All Nutricia products are available for convenient home delivery directly from Nutricia North America. Consumers can call our toll free number or visit one of our websites.
For additional information, please call our Nutrition Information Department
United States: (800) 365-7354
Canada: (877) 636-2283
Reimbursement support
REIMBURSEMENT OF MEDICAL FOODS AND EXEMPT INFANT FORMULAS
Why Do You Need To Provide Reimbursement Codes?
Third-party payers such as Medicaid and HMOs may reimburse for the cost of Medical Foods and Exempt Infant Formulas. To process claims, payers/insurance companies require a reimbursement code to identify the nutritional product or category. Some states have enacted legislation, which require that reimbursement be provided based on the patient’s diagnosis. Your doctor’s office may have more information regarding reimbursement in your state.
Claims are usually processed one of two ways.
A code is used to identify the product through the HCFA Common Procedure Coding System (HCPCS) or
The National Drug Code (NDC) system.
Most states will use one of these systems to classify products for reimbursement purposes. Individual insurance plans will also choose one of these systems to reimburse patients for nutritional products.
In addition, there are diagnostic codes, so called ICD-9 codes, which identify the disease of the patient and may further help in getting reimbursement.
It is therefore important to supply as much information as possible to your insurance company and to make sure you are providing accurate and complete information according to the guidelines of your insurance company.
