Verifying Insurance

MLC Nutrition is an in-network provider for the following:

  • Aetna
  • Cigna
  • Highmark
  • Blue Cross/Blue Shield
  • UnitedHealth
 
Prior to your appointment:

Call the member services number on the back of your card and ask:

 

  1. Does my plan cover outpatient virtual nutrition counseling? (CPT codes:  97802 with modifier 'GT' for initial visit and 97803 with modifier 'GT' for follow up)

    1. If yes, how many how many sessions are allowed?

    2. Does my plan only cover visits that are “medically necessary”? If yes, ask if there is a medical policy this applies to. 

    3. Does my plan cover preventive services? (Diagnosis code: Z71.3)

  2. Do I have a deductible and/or out of pocket amount to meet first?

    1. If yes, how much is your deductible and out of pocket?

    2. How much of the deductible/out of pocket have you met?

  3. Do I have a copay for outpatient nutrition counseling?

  4. Do I need a physician referral?

In the event that you should need it, MLC's NPI# is 1164838694.

Upon ending your call with the representative, it is strongly encouraged to obtain a confirmation or reference number as well as the representative's name who helped you. This information will come in handy should there be an issue with the claim processing.
 
Please note: If an insurance claim is denied, it is client responsibility to pay any remaining balance.

MLC Nutrition | Rediscover the Joy in Eating

219 N. Main Ave Scranton, PA 18504

Mailbox #152

Tele: 570-731-3200

Fax: 570-343-2401

Email: marissa@mlcnutrition.com

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