Superbill
A patient-submittable invoice that itemizes services and diagnoses. Generate it from Sessions Step 5 (even mid-draft) or from the signed session page.
What's on it
- Provider info: name, credentials, NPI, plus billing address, phone, and Tax ID from your Billing Settings
- Patient info: name, birthday, sex, contact, address; a guardian policy holder for patients under 18
- Service date, superbill number, place of service, and service time
- CPT service lines: code (with any modifiers, e.g. 97802-95), description, units, unit fee, total
- ICD-10 diagnoses
- Total charges
Billing address, phone, and tax ID come from Avatar menu → Billing → Billing Settings (avatar menu → Billing). Fill them in before generating your first Superbill — see Billing Settings.
When to use it
- Patient pays out-of-pocket and submits for reimbursement themselves.
- You're not contracted with the patient's payer but they have out-of-network benefits.
For direct insurance submission, generate a CMS-1500 instead.
CMS-1500
The standard professional claim form for insurance submission. Generate it from Sessions Step 5 or the signed session page; it requires at least one ICD-10 diagnosis on the session.
What's on it (beyond a Superbill)
- Place-of-service code (from the Visit Setting card; up to 4 modifiers print in box 24D)
- Diagnosis pointers (auto-derived from your ICD-10 list order)
- Tax ID / EIN with ID type
- Billing provider block: address and phone from your Billing Settings
Tax ID, billing phone, and billing address come from Avatar menu → Billing → Billing Settings (avatar menu → Billing). Fill them in before generating your first CMS-1500 — see Billing Settings.
Not yet auto-filled
Insurance plan details (carrier, member ID, group), prior authorization numbers, accident/employment flags, and a separate service facility aren't collected by the platform yet. If a payer requires them, complete those boxes on the downloaded form before submitting.
When to use it
- Direct submission to a payer you're contracted with.
- Claims requiring the full HCFA-1500 structure.
Common rejection causes coming soon.
CPT & ICD-10 library
The built-in code catalogs behind Sessions Step 5. Both are curated lists: search and select, no free-text code entry.
CPT codes
About 69 codes across 13 categories, filtered by default to your discipline (derived from your NPI taxonomy: RD, SLP, MD/DO, APP) with an All codes toggle. Categories include:
- Medical Nutrition Therapy: 97802 (initial assessment, per 15 min), 97803 (re-assessment, per 15 min), 97804 (group, each 30 min)
- Preventive counseling: 99401–99404 (15 / 30 / 45 / 60 min)
- Speech and feeding therapy, behavioral therapy
- E/M visits, telephone services, online digital services, remote monitoring
Untimed codes always bill one unit. A Common filter and per-code guidance notes help you pick.
ICD-10 codes
About 125 codes across 12 categories of pediatric nutrition and feeding diagnoses, including:
- R63.3 Feeding difficulties
- R62.51 Failure to thrive (child)
- F50.82 Avoidant/restrictive food intake disorder (ARFID)
- Food allergy status codes
- D50.9 Iron deficiency anemia, unspecified
Amber stars mark commonly used codes. A Requires referral badge flags diagnoses an RD can't make independently — pair those with a referring provider's diagnosis.
A recommended starter set for pediatric RDs coming soon.