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Make sense of any

Superbill

Generate accurate and consistent data from any document, any layout.

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Healthcare Document Intelligence

The world's best superbill extraction

Streamline outpatient billing with automated superbill processing. Extract patient demographics, visit information, CPT procedure codes, ICD-10 diagnosis codes, and service fees. Accelerate claim submission and reduce billing errors.

superbill.pdf

Viewer

JSON

practice_name

Downtown Family Practice

practice_address

300 Main Street, Suite 200, Boston, MA 02101

practice_phone

(617) 555-1234

practice_fax

(617) 555-1235

practice_tax_id

04-1234567

practice_npi

1234567890

date_of_service

2024-03-30

patient_name

Jennifer L. Adams

patient_dob

1982-04-15

patient_address

789 Beacon Street, Boston, MA 02115

patient_phone

(617) 555-9876

patient_account_number

PA-2024-45678

insurance_primary

payer_name: Harvard Pilgrim Health Care, payer_id: HPHC, subscriber_id: HPH123456789, group_number: GRP-5678, subscriber_name: Jennifer L. Adams, relationship: Self

referring_provider

null

rendering_provider

name: Dr. Sandra Chen, MD, npi: 0987654321, credentials: MD, FAAFP

visit_type

Office Visit - Established Patient

Diagnosis_codes

3 items

sequence

icd10_code

description

1

J06.9

Acute upper respiratory infection, unspecified

2

R05.9

Cough, unspecified

3

J02.9

Acute pharyngitis, unspecified

Procedures

2 items

cpt_code

description

modifier

diagnosis_pointer

units

fee

99213

Office visit, established patient, low complexity

["1","2","3"]

1

125

87880

Strep test, rapid

["3"]

1

35

Additional_services

1 item

code

description

fee

99000

Specimen handling

10

total_charges

170

copay_collected

25

amount_due_from_insurance

145

payment_method

Credit Card

next_appointment

As needed

provider_signature

Sandra Chen, MD

signature_date

2024-03-30

billing_notes

Rapid strep negative. Viral URI. Supportive care recommended.

{ "practice_name": "Downtown Family Practice", "practice_address": "300 Main Street, Suite 200, Boston, MA 02101", "practice_phone": "(617) 555-1234", "practice_fax": "(617) 555-1235", "practice_tax_id": "04-1234567", "practice_npi": "1234567890", "date_of_service": "2024-03-30", "patient_name": "Jennifer L. Adams", "patient_dob": "1982-04-15", "patient_address": "789 Beacon Street, Boston, MA 02115", "patient_phone": "(617) 555-9876", "patient_account_number": "PA-2024-45678", "insurance_primary": { "payer_name": "Harvard Pilgrim Health Care", "payer_id": "HPHC", "subscriber_id": "HPH123456789", "group_number": "GRP-5678", "subscriber_name": "Jennifer L. Adams", "relationship": "Self"}, "referring_provider": null, "rendering_provider": { "name": "Dr. Sandra Chen, MD", "npi": "0987654321", "credentials": "MD, FAAFP"}, "visit_type": "Office Visit - Established Patient", "diagnosis_codes": [ { "sequence": 1, "icd10_code": "J06.9", "description": "Acute upper respiratory infection, unspecified"}, { "sequence": 2, "icd10_code": "R05.9", "description": "Cough, unspecified"}, { "sequence": 3, "icd10_code": "J02.9", "description": "Acute pharyngitis, unspecified"} ], "procedures": [ { "cpt_code": "99213", "description": "Office visit, established patient, low complexity", "modifier": null, "diagnosis_pointer": [ "1", "2", "3"], "units": 1, "fee": 125 }, { "cpt_code": "87880", "description": "Strep test, rapid", "modifier": null, "diagnosis_pointer": [ "3"], "units": 1, "fee": 35 } ], "additional_services": [ { "code": "99000", "description": "Specimen handling", "fee": 10 } ], "total_charges": 170, "copay_collected": 25, "amount_due_from_insurance": 145, "payment_method": "Credit Card", "next_appointment": "As needed", "provider_signature": "Sandra Chen, MD", "signature_date": "2024-03-30", "billing_notes": "Rapid strep negative. Viral URI. Supportive care recommended."}

superbill.pdf

Viewer

JSON

practice_name

Downtown Family Practice

practice_address

300 Main Street, Suite 200, Boston, MA 02101

practice_phone

(617) 555-1234

practice_fax

(617) 555-1235

practice_tax_id

04-1234567

practice_npi

1234567890

date_of_service

2024-03-30

patient_name

Jennifer L. Adams

patient_dob

1982-04-15

patient_address

789 Beacon Street, Boston, MA 02115

patient_phone

(617) 555-9876

patient_account_number

PA-2024-45678

insurance_primary

payer_name: Harvard Pilgrim Health Care, payer_id: HPHC, subscriber_id: HPH123456789, group_number: GRP-5678, subscriber_name: Jennifer L. Adams, relationship: Self

referring_provider

null

rendering_provider

name: Dr. Sandra Chen, MD, npi: 0987654321, credentials: MD, FAAFP

visit_type

Office Visit - Established Patient

Diagnosis_codes

3 items

sequence

icd10_code

description

1

J06.9

Acute upper respiratory infection, unspecified

2

R05.9

Cough, unspecified

3

J02.9

Acute pharyngitis, unspecified

Procedures

2 items

cpt_code

description

modifier

diagnosis_pointer

units

fee

99213

Office visit, established patient, low complexity

["1","2","3"]

1

125

87880

Strep test, rapid

["3"]

1

35

Additional_services

1 item

code

description

fee

99000

Specimen handling

10

total_charges

170

copay_collected

25

amount_due_from_insurance

145

payment_method

Credit Card

next_appointment

As needed

provider_signature

Sandra Chen, MD

signature_date

2024-03-30

billing_notes

Rapid strep negative. Viral URI. Supportive care recommended.

{ "practice_name": "Downtown Family Practice", "practice_address": "300 Main Street, Suite 200, Boston, MA 02101", "practice_phone": "(617) 555-1234", "practice_fax": "(617) 555-1235", "practice_tax_id": "04-1234567", "practice_npi": "1234567890", "date_of_service": "2024-03-30", "patient_name": "Jennifer L. Adams", "patient_dob": "1982-04-15", "patient_address": "789 Beacon Street, Boston, MA 02115", "patient_phone": "(617) 555-9876", "patient_account_number": "PA-2024-45678", "insurance_primary": { "payer_name": "Harvard Pilgrim Health Care", "payer_id": "HPHC", "subscriber_id": "HPH123456789", "group_number": "GRP-5678", "subscriber_name": "Jennifer L. Adams", "relationship": "Self"}, "referring_provider": null, "rendering_provider": { "name": "Dr. Sandra Chen, MD", "npi": "0987654321", "credentials": "MD, FAAFP"}, "visit_type": "Office Visit - Established Patient", "diagnosis_codes": [ { "sequence": 1, "icd10_code": "J06.9", "description": "Acute upper respiratory infection, unspecified"}, { "sequence": 2, "icd10_code": "R05.9", "description": "Cough, unspecified"}, { "sequence": 3, "icd10_code": "J02.9", "description": "Acute pharyngitis, unspecified"} ], "procedures": [ { "cpt_code": "99213", "description": "Office visit, established patient, low complexity", "modifier": null, "diagnosis_pointer": [ "1", "2", "3"], "units": 1, "fee": 125 }, { "cpt_code": "87880", "description": "Strep test, rapid", "modifier": null, "diagnosis_pointer": [ "3"], "units": 1, "fee": 35 } ], "additional_services": [ { "code": "99000", "description": "Specimen handling", "fee": 10 } ], "total_charges": 170, "copay_collected": 25, "amount_due_from_insurance": 145, "payment_method": "Credit Card", "next_appointment": "As needed", "provider_signature": "Sandra Chen, MD", "signature_date": "2024-03-30", "billing_notes": "Rapid strep negative. Viral URI. Supportive care recommended."}

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