KDLABS may use and disclose your health information to others for purposes of receiving payment for treatment and services that you receive. For example, a bill may be sent to you or a third-party payer, such as an insurance company or health plan. The information on the bill may contain information that identifies you, your diagnosis, and treatment or supplies used in the course of treatment.
We participates in most major commercial insurance plans. We're committed to working with patients who are covered by insurance plans we do not participate with, especially when our highly specialized care is needed.
Below are a few recommendations regarding insurance reimbursement.
Check your state laws and reach out to your insurance company.Each state has different mandates around the coverage of enteral nutrition products. Depending on the state, they may require different documentation regarding diagnosis/reason for use. Always check the specific requirements for your state.
However, because Physicians’enteral formulas is a medical food available without a prescription (but still through a practitioner), you may find yourself reactively appealing a claim vs. proactively obtaining coverage. Contacting your health insurance company in advance will allow you to prepare the necessary documentation with your practitioner.