New Jersey Medicaid: Claims reminder for nutritionist services

Verify the maximum units allowed for CPT codes

If your nutritionist services claim exceeds the maximum number of units allowed, your claim will be denied. Per your agreement, UnitedHealthcare Community Plan of New Jersey reimburses a specific number of units per member, depending on the service provided. We will not reimburse any services provided beyond the accepted amount.

What you can do

Before submitting the claim, verify the total number of units for the CPT® code. To see the maximum number of units allowed for reimbursement, go to the New Jersey entry in the state exceptions table.

Note: As is standard with all procedures, you’re not permitted to balance bill members for unpaid claim amounts.

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