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Insurance Providers |
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Nutrition Services
Below is our office policy for submission of claims to insurance companies:
· Being an “eligible” member with your insurance carrier DOES NOT guarantee payment for the services you receive at our office.
· Payment from your insurance company for services IS NOT guaranteed even if you have received our name from your insurance company as a provider “in-network”.
· A physician referral DOES NOT guarantee payment for the services you receive at our office. A referral may be required from your carrier before you receive a service, however a referral DOES NOT determine your paid benefits.
· It is the member’s responsibility to manage their individual health care benefits. With all of the plans that are circulating there is no way for our office to definitively know the limits of coverage for all plans.
· We are required to use a medical diagnosis provided by your primary care physician (PCP) or other treating physician so that we may bill your insurance. Registered dietitians CANNOT diagnose medical conditions under the legal guidelines of our scope of practice. We must rely on the diagnosis submitted from your PCP. Based upon this matter, and in order to submit your claim successfully, we may be asking you to obtain documentation of your diagnosis(es) from your PCP.
Advantage Nutrition & Wellness is a participating provider with the insurance carriers listed below. If you have one of these insurance plans we will submit your claim on your behalf and your payment responsibility will be limited to any applicable co-pay or coinsurance at the time of your session.
· Aetna · Cigna · Devon · Highmark Blue Shield · Highmark Federeal Employee · Medicare (Diabetes Only) · Capital Blue Cross (Pediatric Obesity Only) · Independence Blue Cross · Amerihealth · Keystone Health Plan EAST · Keystone 65 · Personal Choice
Please note that if your insurance carrier is not listed, PAYMENT FOR SERVICES IS DUE AT THE TIME OF YOUR SCHEDULED SESSION. We will gladly submit any claims on your behalf and any payments will be issued directly to you for reimbursement.
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