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As a client in therapy, there is one aspect of the administrative process that never fails to frustrate me—the monthly issuance of superbills, unless specifically requested otherwise. In a world where technology has simplified numerous tasks, it seems perplexing that this crucial aspect of therapy remains stuck in the past. In this article, I will shed light on the frustration experienced by therapy clients due to the outdated practice of monthly superbills and advocate for a more efficient and client-centered approach.

For those unfamiliar with the term, a superbill is a detailed invoice that therapists provide to clients, containing the necessary information for insurance reimbursement. Though therapists are not legally required to provide superbills, the vast majority do as a way to attract and retain clients.

Getting superbills from therapists automatically can be a convenient way to streamline the process and manage your healthcare expenses more efficiently. However, the availability of automatic superbills may depend on the specific therapist's practice and their billing system.

As clients, we navigate our lives in a digital age where efficiency and convenience are paramount, and the monthly superbill process often feels like an unnecessary hurdle. This is another advantage to use services such as SonderMind that provide in-network therapy. Those without insurance can benefit from the Open Path Collective for low-cost therapy.

By providing superbills only monthly or only when requested, the implication is that therapy is still for the more privileged among us who can afford to submit reimbursement claims only monthly, quarterly, or semi-annually, despite the insurance companies not providing a rapid reimbursement process. Consciously or not, therapists may be tempted to stick to traditional superbill practices to help weed out less "ideal clients."

The core ethical principle guiding therapists is the principle of beneficence, which prioritizes the well-being and best interests of the client. It is essential for therapists to avoid discriminatory practices or any actions that might hinder access to mental health services for individuals in need. Every person seeking therapy should be treated with fairness, empathy, and respect, regardless of their background, financial situation, or other personal characteristics.

Embracing Technology for Client Empowerment

In today's digital age, where technology has transformed how we manage our lives, it is disheartening that monthly superbills persist. Therapists have access to electronic health record (EHR) systems and practice management software that can simplify administrative processes and improve client care. By embracing these technological advancements, therapists can empower their clients by providing real-time access to superbills through secure online portals or email. This allows us to retrieve and submit our claims promptly, eliminating the frustration of waiting for a monthly bill and reducing the risk of misplaced or lost documents.

Streamlining the Process for Client Convenience

Therapy clients seek support and care during challenging times, and any additional administrative burden can feel invalidating or disrupt the client-therapist relationship. Therapists can prioritize clients by transitioning to an automatic and on-demand superbill system. This approach would align with the expectations of the digital age, making it easier for us to navigate the reimbursement process and focus on our therapeutic journey.

Advocating for Change

As clients, we have a voice in shaping the therapy experience. By sharing our perspective, we can contribute to a shift that prioritizes client convenience and satisfaction. Let us encourage therapists to explore automated and on-demand superbill systems, ensuring that administrative tasks do not hinder the quality of care we receive.


The frustration experienced by therapy clients due to the monthly superbill process continues to be under-recognized. In a world driven by technology, it is time for therapists to adapt their practices to the digital age. By embracing automated and on-demand superbill systems, therapists can improve the client experience, streamline administrative processes, and demonstrate their commitment to providing efficient and client-centered care. As clients, let us advocate for change, encourage therapists to adopt new approaches, and ensure that our therapy journeys are supported by the convenience and efficiency we deserve in the computer age.

Related resources:

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