You finished a session, collected payment, and now your client is asking for a superbill so they can submit to insurance for reimbursement. Simple enough — until you realize you’re still building them in Word, manually entering CPT codes, cross-referencing ICD-10 diagnoses, and then fumbling to send a HIPAA-compliant PDF through something that isn’t your Gmail. For solo and small-group private practice providers — therapists, dietitians, physical therapists, speech-language pathologists, occupational therapists — this process repeats dozens of times a month. And every manual step is a place where an error can cause a client’s claim to be denied.
The Medical Group Management Association (MGMA) reports that claim denials due to documentation errors account for up to 20% of all out-of-network claims. That’s not just your client’s frustration — it’s a direct hit to the trust they have in you as a provider.
The best superbill software for out-of-network providers doesn’t just generate a document — it pulls the right codes automatically, formats everything insurers require, delivers it securely, and stays HIPAA-compliant the whole way through. This guide compares the five tools best suited to the out-of-network, cash-pay, and hybrid private practice in 2026: SimplePractice, TherapyNotes, Jane App, Practice Better, and Hushmail. You’ll see exactly what each does, what it costs, and which practice type it fits best.
⚡ QUICK ANSWER The best superbill software for out-of-network providers in 2026 is SimplePractice for mental health solo practitioners, Jane App for multidisciplinary or allied health practices, and Practice Better for integrative and functional wellness providers. All three automatically generate HIPAA-compliant superbills with CPT and ICD-10 codes pulled from session records, and deliver them directly to clients without any manual re-entry. Superbill generation is available on all SimplePractice plans starting at $29/month, with the full out-of-network workflow (reminders, portal delivery) on the $69/month Essential plan.
What to Look for in Superbill Software for Out-of-Network Practices
Not all billing software treats superbills as a first-class feature. Here’s what separates tools built for out-of-network workflows from generic EHRs that happened to add a superbill button.
1. Automatic CPT and ICD-10 Code Population
CPT codes are five-digit numerical codes used to track and bill medical, surgical, and diagnostic services, while ICD-10 codes classify diseases, injuries, and procedures using up to seven characters. Both must appear on every valid superbill. The software you choose should pull these codes directly from your session documentation — not require you to re-enter them manually in a separate billing screen. Manual re-entry is where most superbill errors originate, and those errors cost your clients their reimbursement.
2. HIPAA-Compliant Delivery to Clients
Superbills contain Protected Health Information (PHI) and must be transmitted securely. Sending them via standard email or text violates HIPAA. Your software needs either an encrypted client portal or a HIPAA-compliant email layer with a signed Business Associate Agreement (BAA) in place. Sending a superbill as a plain PDF attachment through Gmail is a compliance violation, regardless of how careful you are.
3. All Required Fields — Automatically
Every valid superbill must include: provider name, credentials, NPI (National Provider Identifier), Tax ID or EIN, practice address, client’s full name, date of birth, date of service, CPT codes (with modifiers for telehealth), ICD-10 diagnosis codes, session fee, and amount paid. Missing any one field can result in claim denial. The best tools populate these fields from your provider profile and client records — you verify, not build from scratch.
4. Telehealth Modifier Support
If you see clients virtually, your superbills need the correct telehealth modifiers. Most health plans require modifiers for video or phone sessions but not in-person sessions. Software that doesn’t handle telehealth modifiers automatically puts the burden of remembering this on you — and forgetting it means a denied claim.
5. Client Portal Delivery and Tracking
The best out-of-network workflow isn’t just generating a superbill — it’s getting the client to actually submit it. A client-facing portal where superbills are automatically posted and downloadable reduces the friction significantly. Clients who can access their documents at any time, without emailing you, are more likely to follow through on filing with their insurer.
6. Batch Generation for Multiple Sessions
If a client wants superbills for six months of sessions at once — which insurers sometimes require — the software should let you generate a date-range superbill covering multiple sessions in a single document, with each session itemized on its own line.
7. Integration with Scheduling and Notes
Superbill software that lives in a silo from your scheduling and documentation means double data entry. The most efficient workflow is one where you complete a session note, the system auto-generates a billing record, and the superbill is ready to send in one or two clicks — all without leaving the platform.
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The 5 Best Superbill Software for Out-of-Network Providers in 2026
Now that you know what to look for, here’s how the five leading tools stack up.
1. SimplePractice — Best for Solo Mental Health Providers
SimplePractice is the most widely adopted practice management platform for mental health professionals in the US, with over 225,000 practitioners. Its superbill workflow is the tightest of any tool in this roundup for therapy-specific private practice: session data, diagnosis codes, and billing information flow into the superbill automatically, and clients can download it directly from the HIPAA-compliant client portal without any back-and-forth.
Key Superbill Features:
- One-click superbill generation directly from the client’s billing tab
- Auto-populates CPT codes, ICD-10 diagnosis codes, provider NPI, Tax ID, credentials, and session fees
- Supports telehealth modifiers automatically
- Date-range superbills covering multiple sessions on one document
- Client portal delivery — superbills are available for download without you manually emailing them
- Clients can request superbills directly, reducing administrative interruptions
- Includes an optional diagnosis description field (required by some insurers)
- PDF format, printable or downloadable
Superbill generation is available on all SimplePractice plans, including Starter. You can create a superbill after each session that clients can submit to their insurance company for out-of-network reimbursement. The superbill includes CPT codes, diagnosis codes, and provider information.
Pricing (as of 2026 — verify on SimplePractice’s website):
- Starter: $29/month — superbill generation included, but no telehealth or client portal
- Essential: $69/month — the practical plan for most solo practitioners; includes telehealth, client portal, automated reminders, and secure messaging
- Plus: $99/month — adds group appointments and multi-provider features for small group practices
For pure superbill functionality, the Starter plan is technically sufficient. But for the complete out-of-network workflow — automated reminders, portal delivery, secure messaging, and telehealth modifiers — you need the Essential plan at $69/month. Additional clinicians on Plus plans cost $39/month per clinician.
Best For: Solo therapists, LCSWs, psychologists, and counselors who see a mix of self-pay and out-of-network clients and want all billing, notes, scheduling, and superbill delivery in one place. Also well-suited to cash-pay mental health practices that want the smoothest client portal experience available.
One Limitation: SimplePractice is not designed for non-mental-health disciplines. If you’re a physical therapist, dietitian, or SLP, you’ll find the documentation templates and billing workflows skewed toward behavioral health. For multi-discipline practices, Jane App is a better fit.
Start a free 30-day trial of SimplePractice — superbill generation included on every plan.
2. TherapyNotes — Best for Insurance-Heavy Behavioral Health Practices
TherapyNotes is built exclusively for behavioral health providers: therapists, psychologists, counselors, social workers, and psychiatrists. Its superbill generation is solid and deeply integrated with the clinical workflow — but it differentiates from SimplePractice by being the stronger choice when your practice straddles both in-network billing and out-of-network superbill workflows simultaneously.
Key Superbill Features:
- Superbills generated from session records with auto-populated CPT and ICD-10 codes
- Integrated with the TherapyPortal client portal for secure digital delivery
- Clients can download superbills from the portal on demand
- Structured note templates (DAP, SOAP, BIRP) that link directly to billing — clean documentation feeds cleaner superbills
- Multi-provider calendar and billing management, making it practical for small group practices
- Strong insurance billing infrastructure alongside superbill workflow — useful for hybrid in-network/OON practices
Pricing (as of 2026 — verify on TherapyNotes’ website):
- Solo: $49/month — full superbill generation, scheduling, documentation, and billing for one clinician
- Group: $59/month base + $30/month per additional clinician — a 3-clinician group pays $119/month
- 30-day free trial, no credit card required
- No setup fees or data migration charges
TherapyNotes is $20/month cheaper than SimplePractice’s Essential plan for solo practitioners, which matters for cash-pay-only practices watching overhead carefully.
Best For: Solo and small group behavioral health practices (2–10 clinicians) that file both insurance claims and superbills, need the most clinically rigorous note templates in the market, and want predictable, affordable per-clinician pricing. Particularly strong for practices accepting PPO clients alongside self-pay clients.
One Limitation: TherapyNotes offers only a mobile-responsive web interface — there is no dedicated mobile app. Therapists who manage billing and superbill requests from their phone between sessions will find this limiting. Client self-scheduling also requires manual approval, adding an extra admin step compared to SimplePractice or Jane App.
Try TherapyNotes free for 30 days — includes full superbill generation.
3. Jane App — Best for Allied Health and Multidisciplinary Practices
Jane App was built by practitioners who ran a multidisciplinary clinic, and that origin shows in how it handles billing across specialties. For out-of-network allied health providers — physical therapists, occupational therapists, speech-language pathologists, chiropractors, and dietitians — Jane is the most capable all-in-one option in this roundup. It handles superbill generation, receipts, and insurance billing in a unified system designed for practices that aren’t exclusively mental health.
Key Superbill Features:
- Superbill and receipt generation from session records with CPT and ICD-10 codes
- Clients receive insurance-ready receipts automatically after payment
- Customizable chart templates support 1,000+ pre-built options spanning mental health, physical therapy, chiropractic, nutrition, and more
- Billing module manages both cash-pay invoicing and insurance submissions from one interface
- HIPAA (US), PIPEDA (Canada), and GDPR (UK/EU) compliance built in — ideal for Canadian and UK providers
- Automated waitlist management fills cancellations and keeps schedules full, improving revenue consistency alongside the superbill workflow
- Clients can join a self-serve portal to download receipts without contacting the practice
Pricing (as of early 2026, approximate USD conversion — verify on Jane App’s website):
- Base plan: ~$54 USD/month per practitioner — includes telehealth, online booking, and billing features
- Higher-tier plans: ~$79–$99 USD/month per practitioner for additional features
- Part-time clinicians (fewer than 24 booked hours/week) qualify for a reduced license rate
- All core features included — no hidden add-ons for telehealth or reminders
- Free trial available
Note: Jane’s pricing is listed in Canadian dollars on their website. The USD approximation varies with exchange rates — always verify the current equivalent before signing up.
Best For: Multidisciplinary allied health practices (physical therapy, OT, SLP, chiropractic, dietetics) that need a single platform across specialties. Also ideal for Canadian providers or any practice that serves clients internationally and needs multi-jurisdiction privacy compliance. The best choice if your team includes both mental health and physical health providers under one roof.
One Limitation: Jane’s US insurance billing module is less robust than SimplePractice or TherapyNotes. Practices with complex insurance-heavy billing — multiple payers, high denial rates, or detailed AR management — may find Jane’s billing capabilities insufficient compared to TherapyNotes or SimplePractice. For strictly out-of-network superbill workflows, this limitation rarely matters. But if you plan to credential with insurers in the future, plan for a potential platform switch.
See Jane App’s current pricing and start your free trial.
4. Practice Better — Best for Integrative Health and Wellness Providers
Practice Better is the platform of choice for health and wellness practitioners who sit outside the strict behavioral health or physical therapy categories: functional medicine providers, naturopathic doctors, dietitians and nutritionists, health coaches, and integrative mental health practitioners. Its superbill and billing tools have significantly matured in recent updates, making it a legitimate choice for any out-of-network provider who wants a deeply client-facing workflow alongside solid billing features.
Key Superbill Features:
- Practice Better integrates with Claim.MD, a clearinghouse that allows you to submit electronic claims. You can also generate superbills, CMS-1500 forms, and session invoices for clients.
- Superbills and invoices generated from session records
- Highly customizable intake forms that capture the diagnosis and service detail needed for clean superbill generation
- Strong automation tools: automated billing reminders, follow-up sequences, and session documentation triggers reduce the manual steps in the superbill workflow
- Client portal where superbills and invoices are accessible on demand
- Integrates with Fullscript, Rupa Health, Apple Health, Fitbit, Zapier, and Zoom — making it ideal for providers who recommend supplements or remote monitoring alongside sessions
- Supports group sessions and programs alongside individual appointments
Pricing (as of 2026 — verify on Practice Better’s website):
- Sprout (Free): Up to 3 clients — includes core features but no telehealth or payments; useful for testing
- Starter: $25/month (or $25/mo billed monthly, lower annually) — solo practitioners establishing their workflow
- Professional: $59/month — established solo practitioners; includes advanced features and more integrations
- Plus: $89/month — includes additional client engagement tools and automation
- Team: $145/month — multi-provider practices with shared templates and role-based permissions
- 14-day free trial for paid plans; 30-day trial for Team plan
Practice Better is the most affordable entry point in this roundup for a solo practitioner who doesn’t yet need the full scope of an EHR — the $25/month Starter plan gives you a functioning superbill workflow without the overhead of a full clinical documentation system.
Best For: Dietitians, functional medicine providers, naturopathic doctors, health coaches, and integrative wellness practitioners who see clients on a cash-pay or out-of-network basis and need a highly client-engaging platform with solid billing tools. Also a strong fit for providers who combine clinical sessions with group programs, courses, or supplement recommendations.
One Limitation: Practice Better was not originally built for strict mental health documentation. Its clinical charting is flexible but lacks the structured behavioral health note templates — DAP, SOAP, BIRP — and Wiley Treatment Planner integration that platforms like TherapyNotes provide. Licensed mental health providers who need documentation that meets licensing board standards may find Practice Better’s charting less suitable.
5. Hushmail — Best for Providers Who Already Have an EHR
Hushmail is not a practice management platform or EHR — it’s a HIPAA-compliant encrypted email and secure forms service. It belongs on this list for one specific reason: it solves the superbill delivery compliance problem for providers who generate superbills outside of a full EHR (in Word, Excel, or a standalone billing tool) and need a compliant way to get those documents to clients.
If you’re not using an EHR, you must have HIPAA-compliant email to send invoices. You cannot send a superbill through regular, unsecured email. Hushmail signs a BAA with every healthcare subscriber, uses end-to-end encryption, and offers secure drag-and-drop web forms that clients can complete and sign from any device.
Key Features for Superbill Workflows:
- HIPAA-compliant encrypted email with BAA — required for any PHI transmission including superbills
- Hush™ Secure Forms: drag-and-drop builder for custom intake and consent forms with e-signature capability
- Works with your existing email domain — you don’t need a @hushmail.com address
- iOS mobile app for managing communications remotely
- Secure Message Center stores all client communications in one place
- No scheduling, charting, or billing tools — purely email and forms
- Used as a complement to standalone billing software or simple EHRs that lack built-in secure delivery
Pricing (as of 2026 — verify on Hushmail’s website):
- Solo therapist plan: starting at $11.99/month — HIPAA-compliant email and basic forms
- Small group plan (5 accounts): starting at $24.99/month
- Group plan (10 accounts): starting at $49.99/month
- 14-day free trial
Best For: Providers who have an existing EHR or billing system that generates accurate superbills but lacks a HIPAA-compliant delivery mechanism. Also useful for virtual assistants and billing freelancers who manage superbill delivery on behalf of a practice. If you’re a solo therapist who generates superbills in TherapyNotes or another platform that already has a client portal, you likely don’t need Hushmail — your EHR handles delivery. Hushmail fills a gap when your current setup doesn’t.
One Limitation: Hushmail has no billing, scheduling, note-taking, or superbill generation features. It’s purely a secure communication layer. Providers who need an all-in-one superbill workflow — not just secure delivery — should choose one of the EHR-based tools above instead.
Side-by-Side Comparison Table
| Feature | SimplePractice | TherapyNotes | Jane App | Practice Better | Hushmail |
|---|---|---|---|---|---|
| Starting Price | $29 | $49 | $54 | $25 | $11.99 |
| Superbills | All plans | All plans | All plans | Yes | No |
| CPT/ICD-10 | Auto | Auto | Auto | Auto | N/A |
| Telehealth Modifier | Yes | Yes | Yes | Yes | N/A |
| HIPAA Delivery | Portal | TherapyPortal | Portal | Portal | |
| Client Portal | Yes | Yes | Yes | Yes | No |
| Batch Superbills | Yes | Yes | Yes | Yes | No |
| Documentation | Yes | Best-in-class | Yes | Flexible | No |
| Telehealth | Essential+ | Yes | Yes | Paid plans | No |
| Multi-Discipline | Mental health | Behavioral only | Strong | Strong | Universal |
| Free Trial | 30 days | 30 days | Yes | Free + 14 days | 14 days |
| Best For | Solo OON | Insurance-heavy | Multidiscipline | Wellness | Secure delivery |
SimplePractice
TherapyNotes
Jane App
Practice Better
Hushmail
What Must Be on a Superbill to Avoid Claim Denial
No matter which software you choose, the document it generates must include these fields. If any is missing, your client’s reimbursement claim will be delayed or denied.
Provider Information:
- Full name, credentials (LCSW, PhD, PT, RD, etc.), and license number
- National Provider Identifier (NPI) — 10-digit Type 1 NPI for individual providers
- Tax ID (EIN or SSN, depending on your practice structure)
- Practice address (not a P.O. Box — insurers reject these)
- Phone number and email
Client Information:
- Full legal name exactly as it appears on the insurance card
- Date of birth
- Insurance member ID (optional but helpful)
Session Details (per line item):
- Date of service
- Place of service code (11 = office, 02 = telehealth)
- CPT procedure code with telehealth modifier if applicable (e.g., 90837 with modifier 95 for synchronous telemedicine)
- ICD-10 diagnosis code(s)
- Session fee and amount paid
- Units or duration
Signature: A superbill without the rendering provider’s signature is technically incomplete and may be rejected by some insurers.
The right software handles all of this automatically. The most common source of superbill errors is automated template generation where practices auto-create superbills from their scheduling system without checking CPT codes and units against the actual visit note. Take 60 seconds to verify each superbill before sending — it’s far faster than resolving a denial.
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Our Top Pick and Why
For the majority of solo and small-group out-of-network private practice providers, SimplePractice Essential at $69/month is the strongest choice in 2026. Here’s why: superbill generation is available on every plan (including the $29 Starter), the workflow is genuinely one-click from a completed session, the client portal makes superbill delivery seamless and HIPAA-compliant without any extra effort, and the platform handles everything else — scheduling, telehealth, notes, and billing — in the same system. You’re not stitching together separate tools.
For allied health and multidisciplinary practices, Jane App is the better default — it’s built for practices that span specialties, has stronger international compliance coverage, and handles superbill delivery across a broader range of clinical disciplines.
For integrative wellness and functional medicine providers who aren’t strictly mental health, Practice Better wins on both flexibility and price — the $25/month Starter plan is a genuine entry point, and the platform’s automation tools reduce the manual overhead of the superbill workflow more than any other option in this roundup.
Start your free 30-day SimplePractice trial — includes superbill generation on all plans.
A Note on Software Expenses and Tax Deductions
As a self-employed private practice provider in the US, software subscriptions used in your business — including SimplePractice, TherapyNotes, Jane App, Practice Better, or Hushmail — are generally deductible as ordinary and necessary business expenses under IRS guidelines. Some software expenditures may also qualify under Section 179. Keep your subscription receipts and consult a tax professional familiar with healthcare practice finances to ensure you’re claiming all available deductions. [read: IRS Publication 535 on Business Expenses → IRS.gov]
Frequently Asked Questions
What is the best superbill software for out-of-network providers?
The best superbill software for out-of-network providers depends on your discipline. For mental health providers (therapists, psychologists, LCSWs), SimplePractice and TherapyNotes are the top options — both auto-populate CPT and ICD-10 codes, deliver superbills through a HIPAA-compliant client portal, and support telehealth modifiers. For allied health providers (physical therapists, dietitians, OTs, SLPs), Jane App and Practice Better handle multi-discipline billing more effectively. The key is choosing software where superbill generation flows directly from your session documentation without manual re-entry.
Does SimplePractice automatically generate superbills?
Yes. SimplePractice can easily generate superbills. From the billing tab in the client’s profile, you click the “create” button and select “superbill.” From this screen, you can choose to print, download, or send the superbill to the client by email. If you only want to have specific sessions show up on the superbill, you would select the date range to include only those sessions, and then create the superbill. Superbill generation is available on all SimplePractice plans, including the $29/month Starter plan.
What must be included on a superbill for insurance reimbursement?
Every insurance-compliant superbill must include: the provider’s full name, credentials, NPI, Tax ID, and practice address; the client’s legal name and date of birth; the date of service and place of service code; the CPT procedure code (with telehealth modifier if applicable); the ICD-10 diagnosis code(s); the session fee and amount paid; and the rendering provider’s signature. Every CPT code needs at least one ICD-10 code supporting medical necessity — a superbill with a procedure code and no diagnosis is incomplete by definition. Missing any field is a common reason insurers deny or delay reimbursement.
Can I send superbills by regular email?
No — sending a superbill via standard email violates HIPAA because superbills contain Protected Health Information (PHI). You must use either a HIPAA-compliant client portal (built into EHRs like SimplePractice, TherapyNotes, Jane App, and Practice Better) or a HIPAA-compliant encrypted email service with a signed Business Associate Agreement (BAA), such as Hushmail or Google Workspace (when properly configured with a BAA). Regular Gmail, Yahoo Mail, or Outlook without a BAA are not acceptable for superbill transmission. [read: HHS HIPAA guidance for email → HHS Office for Civil Rights]
How does out-of-network superbill billing work for clients?
The out-of-network superbill reimbursement process works as follows: the client pays the provider in full at the time of service; the provider generates and delivers a superbill containing all required clinical and billing codes; the client submits the superbill to their insurance company (usually through the insurer’s member portal, by mail, or by fax); the insurance company reviews the claim and reimburses the client directly for the portion covered under their out-of-network benefits. Only clients with PPO or POS insurance plans typically have out-of-network coverage. HMO plans generally do not cover out-of-network services.
Is Practice Better good for superbill generation?
Yes, Practice Better supports superbill and invoice generation and integrates with the Claim.MD clearinghouse for electronic claim submission. It’s particularly well-suited for dietitians, functional medicine providers, naturopathic doctors, and integrative health practitioners who need a flexible billing tool alongside client engagement features. The platform starts at $25/month for solo practitioners and includes a client portal for HIPAA-compliant document delivery. Its clinical documentation is highly customizable but lacks the structured behavioral health-specific note templates found in SimplePractice or TherapyNotes.
People Also Ask
Q: What is a superbill and how is it different from an invoice? An invoice says a client owes money. A superbill is a detailed clinical receipt that includes ICD-10 diagnosis codes and CPT procedure codes — information insurance companies require to process a reimbursement claim. Without these codes, an insurer will reject the submission immediately. Superbills are used specifically when a provider is out-of-network: the client pays upfront, receives the superbill, and submits it to their insurance for partial reimbursement.
Q: How do I automate superbill delivery to clients? The most reliable way to automate superbill delivery is to use a practice management platform with a built-in client portal. With SimplePractice, TherapyNotes, Jane App, or Practice Better, superbills can be generated with a click and posted automatically to the client’s secure portal, where they can download on demand at any time. Some platforms also send automated notifications when a new superbill is available, eliminating client follow-up requests entirely.
Q: What CPT codes are most commonly used on therapy superbills? The most common CPT codes for outpatient mental health superbills are: 90791 (psychiatric diagnostic evaluation/intake), 90832 (individual psychotherapy, 16–37 minutes), 90834 (individual psychotherapy, 38–52 minutes), and 90837 (individual psychotherapy, 53+ minutes or more). For telehealth sessions, these codes are accompanied by modifier 95 (synchronous telemedicine) or modifier GT. Physical therapists, occupational therapists, and other allied health providers use time-based codes from the 97000 series. Always verify current codes — CPT codes are updated annually.
Q: Can clients submit superbills themselves, or should the provider do it? In a standard out-of-network superbill model, the client submits the superbill to their insurer — the provider is not involved in filing. The client pays the full fee, receives the superbill, and files for reimbursement using the insurer’s member portal, mail, or fax. Some providers choose to file out-of-network claims on the client’s behalf as a premium service, which requires submitting a CMS-1500 form to the insurer directly. Most EHR platforms support both models — superbill delivery to clients or direct electronic claim submission on their behalf.
The Bottom Line
Managing superbills manually — in Word documents, via unsecured email, with codes you’re looking up each time — costs you hours every month and puts your clients at risk of claim denials. The best superbill software for out-of-network providers pulls CPT and ICD-10 codes automatically from your session records, delivers documents through a HIPAA-compliant client portal, and removes the administrative drag from a process that should be nearly invisible.
For solo mental health providers, SimplePractice Essential at $69/month is the clear choice: superbill generation on every plan, the smoothest client portal experience in the market, and all your scheduling, notes, and telehealth in one system. For allied health and multidisciplinary practices, Jane App handles the multi-specialty workflow better than anything else at a comparable price. For integrative wellness providers, Practice Better offers the most flexibility at the lowest entry price.
If you’re ready to stop building superbills by hand, you can start a free 30-day trial of SimplePractice here — no credit card required, and superbill generation is available from day one.