Who is the only one authorized to provide a super bill no charge (NC)?

• A. The Doctor
• B. The Office Manager
• C. A Nurse Practitioner
• D. A Billing Clerk

Answer: (A)

The key idea is that a superbill is the provider’s documentation of the services rendered, with the codes, diagnoses, and any charge (or no charge) attached. The person who performed or authorized the medical service is the one who certifies what went on and decides the billing status. In many practice setups, that authority rests with the physician, so they authorize and issue a no-charge superbill to reflect that the encounter occurred and to document the appropriate codes for the patient’s record. The office manager or billing clerk can prepare and distribute the document, and a nurse practitioner can document care as well, but the formal authorization to list services and assign a no-charge status typically comes from the clinician who provided the care.