Which of the following is not typically included in a paper encounter (superbill)?

The inclusion of medical history on a superbill is generally not the standard practice. A superbill primarily serves as a billing document that details the services rendered during a patient encounter. Its main purpose is to provide the essential information needed for billing and insurance claims, which typically includes patient demographic data, procedure codes related to the services performed, and charge amounts associated with those procedures.

Patient demographic information is critical for identifying and billing the patient correctly. Procedure codes are necessary for clear communication of the specific services provided and to obtain reimbursement from insurers. Charge amounts are included to specify the costs associated with each service.

In contrast, medical history is usually documented in the patient's medical records rather than on the superbill since it is used more for clinical purposes than for billing. While it may be referenced in the care provided, it does not need to be part of the superbill that is submitted for insurance purposes. Thus, the medical history is the element not typically included in the paper encounter superbill.