How To Verify Your Insurance

Instructions for Checking Insurance Benefits:

In an effort to streamline the process of billing insurance for our services, we are asking you to call your own insurance carrier to inquire about the details of your benefits.

We are in network with Aetna, Ambetter, BCBS/Anthem, Cigna, Humana, United Healthcare, and Medicare (only if you have a diagnosis of diabetes or kidney disease). For any other insurer, you might ask about Out-of-Network benefits.

You will want to have the following info handy when you make the call:

  • Client Name (person to be seen by Nina’s Nutritional Values, LLC)

  • Date of Birth

  • Member ID (from your insurance card)

  • Provider Name: Nina’s Nutritional Values, LLC / Nina Hall

  • Provider Tax ID: 823236575

  • Provider NPI: 1902212467

  • Business NPI: 1376051268

  • CPT Codes: 97802, 97803

  • Diagnosis Codes (e.g., E66.3, E66.9, E66.01, E11.9, E78.5, Z71.3)

*Unfortunately, insurance never guarantees benefits over the phone. If a claim is denied, we will attempt to get the claim reprocessed. However, if the information that was provided to you was incorrect, then you will be responsible for the balance for the service.

What To Ask Your Insurer:

  1. Do I have nutritional counseling benefits with the following CPT and Diagnosis codes? If Out of Network, at what rate will I be reimbursed for services?

  2. What is my responsibility (deductible, copay, coinsurance)? If deductible applies, how much has been met?

  3. Do I have any nutritional counseling benefits covered under the preventative care portion of my plan?

  4. Is there a visit limit or a unit per visit limit (for example, some plans only pay for 4 units per visit)?

  5. Is telehealth covered? If so, is my responsibility the same? Is there an expiration date for telehealth?

  6. Do I need a referral?

  7. Is a prior-authorization required? If so, what is the process?

  8. Can I have your name and a reference number? Document the date/time of the call for future reference.