Q. What do you need our office to send you to file a claim?

• Copies of each patient registration or information sheet (one time only with the exception of any changes)
• Copies of both the front and back of the patient insurance card (one time only, unless a change in coverage takes place)
• Superbills, daysheets, or daily charge sheets which include all CPT, ICD-9, modifiers, and HCPC codes.
• An Insurance Carrier Verification sheet (you should verify benefits at least every 6 months to keep current benefits on file)
• Copy of the Acknowledgement of Notice of Privacy Practices signed by each patient (needed only once) in accordance with HIPAA Privacy Regulations
• Copy of the patient's authorization form if needed

If additional information is needed for a specific case, we will notify you.