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Insurance Info

If your insurance is not listed below, I can  provide you a superbill that you can submit to your insurance for reimbursement. 

IN NETWORK

  • Providence 

  • Regence / Blue Cross Blue Shield

  • Moda

  • Cigna

  • United Health Care

  • UMR

  • Pacific Source Health Plan

  • Pacific Source Community Solutions. 

  • Trillium

  • Care Oregon 

Do I NEED A REFERRAL?

A referral is needed if we are billing insurance. Private pay patient does not require a referral.

WHAT DIAGNOSIS is COVERED?

  • Not all nutrition services are covered. Please call your insurance company to check your benefits and if the diagnosis is covered

  • If the insurance agents asks for a diagnosis code, please provide ICD Z71.3 (Nutrition Counseling & Monitoring) 

  • Other diagnosis is depending on your physician referral diagnosis. 

IF YOU HAVE A DEDUCTIBLE

In the event of a deductible, you will be billed the full amount of your deductible rate per your insurance fees schedule.  It can range between $250 to $400 for the initial visit and $200-$250 for follow-up visit. If you have HSA or FSA account, I can provide you the invoice and services billed. 

IF INSURANCE DENIED VISIT

In the event of a denied claims, you will be notified and will be billed for our cash pay rate $250 for the initial visit and $200 for follow-up visit.  Payment plan available per request. I also provide a discounted rate for OHP patients. 

CALL YOUR INSURANCE

 

  • Remember to ask the insurance agent to check if nutrition counseling is in your benefit package the code is    Z71.3 (Nutrition counseling & Monitoring)

  • The insurance agent will ask you for a CPT code (service code for medical nutrition therapy). Please provide them with the following codes: 97802 and 97803

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