(15) Claim Submission- Super Bill Example

Back to Toolbox

Author: Iowa Immunization Program and Medical Billing Services

0 REVIEWS

AVAILABLE TOOLS AND RESOURCES

Billing Toolkit14 Submitting a Claim Super Bill Example 1 id3194

This page requires a membership login. Log in or create an account by clicking the link below.

MyNACCHO Login

An example of the super bill in Excel.

Program: Community Health

Submitted Date: Oct 15, 2012 | Modified Date: Sep 30, 2025

Primary Toolkit: Billing for Clinical Services Toolkit | Secondary Toolkit: N/A

Jurisdiction:

Institution Type: State,

Keywords: Immunization, Billing

Reviews

RELATED TOOLS & RESOURCES

Tool, Billing for Clinical Services Toolkit

(22) Other Clinical Services - Coding Guidelines for...

Coding guidelines for vaccine preventable hepatitis specifically designed by the American Medical Association for high risk populations, including men who have sex with men.

Aug 13, 2014

Tool, Billing for Clinical Services Toolkit

(13) Coding - List of ACA Preventive Services and CPT...

A list of STD services-related preventive services covered by ACA without cost-sharing and their respective billing codes created by the STD/RH Training and Technical Assistance Center (STD TAC) in...

Jul 24, 2014

Tool, Billing for Clinical Services Toolkit

(20) STI Tools - RN Billing and Coding FAQ: Clinic flow,...

The STD/Reproductive Health Training and Technical Assistance Center (STD TAC) in Region I (JSI) created a detailed FAQ with answers to frequently asked questions around RN billing for services in...

Jul 24, 2014

Tool, Billing for Clinical Services Toolkit

(20) STI Tools - 10 Steps to Billing for STD Services:...

This organizational tool provides a detailed implementation checklist and a sample timeline outlining a ten-step process to begin billing for STD services.

Jul 22, 2014

Tool, Billing for Clinical Services Toolkit

(06) EHR/EMR - Electronic Health Records: A resource...

A short guide created by Cardea Services that offers resources for planning and implementing electronic health records (EHRs), and provides links to current articles on national EHR trends. For...

Jul 01, 2014

Tool, Billing for Clinical Services Toolkit

(13) Coding - ICD9-ICD10 Cross Walk

A cross walk between ICD 9 and ICD 10 codes for services provided at health departments developed by the Nevada Immunization Billing Project and Carson City Health and Human Services.

Jul 01, 2014

Tool, Billing for Clinical Services Toolkit

(18) Immunization Tools - Vaccine CPT and ICD 9 Code List

CPT and ICD 9 codes for immunizations created by the Nevada Immunization Billing Project.

Jul 01, 2014

Tool, Billing for Clinical Services Toolkit

(10) Contracting - Sample Letter of Intent: Nevada...

A sample letter of intent for reaching out to health plans when initiating the contracting process developed by the Nevada Immunization Billing Project.

Jul 01, 2014

Tool, Billing for Clinical Services Toolkit

(17) State Billing Guides - A Guide to Successful...

Carson City Health and Human Services, in collaboration with the State Immunization Program, worked together on the Nevada Immunization Billing Project with the goal of transitioning to billing...

Jul 01, 2014