In order for us to bill your insurance, we request that you  verify your information.

Press this button:

Here is a sample SuperBill cover letter to send with your SuperBill. Feel free to cut and paste to your document.

{Insurance Company Name and Address or email}


{Date mm/dd/yyyy}


Re:  SuperBill for {Your Name}

Subscriber ID: {Insurance identification number}


To Whom It May Concern:


Please see the attached SuperBill for Acupuncture Services.  Please contact me with any questions.


Thank you for honoring this service with your payment.




{Your name}

{Your full address}

{Your full phone number}

{Your email}