Not sure about your coverage? This page is intended to answer some of the most common questions about out-of-network benefits.

Out-of-Network Benefits:

The providers at North Sound Nourishment and Recovery are considered Out-of-Network, meaning you will pay at the time of service and be directly reimbursed by your insurance company. Most insurance companies will pay a portion of medical and behavioral health services. Contact your insurance provider to find out what is covered under your individual plan. Often Out-of-Network reimbursements are similar to In-Network benefits. The primary difference will be the reimbursements are sent directly to you because you have already paid for these services. We will provide you with a superbill after each session so you can send them into your insurance company for reimbursement.

Allowable Amounts:

The term allowable amount refers to the maximum amount your insurance company will pay for a given service. In-Network providers contract with insurance companies and agree to keep their fees at these allowable amounts. North Sound Nourishment and Recovery, although Out-of-Network, and therefore not contracted with insurance companies, voluntarily attempts to stay at or near allowable amounts.

When you speak with someone from your insurance company, make sure to ask about:

  • Out-of-Network Benefits for outpatient medical health services
  • Allowable Amounts for each of the following common CPT codes for services
    • Medical Nutrition Therapy:
      • 97802 (Initial Assessment)
      • 97803 (Re-Assessment)

Once you gather this information from your insurance company you will know how much you will be reimbursed for service provided at North Sound Nourishment & Recovery.

 

At North Sound Nourishment & Recovery, eating disorders and other eating and feeding concerns are our practice focus.  A crucial part of our model includes partnering with you in your recovery and we encourage you to make expertise the priority as you select your treatment team. Please be sure that you choose a provider that follows practice standards and sees many of these types of patients as a practice specialty.

 

We are happy to answer any other insurance questions to the best of our ability.