Checking Insurance Benefits
I am in network with Aetna, Cigna, Highmark Blue Cross Blue Shield & UPMC Health Plan.
Superbills are provided for out of network claims.
Private pay is also available if you don't have insurance.
Please verify your insurance benefits before scheduling an initial session by calling the "member services" phone number on the back of your insurance card & asking the following questions:
Does my plan cover outpatient nutrition counseling & Medical Nutrition Therapy?
CPT codes: 97802 and 97803; if you have UPMC also ask about CPT code: s9470
If yes, how many sessions are allowed?
Does my plan only cover visits that are "medically necessary?" If yes, is there a medical policy that this applies to?
Does my plan cover preventative services for Diagnosis code: z71.3? If yes, is there a visit limit?
Do I have a deductible or out of pocket amount to meet first?
If yes, how much is my deductible or out of pocket amount?
How much have I met of my deductible or out of pocket costs?
Do I have a copay or coinsurance? If so, what is the percentage or amount?
Do I have a copay for outpatient nutrition counseling & Medical Nutrition Therapy?
Do I have a copay for outpatient nutrition counseling & Medical Nutrition Therapy?
Obtain a reference number for your call.
Before ending your call with the representative, it is strongly encouraged to obtain a confirmation or reference number as well as the representative's name who helped you. This information will come in handy should there be an issue with the claim processing
Please note: If an insurance claim is denied, if it the client's responsibility to pay the remaining balance.