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today we are going to fill out a claims form example so that you can submit paperwork to your insurance company to potentially get reimbursed for out-of-network physical therapy services or other medical services we are going to do an example humana form because thats what my clients currently have and ill show you an example of a super bill which is just a fancy term for a document that a physical therapist or other of network medical provider can provide you so that the insurance company knows exactly what happened and what you paid cash for and can then determine to see if those services are eligible to be reimbursed stay tuned were gonna talk first about an example super bill so it says a statement for insurance reimbursement which is just a different term for super bill a super bill is simply a receipt that a provider would give to you that you could then hand over to the insurance company that just explains what services you paid for and what was done during those services and