Want to use your insurance for your nutrition visit?

Verifying your benefits means calling your insurance company to verify that nutrition counseling services are covered under your specific plan. 

I am currently in network with BCBS, Aetna, and Cigna.  I will bill your insurance for you, however, you are responsible to know and understand your benefits. Follow the guide below when contacting your insurance.

FIRST: Have this important info on hand before you call

Provider: Rebecca Bell – Registered Dietitian

NPI: 1760012538

Rooted Nutrition Therapies

Group NPI: 1699461194

To check your benefits, pull out your insurance card, find the customer/member service number, and give them a call.

Here are the questions you need to ask:

Do I have nutritional counseling coverage on my insurance plan?

If the insurance company asks for a CPT code please provide them with the following codes 97802 & 97803.

If they say you do not have coverage using those codes NEXT ask them to check your coverage for the following CPT codes: 99401, 99402, 99403 and 99404. We also can bill for S9470 if it is covered on your policy. 

Are telehealth visits covered? Is there an associated cost for me if I choose to have the appointment as a telehealth visit versus in person visit?

Since COVID, most plans cover telehealth for nutrition counseling.

Is this provider (Rebecca Bell) in-network or out-of-network? If OON, do I have out-of-network benefits?

In Network – I will bill your insurance and your insurance will pay directly for your visits. Out of Network– I can bill your insurance even if you only have out-of-network benefits. The full out-of-pocket cost of the appointment will be collected from you at the time of booking and you will be issued a refund for whatever reimbursement we receive from your insurance company.

Will my diagnosis be covered?

If the representative asks for a diagnosis code (aka ICD 10 code) – please tell them the visit is coded the ICD 10 code: Z71.3

If they don’t accept Z71.3 then provide them with Z72.4 and see if they will cover that diagnosis instead on your plan. 

If you are overweight, obese, have pre-diabetes, diabetes, hypertension, or high cholesterol you may want to see what your coverage is for these diagnoses as well. 

We always code your visit using preventative coding (if applicable) to maximize the number of visits you receive from your insurance carrier. However, if you ONLY have a medical diagnosis (for example: IBS, and you are not overweight or have CVD risk factors) your insurance may impose a cost-share for your visit either in the form of a deductible, co-pay or co-insurance. 

Do I need a referral from my physician?

Many private insurance plans do NOT require a referral for preventative nutrition services. However, for specific diagnosis codes, you WILL need a physician referral.

Please fax any physician referrals to me directly: (605) 423-7705

How many visits do I have per calendar year?

Your carrier will let you know how many visits they are willing to cover. Depending on the carrier the number of visits vary from 0 to unlimited depending on medical need.

Do I have a cost-share for my nutrition visit?

A cost-share is the amount you will need to pay as required by your particular insurance plan towards your services. A cost-share can be in the form of a deductible, co-pay or co-insurance. 

That’s it!

Although I will bill the service correctly to the best of my ability, I cannot personally guarantee coverage for services, so I strongly encourage you to follow the provided steps to confirm your own benefits. If you need help, please reach out and I’ll do what I can to walk you through this process. I look forward to working with you!