Insurance

Carol Sullivan Nutrition is accepting Blue Cross Blue Shield, Aetna, Mass General Brigham Insurance, United HealthCare, Cigna & Harvard Pilgrim Healthcare.

If you are contracted with another insurance company, you may be provided with a superbill to submit to your insurance company for reimbursement for our sessions. The superbill does not guarantee reimbursement.

Checking Insurance Benefits:

Carol’s individual NPI (National Provider Identifier): 1861513327

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

  1. Does my plan cover outpatient nutrition counseling? (codes: 97802 & 97803)

  2. Does my plan cover visits that are “medically necessary”? Or, do they also cover preventative services?

  3. Do I have to meet a deductible first?

    • If yes, how much is your deductible?

    • How much of the deductible have you met?

  4. Do I have to pay a copay for outpatient nutrition counseling?

  5. Do I need a physician referral?

Record the representative’s name and a reference # when checking your benefits. This information will be necessary if you ever need to dispute a rejected claim.