While I may be in network with your plan, each plan is different. To verify your benefits, call the number on the back of your insurance card and use the guide below when speaking with the insurance representative.

1. Gather information prior to calling your insurance company:

1. Provider information:

1. Provider name: Katie Badger

2. Provider NPI: 1386107852

3. Group NPI: 1962234153

4. EIN: 99-0482100

2. Patient Information:

1. Name

2. Date of birth

3. Home address

4. Name of Insurance

5. Insurance ID number

6. Applicable ICD 10 codes (this would come from your PCP, examples are E66.09)

2. Call the number on the back of your card. Record the following information.

Date of call:

Time of call:

Representatives Name:

Policy Type: 

• PPO

• HMO

• POS

Benefit Period:

Is this a fully funded plan? Or is this a Self-funded plan?

Does this policy adhere to the ACA (Affordable Care Act)?

Does this policy have nutrition counseling/medical nutrition therapy benefits?

Which CPT codes are covered?

• 97802

• 97803

• S9470

• 99401-99404

Are both preventative nutrition services covered under Health Care Reform and medical benefits covered?

Does this plan cover telehealth services?

Is there a copay for telehealth services? If yes, how much?

Does this plan require an MD referral?

Does this plan require prior authorization for nutrition services?

Does this plan require the dietitian to submit medical documentation? If yes, fax # to send notes?

Coverage for Preventative Medical Nutrition Therapy (MNT) Services Includes:

Number of visits:

Limit on number of units:

Deductible applies ($):

Co-pay applies ($)

Co-insurance applies (%)

Coverage for Medical MNT services includes:

ICD 10 codes to verify (these would be any codes you have been diagnosed with, check in with PCP if unsure)

Number of visits:

Limit on number of units:

Deductible applies ($)

Co-pay applies ($)

Co-insurance applies (%)

Reference # for this call: