Creating superbills for insurance reimbursement

A superbill is an itemized receipt with billing and diagnosis codes. Your client sends it to their insurer or their HSA/FSA to claim reimbursement for care they've already paid you for. Once a client has paid an invoice through Bornbir, you can make the superbill in about two minutes, and the family downloads it as a PDF from their invoice.

Who can create superbills

Doulas, lactation consultants, and midwives in the US, on Premium or Business.
With a verified NPI on your profile. See "Adding your NPI number". Without one, the superbill form says "Add your verified NPI first. Insurers reject superbills without one."
For an invoice or payment request the client has paid through Bornbir (see "Invoicing clients and getting paid"). Payments made outside Bornbir can't get a superbill here.
On a Business account, only the account owner can create superbills.

Creating a superbill

Open Clients, choose the client, open the Invoices tab, and click the paid invoice.
Click Create superbill (at the top of the page, or on the Superbill card).
Under Rendering provider, your verified NPI is filled in for you. Enter your Practice address, and optionally your Tax ID (EIN) and Phone. These are kept for your next superbill. Only use an EIN here, never your Social Security number.
Under Patient, check the Legal name and enter their Date of birth. Member ID (from their insurance card) is optional. Insurers match claims on legal name and date of birth, so ask the family if you're not sure.
Under Diagnosis and place of service, pick one diagnosis: Z33.1 (care during pregnancy), Z39.1 (lactation support), or Z39.2 (care after the birth). Then choose the Place of service, such as 12 · Home or 11 · Office.
Under Services, each line of the invoice has its own row. Enter a billing Code, the Date of service, and Units for each.
Tick the box that certifies the services were rendered as described. This signs the superbill with your name. Then click Create superbill.

Billing codes

The code field suggests the codes doulas and lactation consultants commonly bill:

T1033: doula labor and birth support, per diem
T1032: doula visit, per 15 minutes. Units count 15-minute blocks, so 2 hours is 8.
99401 to 99404: preventive counseling, 15 to 60 minutes
S9443: lactation class, non-physician

You can also type any other HCPCS or CPT code. To save you time, doulas start with T1032 on hourly lines (with units from the hours you invoiced) and T1033 on flat-rate lines; lactation consultants start with 99403. You sign the superbill, so check every code against what you actually provided and your own billing guidance.

If something's missing

The form lists what to fix at the top. For example:

"Add the patient's legal name" or "Add the patient's date of birth"
"Add your practice address"
"Choose a diagnosis" or "Choose a place of service"
"Line 1: enter a billing code like T1033 or 99403"
"Line 1: the date of service can't be in the future"
"Line 1: units must be a whole number from 1 to 999"
"Check the box to certify the services and sign"

After you create it

You'll see "Superbill saved. [Name] can download it from their invoice." The family gets a Download superbill (PDF) link on their invoice page, whether they pay through a Bornbir conversation or through the invoice link you shared. Bornbir doesn't send them a separate notice, so let them know it's ready.

On your side, click Download superbill at the top of the invoice, or Download PDF on the Superbill card. The PDF shows your name, practice details, NPI (marked as verified against NPPES), and taxonomy; the patient's name, date of birth, and member ID; the diagnosis and place of service; each service with its date, code, units, and charge; the amount paid by card with a balance due of $0; and your electronic signature.

Fixing a superbill

Click Edit on the Superbill card, change what you need, and click Save superbill. The family's download is replaced with the new version. A superbill keeps the NPI and details it was made with, so later profile changes don't alter one the family already sent in.

If the payment is refunded or disputed, the superbill can no longer be downloaded, since it says the family paid in full.

What Bornbir does and doesn't do

Bornbir doesn't bill insurers or file claims. The superbill is a receipt the family submits themselves, and whether they're reimbursed depends on their plan. Questions about the superbill form? Email support@bornbir.com.