NOW ACCEPTING ALL MAJOR CONNECTICUT INSURANCE
Insurance
ACCEPTED INSURANCE
It is your responsibility to determine what your insurance covers before your initial visit.
Navigating Insurance
1
CALL INSURANCE COMPANY
Before your initial visit, call the "member services" phone number on the back of your insurance card.
PROVIDE CPT CODES
If asked for CPT codes, give them 97802 & 97803. If not covered, ask about 99401, 99402, 99403, 99404, and S9470.
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PROVIDE ICD-10 CODE
If asked for a diagnosis code, use Z71.3.
If not accepted, try Z72.4.
Check Nutritional Counseling Coverage
2
CHECK ADDITIONAL CONDITIONS
If you have specific conditions (overweight, obese, pre-diabetes, diabetes, hypertension, or high cholesterol), inquire about coverage for these diagnoses.
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PREVENTATIVE CODING VS MEDICAL DIAGNOSISÂ
If you only have a medical diagnosis (e.g., IBS) without risk factors, there may be a cost-share (deductible, co-pay, or co-insurance).
Check Coverage for Specific Conditions
3
ASK ABOUT ANNUAL VISITS
Inquire about the number of covered visits per calendar year.
ASK ABOUT COST-SHARE
Find out if there's a cost-share (deductible, co-pay, or co-insurance) for your nutrition visit.
Determine Annual Coverage
4
BILLING PROCESS
The provider will initially bill your insurance. After receiving the EOB, they will charge your credit card for the patient responsibility amount.
CONSIDER SPECIALIST CO-PAY
Specialist co-pay may apply, but it's often waived due to preventative coding.
WAIT FOR CLAIM PROCESSING
The provider waits for claim processing to determine if a co-pay applies before charging your credit card.