Reminder: Physician’s Order Required for Nutritional Counseling

Harvard Pilgrim reimburses nutritional counseling services provided by a contracted nutritionist or registered dietician, when ordered by the member’s PCP or a participating provider. Our commercial Nutritional Counseling Payment Policy outlines coverage of these services, including which services are and are not eligible for reimbursement and guidelines for proper billing.

We would like to remind our provider network that a physician/nurse practitioner’s order is required for all services, including tests. Please note that a referral is not sufficient without a physician/nurse practitioner’s order. For more information, refer to the Nutritional Counseling Payment Policy.

Publication Information

Helen Connaughton,
Director, Network Operations

Annmarie Dadoly,

Joseph O’Riordan,

Kristin Edmonston,
Production Coordinator