Superbill Generator for Therapists in Pennsylvania
Generate professional, insurance-compliant superbill PDFs for your Pennsylvania clients in under 60 seconds. 14,500+ therapists in PA use superbills for out-of-network billing.
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What Is a Superbill in Pennsylvania?
A superbill is an itemized insurance receipt that therapists in Pennsylvania provide to out-of-network clients. It includes your NPI, PA license number, CPT codes, ICD-10 diagnosis codes, and fee information — everything your client's insurer needs to process a reimbursement claim.
Required Fields for Pennsylvania Therapist Superbills
- ✓Provider full name and practice name
- ✓PA license number and license type (LCSW, LPC, MFT, etc.)
- ✓NPI number (National Provider Identifier)
- ✓Tax ID / EIN
- ✓Practice address and phone number
- ✓Patient name, date of birth, and insurance member ID
- ✓Date(s) of service
- ✓CPT procedure code and description
- ✓ICD-10 diagnosis code(s)
- ✓Fee charged and amount paid
- ✓Place of service code
- ✓Provider signature
Pennsylvania Licensing Board
The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors oversees licensed therapists in Pennsylvania. Your PA license number must appear on every superbill.
Telehealth Rules in Pennsylvania
Pennsylvania requires commercial insurers to cover telehealth behavioral health services at parity. Use modifier 95. Pennsylvania Medicaid covers behavioral health telehealth. Philadelphia and Pittsburgh are major metro markets with strong OON therapy demand.
Insurance Landscape in Pennsylvania
Major insurers in Pennsylvania include Independence Blue Cross (dominant in Philadelphia), Highmark (dominant in Pittsburgh), UPMC Health Plan, Aetna, and UnitedHealthcare. Pennsylvania has strong regional insurer competition. Independence BCBS and Highmark PPO plans are the primary sources of OON mental health benefits in their respective regions.
Average Reimbursement Rates in Pennsylvania
OON reimbursement for CPT 90837 in Pennsylvania typically ranges from $100 to $160. Philadelphia metro benchmark rates are higher than rural PA. Pittsburgh metro is served by Highmark with strong OON benefits for PPO subscribers. Rural Pennsylvania rates tend to be lower.