We are currently in-network with Anthem Blue Cross Blue Shield PPO Plans, Blue Shield of California, Aetna PPO, United Healthcare(UHC), Medicare, Inland Empire Health Plan (IEHP), and Health Net. Coverage and benefits may vary based on your diagnosis and specific plan.
Please call the customer service number on the back of your insurance card to verify your benefits. Ask them the questions we have provided below. Write down EVERYTHING they tell you and ask for a reference number and the name of the representative for the call. If possible, you may also want to ask them to send you the information they provide you in writing. We will need this information prior to scheduling your first appointment.
Business Name: Temecula Dietitians, Inc.
Type 2 NPI: 1104495431
When you schedule your initial appointment, you will be asked to provide a credit card that Temecula Dietitians, Inc. will keep on file. In the event that your claim gets denied by your insurance company (or you have an outstanding deductible or co-pay) your credit card will be charged for the visit based on your insurance rates.
How many visits are covered?
Do I have a deductible to meet before insurance pays?
Do I have a co-pay?
Is nutrition counseling covered via telehealth?
Do I need a referral or prior authorization? (NOTE: HMO plans will require a prior authorization). All clients will need their physician to provide us with a referral with their medical diagnosis or Z71.3. Physicians can either use their own referral form or use ours HERE. NOTE FOR IEHP MEMBERS: You will ALWAYS need an formal referral from your doctor to see a Dietitian. The authorization will need to include the following information prior to being seen by one of our providers: 1. 97802: 6 units, 97803: 48 units, 97804: 48 units 2. Provider rendering service: TEMECULA DIETITIANS
Are there any restricted diagnoses? Note: if you have an eating disorder, diabetes, lipid disorder, kidney disease, or a BMI greater than 25, please specify this when asking this question. Is Z71.3- preventative nutrition counseling covered?
Does my plan cover outpatient nutrition counseling (give them CPT codes 97802, 97803, and 97804)?
If we are not in network with your insurance plan, we can offer you a superbill that you can submit to your insurance in hopes of getting reimbursed. It is your responsibility to verify your out-of-network nutrition benefits and submit the superbills your dietitian provides you. Your credit card on file will be charged for the full session fee at the time of service.
we cannot guarantee reinbursement from your insurance company.
if you have a cigna ppo plan,
we can try to request a single case agreement for you!