Health Insurance Reimbursement

Metabolic Solutions can submit for health insurance reimbursement if the ordering healthcare professional is a Medical Doctor (MD) or other professional whose practice routinely submits lab work insurance.  Claims can be submitted for the Urea Breath Test under CPT code 83013 and under CPT 91065 for the Small Intestinal Bacterial Overgrowth, Lactose Intolerance and Fructose Malabsorption.  There is no insurance reimbursement available for Leaky Gut Syndrome. Metabolic Solutions always accepts the allowed charges and only bills patients when the insurance company instructs us to collect deductibles or co-insurance payments.

Medical professionals can be reimbursed for administering the Urea Breath Test by billing against CPT Code 83014. Medical professional reimbursement for the Hydrogen Test is only through charges for an office visit to review the results and recommend course of action.

Metabolic Solutions is a contracted provider for many insurance companies including:

  • Blue Cross / Blue Shield
  • Medicare
  • Medicaid in the following states: AK, AL, AR, AZ, CT, GA, ID, IN, IL, LA, MA, ME, MI,MN, NC, NH, NY, OH, OK, PA, TN, TX, WA, and WV
  • Tricare
  • Humana / ChoiceCare
  • MagnaCare
  • Qualchoice
  • First Health
  • Great West Healthcare
  • MVP Healthcare
  • Meridian Health Plan
  • Mid Michigan Health Net

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