What you need to know
Prior to our first session, please contact your insurance carrier to verify your benefits. You will need the following information:
- Your name and date of birth
- a) Name and date of birth of policyholder if you are not the policyholder (i.e. if you are on your parent or spouses’ insurance plan)
- Your insurance Member ID Number
- Your insurance Group Number
Below are questions to ask your insurance carrier to help determine your coverage.
- Is Nutrition Braved an in-network provider with my plan? (Refer to NPI #1447889209)
- If not, what are my out-of-network benefits?
- Does my plan cover the following outpatient nutrition therapy billing (CPT) codes?
- 97802 (Medical Nutrition Therapy Assessment)
- 97803 (Medical Nutrition Therapy Follow-Up)
- Diagnosis code Z71.3 (Nutrition Counseling)
- If this diagnosis code is not covered, it can be helpful to ask if other diagnosis codes are covered, such as eating disorder-specific codes, some examples are below. You can usually just say “diagnosis code F50”
- F50 Eating disorders
- F50.0 Anorexia nervosa
- F50.00 …… unspecified
- F50.01 …… restricting type
- F50.02 …… binge eating/purging type
- F50.2 Bulimia nervosa
- F50.8 Other eating disorders
- F50.81 Binge eating disorder
- F50.82 Avoidant/restrictive food intake disorder
- F50.89 Other specified eating disorder
- F50.9 Eating disorder, unspecified
- F50.0 Anorexia nervosa
- Are nutrition counseling benefits covered under preventative or medical coverage?
- Do I need a referral or prior authorization?
- Do I have coverage for services provided via telehealth?
- Do I have a co-pay for each visit? If so, how much is my co-pay?
- Does my deductible apply? If so, how much is my deductible?
- How much of my deductible has been met so far this year?
- Do I have coinsurance? If so, what percentage am I responsible for?
- Do I have any session limits or max? If so, how many sessions do I have remaining?
- Do I have a maximum benefit limit per year?
Make sure to ask for a call reference number.
