Superbill for MNT Services

The cover shot for the Superbill for MNT Services

Use this form with self-pay clients so they can file for reimbursement from their health insurance plan for MNT services.

  • Release Date: October 2, 2020
  • SKU NSC110-I
Member Price
Nonmember Price

This model Superbill is designed to provide a customizable template for use by registered dietitian nutritionists who provide MNT services to clients and do not bill third party payers. Clients can use this form to file for health plan payment. This form may be used as is or adapted to include more specific information, based on the patient or client population served by your practice.

Also included are instructions on how to use the form and customize it to your practice.


Please note: Please confirm all purchases before you complete them as all sales of this product are final. Upon completion of your order, a link to access your purchase will be sent to the email address you have on file with the Academy. Please be sure your email address is accurate before submitting your order. If you have difficulty with your purchase, please contact Thank you.

  • Release Date: October 2, 2020
  • SKU NSC110-I