer superbills for our mutual clients!
In order to help maximize insurance reimbursements, when filling out this referral form please make sure that the referral form is fully completed, and it is imperative to supply the appropriate diagnosis code. If the ICD10 diagnosis code is not listed, please fill in the OTHER and list the ICD10 code there.
Please send ALL referrals to email@example.com. Thank You!