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."}

Integrations

Connect Superbills across your stack

DocuPipe captures superbills from clinic encounters, scanned batches, or digital submissions. Extract procedure and diagnosis codes with fees, then sync to billing systems or clearinghouses for claim generation.

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