How to Submit a Superbill for Out-of-Network Reimbursement

Services provided by Sensory Life Assessment & Wellness

If you'd like to seek reimbursement from your insurance provider for occupational therapy services, here’s a step-by-step guide to help you navigate the process. Please note that coverage varies widely by plan, so the first step is always to contact your insurance provider directly.

Step 1: Contact Your Insurance Provider

Before beginning services, call the customer service number on your insurance card and ask:

  • Do I have out-of-network coverage for occupational therapy?

  • Is telehealth covered?

  • Are the following CPT codes (listed below) covered under my plan?

  • Do I need a doctor’s referral or prior authorization to receive reimbursement?

Step 2: Attend Your Session & Make Payment

  • Payment is due at the time of service.

  • You’ll receive an invoice through Healthie (our secure client portal) for services provided by Sensory Life Assessment & Wellness.

  • Once your payment is received, we’ll provide you with a Superbill.

Step 3: Receive & Review Your Superbill

A Superbill is a detailed invoice that includes:

  • Your name and date of service

  • Diagnosis and treatment codes

  • Amount you paid

  • Provider information and credentials

This document is designed for submission to your insurance provider for potential out-of-network reimbursement.

Step 4: Submit to Your Insurance Provider

  • Submit the Superbill through your insurer’s portal, email, or physical mailing address (follow their instructions).

  • Include any forms they require (many plans have a reimbursement form you’ll need to attach).

Step 5: Follow Up as Needed

  • Keep a copy of everything you submit.

  • Follow up with your provider within 2–3 weeks if you haven’t received confirmation or reimbursement.

  • Reimbursement is not guaranteed, but many clients receive partial refunds depending on their coverage.

Common CPT Codes You Can Ask Your Insurance About

These are frequently used occupational therapy billing codes that may appear on your Superbill:

  • 97166 – Occupational Therapy Evaluation (Moderate Complexity)

  • 97530 – Therapeutic Activity

  • 97129 – Cognitive Function Intervention

  • 97535 – Self-Care / Activities of Daily Living Training

Ask your provider if these are covered for out-of-network occupational therapy services via telehealth.