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A Super Bill is an itemized bill that gathers the charges from a visit, along with billing codes, diagnoses, provider details, and the patient’s insurance, into one document the patient can submit to their insurer for out-of-network reimbursement.
Prerequisites: Super Bills fill in faster when you record the patient’s insurance on their chart and set default billing codes on your services. Both are optional — you can also enter everything by hand.

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Build a Super Bill from a Visit

Open the patient’s chart and go to the Billing tab. In the Super Bills section, click Construct Super Bill.
1

Pick the charges

Select the visits and charges you want to bill. Past visits load newest first; click Load more to page back through the patient’s history. Charges from the visit you started from are pre-selected — add more as needed.
2

Add insurance

Pick the insurance that applies, or add one without leaving the window. Click Add insurance to enter a new coverage, or edit and remove the coverages already on file. You can select more than one — the first becomes the primary payer. With none selected, the bill falls back to Self-pay.
3

Construct

Click Construct. Decoda creates the Super Bill and opens it in the editor.

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Edit the Super Bill

The editor lets you review and complete everything an insurer needs. For each billed item you can set:
  • CPT/HCPCS billing code and any Modifier(s)
  • ICD-10 Diagnoses for the visit
  • Rendering Provider, Billing Provider, TIN (the billing provider’s Tax Identification Number), and Place of Service
If a service has default billing codes, its CPT, modifier, and diagnosis fields are pre-filled — you only adjust what’s different. The editor also shows the Primary Payer, Plan Name, Coverage Type, and Claims Address, pulled from the patient’s insurance on file. Add Notes for the patient or payer if needed.

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Send or Print

When the Super Bill is ready:
  • Click Print / Save PDF to print it or save a copy.
  • Click Email to send it to the patient. The bill goes to the patient’s email address on file.
If the patient has no email on file, the send option is disabled. Add an email on the patient chart first.