I would do a paper superbill. Prematurely signing the chart has a bunch of implications and is messy.

Go ahead and make a superbill. You can go back and correct the superbill to reflect the paper bill information, if they do not match. You should not do it the other way around.

Wendell
Pediatrician in Chicago

The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them