How to use a super bill for potential reimbursement for nutrition counseling
Everything you need to know about using a super bill to receive potential reimbursement from your health insurance for your therapy!
Nutrition counseling is an investment you make in your mental AND physical health. If you have questions about using your insurance for nutrition counseling, keep reading to explore some of our frequently asked questions or send us an email at meredith@renshawnutrition.com.
How do I use my insurance with Renshaw Nutrition, LLC?
At this time, we do not accept any insurance meaning you would pay us directly for online nutrition services and your card on file is charged before each session. That would make us an “out of network provider” according to your insurance meaning we are not contracted with your insurance and reimbursement is not guaranteed unless specifically outlined in your policy. We can, however, provide you with a super bill that you can submit to your insurance for possible partial reimbursement. If you are hoping to be reimbursed for counseling, we encourage you to call your insurance directly to inquire about your out of network coverage.
What questions should I ask my insurance before starting services with Renshaw Nutrition if I want to use my insurance?
Call the number on the back of your health insurance card and ask for “member services. Be sure to ask these questions to verify out-of-network coverage:
Do I have out-of-network coverage for Medical Nutrition Therapy services?
What is my yearly deductible? Has it been met or how much more until my deductible is met?
How many sessions per year does my plan cover?
How much does my insurance plan reimburse for an out-of-network provider for CPT codes 97802 and 97803?*
Does my insurance plan cover Z codes for nutrition therapy*?
What is my co-payment (if applicable)?
Do I need prior authorization?
Do I need approval or a referral from my primary care provider?
What is the home and mailing address on my file? (important to ensure checks are issued to the correct address)
How do I submit a super bill? Is there an online portal or do I have to mail or fax a copy?
What is the time limit to submit a super bill?
*CPT codes refer to the type of service you received. CPT code 97802 refers to an initial assessment/session , where the CPT code 97803 refers to reassessment/follow-up session and with a modifier (02) after the code to indicate services took place over teletherapy.
*Z codes are not always covered by insurance. Z71.3 is a general code used for Dietary Counseling and Surveillance.
What is a super bill?
A super bill is a document, a professional receipt, that outlines the services you received with your dietitian. It is generated by our electronic health system/online portal and sent to you upon request. It must include the following information in order to be considered for reimbursement:
Client name, address, and date of birth
Dietitian name, phone number, and email
Business Tax ID and Dietitian National Provider Identifier (NPI)
Statement number and date issued to client
A diagnosis and diagnosis code (also called a CPT code)
Service type, date, and code for reimbursement
The fees that you paid