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The Diabetes Dietitian

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Billing & Payment

Select date & time

1 Appointment info

2 Prescreener

Billing & Payment

3 Contact information

First Name

As it appears on your insurance card

Last Name

As it appears on your insurance card

Primary Health Insurance Carrier:

Most insurance plans cover visits at $0 out-of-pocket. We verify your benefits before your session and explain any expected costs in advance. If we confirm your responsibility is $0, you will not receive a bill from us.

Member ID

This can be found on the front of your insurance card

Date of birth

What is your relationship to the primary insurance policy holder?

I am the primary policyholder Spouse Child Other

What state do you primarily live in?

At this time, we can see patients in Pennsylvania, New Jersey, Colorado, Arizona, and California

What is your insurance plan type?

PPO HMO EPO POS Medicaid Medicare Employer funded Not sure

How did you hear about The Diabetes Dietitian?

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

The Diabetes Dietitian

United States of America

No Surprises Act

You have the right to receive a Good Faith Estimate of what your services may cost.

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Help Center

THE CLIENT PORTAL IS NOT TO BE USED FOR EMERGENCY SITUATIONS. IF YOU OR OTHERS ARE IN IMMEDIATE DANGER OR EXPERIENCING A MEDICAL EMERGENCY, CALL 911 IMMEDIATELY.