Quick answer: If your claim is denied, your insurance did not cover the session and you may be responsible for the cost.
❗ Why would a claim be denied?
Claims are typically denied for one of these reasons:
• your plan does not include nutrition counseling
• your deductible has not been met
• a referral or authorization was required but not provided
• you reached your visit limit
• your insurance information was incorrect or inactive
💳 What happens if my claim is denied?
If a claim is denied:
• the session may be billed as out-of-pocket
• you may receive a bill after processing
• your responsibility will depend on your plan
🔍 How to understand your denial
👉 The best place to check is your Explanation of Benefits (EOB)
This will show:
• why the claim was denied
• what your insurance covered (if anything)
• what you may owe
🧭 What should I do next?
If your claim was denied:
1. Review your EOB for the denial reason
2. Confirm your benefits with your insurance provider
3. Check that your insurance information is correct
🔁 Can a denied claim be fixed?
In some cases, yes.
If the issue was due to:
• incorrect insurance information
• missing details
• processing errors
👉 our team may be able to help review or resubmit
👉 Need help?
If you’re unsure why your claim was denied, we’re happy to help review it with you.
Please contact: support@topnutritioncoaching.com
Include:
• your full name
• date of service
• a brief description of your question