Steps to book your appointment

Please note it is the patient’s responsibility to call their insurance company PRIOR to your visit to confirm coverage. We just don’t want our patients to have ANY surprise bills.  Here are the questions to ask:

1. Do I have benefits for 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. 

2. 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. 

3. 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.

4. 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. 

• We will always bill under your insurance policy’s plan under your preventative benefits if your plan allows. With that being said, if you have preventative benefits there if often NO cost share for you associated with the visit. Once again, this is something YOU do want to ask prior to your visit. 

• In the event you have a  cost-share we will initially bill your insurance company directly.  Once we receive the EOB describing your responsibility as the patient, we will bill the credit card on file for the amount noted under ‘patient responsibility.

• For most insurance companies dietitians are considered a specialist. Therefore, your specialist co-pay is applicable and is payable at the time of service. This information is often apparent on the front of your actual insurance card. However, often because we bill your insurance with preventative counseling the co-pay is often not applicable.

• We generally wait for the claim to be processed to determine whether or not you have a co-pay and then charge the credit card you have on file with us the co-pay amount. 

Summary of questions to ask to verify your nutrition benefits

"I am calling to check on my Nutrition counselling benefits, my provider's NPI is 1902519309", then ask the following. and note down the representative's answer

• Do I have coverage for nutrition counseling? CPT codes 97802 & 97803, or 99401, 99402, 99403 and 99404, or S9470

• Do I have any nutrition counseling benefits covered under the preventative care portion of my plan?

• Do I need a referral to see a Registered Dietitian?

• Are my diagnoses covered on my particular plan?

• How many visits per calendar year do I receive?

• Do I have a cost-share for these services? If yes, what is that?

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

If you have any questions after verifying your benefits we are happy to help. Please email priya@healthabitsrx.com. You will receive a response within 48 business hours. Please do not include any personal health information in your email.

Click the link below to set up your Healthie account, fill the required forms, and set up your appointment time. I use Healthie, an online portal, as an easy and safe way to support our work together.

Please set up your account so that we can stay in touch with each other in between our sessions. You’ll be able to complete forms, message me, schedule sessions, and coordinate payment.

We can also use Healthie to meet virtually depending on your convenience. You’ll have your own login to connect with me over the course of our work together.

As you step through the process to set up your initial appointment, please take 10 minutes to read, understand, and complete the forms. I value your time and effort here so that I am prepared to provide you with the best service I can.