Superbills

What is a Superbill? A superbill is a document, similar to an itemized receipt but with medical billing codes, that medical offices provide so that you, the patient, can submit a claim to be reimbursed by your insurance for services paid for out-of-pocket.

Blue Cross/Blue Shield

All claims must be submitted within 90 days of service. Most claims take about 14 days to process, though some may take longer. After 14 days, contact your insurance provider to inquire about the status of your claim. 
Click here to view BC/BS Statement of Claim Form.

You will need: 

  • Your transaction receipt (provided by us)
  • Completed Superbill form (provided by us)
  • Completed Subscriber Statement of Claim form 

You must mail each form and receipt to: 

Blue Shield of California Life and Health Insurance Company 

P.O. Box 272610

Chico, CA 95927-2610
Anthem

Not all Anthem plans provide out-of-network benefits. 

You may get reimbursement claim forms sent to you by calling customer service at 1-855-817-5786. You may  also log into anthem.com/ca to find forms specific to your plan about out of network benefits. 

You will need: 

  • Your transaction receipt (provided by us)
  • Completed Superbill form (provided by us) 
  • Completed Subscriber Statement of Claim form 

There will be either a physical mailing address or email on the submission form to direct your claim to. 
Humana

You may request reimbursement from Humana by mailing a copy of your insurance ID card & a completed Superbill form to the address on the back of your ID card. 

You will need:

  • A copy of your insurance ID card
  • Transaction receipt (provided by us)
  • Completed Superbill form (provided by us)

 

Aetna

Aetna provides multiple options to submit your claim. You may choose whichever you find most convenient. 

You will need: 

  • Transaction receipt (provided by us)
  • Completed Superbill form (provided by us)
  • Your bank name, account number, routing number, contact number and other information when choosing reimbursement via EFT
  • Aetna Medical Claim Form (click here)

Option 1: Submit your claim online

  1. Log into your online Aetna account
  2. Click on “Claims Center,” then “Submit Claims” 
  3. Complete the online claim form
  4. Scan & upload all of your required supporting documents
  5. Click on “Submit Claim” to complete your claim
  6. Check your e-mail to ensure that your claim has been processed

Option 2: Submit your claim by fax, email, or traditional mail

  1. Click “Forms,” from the navigation menu
  2. Download the form you need
  3. Complete the PDF or Word document online OR download, print and complete the form by hand
  4. Attach all necessary supporting documents, including itemized bills and original receipts

 

Medicare

Medicare  is generally excluded from reimbursement by superbill, however those that have  made claims, say it may take up to 90 days for a possible reimbursement. 

You will need: 

You must mail your forms to the address on your Medicare card. 

If you still need assistance with submitting your claim, please call 1-800-MEDICARE (1-800-633-4227)
Central Coast Alliance for Health

You will need: 

You must mail your claim and required forms to:

ATTN: CLAIMS

Central California Alliance for Health

PO Box 660015

Scotts Valley, CA 95067-0015
Cigna

There are instructions available on the back of Cigna’s medical claim form if you are unsure of how to proceed once it is filled out. 

You will need:

Claims must be submitted by mail to the address found on the back of your Cigna insurance ID card. 
Kaiser

You will need: 

You must mail your completed forms to: 

Claim Address

PO Box 12923

Oakland, CA 94604-2923

If you have any questions, you can call Member Services at 1-800-464-4000.
United Healthcare

Log into your online account to check if you are eligible to submit a claim online. For all other claims, you will need: 

You must mail your required forms to the address listed on the back of your insurance ID card.