Contact your insurance carrier.

If you would like to find out if your insurance will reimburse for out-of-network nutrition services, contact the members-only phone line and ask the following questions below. Record the date and time of the call, the name of the person providing the information, and write down the answers for your records.

• Do my out-of-network benefits reimburse for the following CPT codes: 97802 and 97803?

• If so, what portion of each visit is covered?

• Do you reimburse for ICD-10 code Z71.3 (dietary counseling and surveillance), or is a medical diagnosis required from a physician?

• What ICD-10 diagnosis codes are covered for nutrition services?

• How do I submit a superbill for reimbursement?

If a medical diagnosis is required, get a referral from your physician.

It is not within a dietitian’s scope of practice to make a medical diagnosis, so to list a diagnosis on the superbill, I need a referral from your physician. I will need you to send this form to send to your physician and they can fax it back to me.

Submit the superbill

After I receive the referral from your physician, I can send you the superbill for you to submit to your insurance company.