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Cash-pay billing and superbills, from the visit note

Price each self-pay visit from your own fee schedule using the codes on the visit's note, then give the patient an invoice or a full superbill as a PDF or by email. Built for cash-based solo and small practices.

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BillingCash and Self-PayOct 1 – Oct 31, 2026
Visits24
Billed$5,460.00
Outstanding$5,460.00
Date of svcPatientClinicianSourceStatusRate categoryAmount
10/13/2026Priya NairDr. Alex RiveraManual noteBalance dueSelf-pay$335.00
10/13/2026Sarah JenkinsDr. John WatsonAI scribeBalance dueDiscounted$180.00
10/12/2026Mary JonesDr. John WatsonUploadUnmappedSelf-pay—
10/10/2026Daniel OrtizDr. Meera SharmaAI scribeDraftSelf-pay$150.00

From the visit note to a superbill in three steps

Othisis prices each cash-pay visit from your fee schedule, using the codes on the visit. You review every code, and Othisis never submits an insurance claim.

Step 1

Approve the codes

Approve the codes on the visit's note. AI scribe visits for patients with no insurance on file, and every visit billed from a note written on the profile, appear in Cash & self-pay with their CPT and HCPCS codes, ICD-10 diagnoses, place of service and time in and out.

Step 2

Price it from your fee schedule

Each code is priced from your fee schedule at the rate category you choose for the visit, such as Self-pay or a discounted rate you set.

Step 3

Send an invoice or superbill

Download, print or email the patient an invoice while money is owed, or a full superbill they can submit to their insurance carrier.

CPT is a registered trademark of the American Medical Association.

A fee schedule with your own cash rates

Add the codes you bill, with a description and how each is billed: per visit, per unit, or by minutes. Self-pay is your base price, and every rate category you add becomes a column next to it.

  • Price a rate category as a percent or dollar amount off Self-pay, or type a price in by hand.
  • Codes on a visit that aren’t on your fee schedule, or have no price, are flagged before you bill.

CPT is a registered trademark of the American Medical Association.

Fee Schedule+ Add
CodeDescriptionSelf-pay
full priceDiscounted
10% offFriends & family
$20 off
97161PT evaluation, low complexity
Per visit$150.00$135.00$100.00 SET
97110Therapeutic exercise
Per 15 minutes$60.00$54.00$40.00
97140Manual therapy
Per 15 minutes$65.00$58.50$45.00
Self-pay is the base price and cannot be removed

Visit charges you can check before you bill

Open a visit to see its codes, modifiers, diagnosis pointers and units with their prices. Pick the rate category, and Othisis shows what each one would cost and totals the amount to collect.

  • Billing staff can add a code from your fee schedule and link it to an ICD-10 diagnosis.
  • Codes added in billing stay on the bill and don’t change the clinician’s note.
  • Each patient's Billing tab shows what was billed, discounted and still due over the last 12 months.

CPT is a registered trademark of the American Medical Association.

Cash and self-payVisit charges · Priya NairBalance due
Rate category · Prices come from the fee schedule
Self-pay
full price
$335.00
Discounted
10% off
$301.50
Friends & family
$20 off
$225.00
Diagnoses (ICD-10)A · M54.50 Low back pain, unspecified
CodeDescriptionModDxUnitsBill
97161PT evaluation, low complexity—A1$150.00
97110Therapeutic exerciseGPA2$120.00
97140Manual therapyGPA1$65.00
Amount to collect$335.00

Superbills your patients can submit for out-of-network reimbursement

Every priced cash-pay visit gets an invoice while money is owed and a full superbill with the details insurers ask for. The patient submits the superbill to their own carrier. Your practice never files a claim.

  • Your logo, Tax ID, group NPI, license and saved signature, printed from your settings.
  • Each provider’s credentials, NPI and license on the visits they saw.
  • Download a PDF, print it, or email it to the patient.
  • Download invoices or superbills for many visits as one PDF.

CPT is a registered trademark of the American Medical Association.

Lakeside Physical Therapy
Tel (555) 010-2040 · Federal Tax ID 12-3456789 · Group NPI 1234567893
Superbill
Date of service 10/13/2026
PatientPriya Nair
DOB 04/18/1987
Rendering providerDr. Alex Rivera, DPT
Provider NPI 1093817465
DiagnosisA · M54.50 Low back pain, unspecified
ProcedureDescriptionDxUnitsCharge
97161PT evaluation, low complexityA1$150.00
97110Therapeutic exerciseA2$120.00
97140Manual therapyA1$65.00
Place of service: 11 · Office. Provider’s signature on file.
Total charges $335.00
Balance due $335.00
Full superbillInvoiceDownload PDFEmail to patient

Everything cash-pay, in one Billing menu

Billing sits next to the AI scribe, the calendar and your patient profiles, so a visit goes from note to superbill in the same app.

Cash & self-pay

AI scribe visits for patients with no insurance on file, and every visit billed from a note written on the profile, with date of service, patient, clinician, source, status, rate category and amount, plus billed and outstanding totals.

Invoices & superbills

Every priced cash-pay visit for a date range. Open one, or download several as one PDF.

Fee schedule

Your codes and prices, one column per rate category.

Patient Billing tab

Each patient's billed visits, discounts and balance due, on their profile.

See Patient ProfilesSee Scheduling

Stop stitching notes together from memory and PDFs.

Othisis listens to the visit, reads the records you upload and drafts the note for you to review and approve. Start free with the Starter plan. No credit card required.

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Frequently Asked Questions

A superbill is an itemized bill for a visit that lists the provider's NPI and Tax ID, the date and place of service, ICD-10 diagnoses, and the CPT or HCPCS codes with their charges. Patients who pay cash can submit it to their insurer to ask for out-of-network reimbursement. Othisis creates one for every priced cash-pay visit.

No. Othisis doesn't submit insurance claims. The patient submits the superbill to their own insurance carrier.

From the visit. On AI scribe visits, the codes come from the visit's insurance letter, where each ICD-10, CPT or HCPCS code shows its confidence and links to its source. On manual notes, the clinician enters the codes. You review every code before the visit is billed, and billing staff can add codes from your fee schedule.

Yes. Self-pay is your base price. Add rate categories, such as a discounted or courtesy rate, priced as a percent or dollar amount off Self-pay or typed in by hand, then pick the rate category on each visit.

Yes. Open the visit's superbill and choose Email to patient, or download it as a PDF or print it. You can also download invoices or superbills for many visits as one PDF.