See if you are covered
Most of the insurance plans will cover nutrition counseling and medical nutrition therapy. Often times it is covered at 100%– HOORAY! Here at Anderson’s Nutrition, we do accept insurance. We will bill your insurance for you, however you are responsible to know and understand your benefits.
How Insurance Works!
Locate the member services/customer service number on the back of your card.
Call your insurance company to check for benefits. Here are questions to ask:
1.Does my policy cover nutrition counseling and/or medical nutrition therapy?
See if these CPT codes are billable:
- 97802 & 97803
- S9470 (most common for BCBS)
2. What conditions and/or diseases are covered? (ICD-10 Codes)
- Z71.3 Healthy Eating
- E11 Diabetes 2
- E66.9 Obesity
E78.5- Hyperlipidemia/High Cholesterol
I10- Hypertension (high blood pressure)
K90.0- Celiac Disease
Z91.01- Food Allergy
R73.09- Abnormal Blood Glucose (Pre-diabetes)
3. What is my cost?
Do I have a deductible?
Do I have a co-pay?
Do I have a coinsurance?
Often times with preventive counseling, there is no out of pocket cost.
4. How many visits do I get?
Tip: When does your plan renew? January or which month?
5. Is my provider in-network or out-network? Do I have out-of-network benefits? Yes, what percentage if covered?
Here is a list of our providers and their NPI numbers to check if they are in-network.
Andersons Nutrition AZ – NPI # 1508180829
Andersons Nutrition PA- NPI#1396221347
Nicole Anderson Goodrich- NPI # 1194966879
Christine Babey- NPI # 1720380348
Jennifer Golden- NPI# 1205378148
Jacqueline (Jamie) MacGibbon- NPI# 1578870424
Tax ID# 26-4506413
Out of Network– No problem! We still can bill if you have out-of-network benefits. We do collect up front and will refund once we receive payment. Often times you will receive a full refund. Please note that some insurance companies do reimburse you directly.
In- network– We will bill your insurance directly and will bill for any deductible, co-pay, or co-insurance.
6. Where can services be rendered?
Can you be in office, your home, or through Tele-health (over the phone).
Let’s get you scheduled! You will be emailed some forms prior to your appointment, remember to add in your benefits summary. For example, how many visits are covered, to which CPT and ICD-10 Code. We can assist you on this too!
Questions or having issues? Call us!
AZ Scheduling– Schedule Online or Call 602-770-7611
PA Scheduling– Schedule Online or Call 484-872-2909
*Medicare or Medicaid
We currently do not participate in either program. If you are insured through either of them, you may have the option to bill your policy directly. You will follow Step #2 (above). Then we will send you a “super Bill” and an instruction handout to help guide you along the way. Medicare or Medicaid will reimburse you directly. You will bill prior or at your visit and payment will be collected at that time of visit.