Questions for Insurance

Before your first appointment, please call the member services number on the back of your insurance card to verify your nutrition counseling benefits. Ask the representative the following questions:

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Coverage for Services

• "Can you confirm if Danielle Starmer or Danielle Gersmehl (NPI #1982298683), or Starmer Nutrition, LLC (NPI #1528864352), is listed as an in-network provider with my plan?"

Please check under both names and both NPIs, as there has been a recent name change.

• "Do you cover CPT codes 97802 (initial nutrition assessment) and 97803 (follow-up nutrition assessment)?"

• "How many hours or visits are covered per year?"

• "Is there a copay or coinsurance I will be responsible for?"

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Telehealth Coverage

• "Does my plan cover telehealth visits with a registered dietitian?"

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Diagnosis Code Coverage

• "Do you cover services billed under ICD-10 code Z71.3 (dietary counseling and surveillance)?"

• "If not, are there other diagnosis codes under which nutrition counseling is covered?"

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Referral Requirements

• "Does my plan require a referral from my primary care physician to cover nutrition services?"

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Taking a few minutes to verify this information can help avoid unexpected charges and ensure you make the most of your insurance benefits.