Your dietitian insurance billing, on autopilot
By Javier Alvarez · Updated · 4 min read
| Price | 3.9% of what the insurer pays on each claim |
|---|---|
| Monthly fee | None. The chart is free, no card on file |
| Denied or $0 claims | Cost nothing |
| Claims go out | Under your NPI, through your own Claim.MD account |
| Works with | Practice Better (client import today); SimplePractice coming soon |
| Track record | 333 paid claims, about $42,000 collected for two practices since May 2026 |
| Not included | Prior authorizations and appeals |
Disclosure: this is Duo Practice's own page, so it describes our service. Where a billing company or doing it yourself is the better fit, we say so below.
Run your practice's insurance billing on autopilot. Duo Practice charts the visit, builds the claim from your note, files it under your NPI once you approve it, matches the payment when it arrives and explains every denial, and you review all of it in one place.
Most dietitians who bill insurance end up choosing between three things: do the billing yourself at night, pay a billing company a share of collections, or hire someone. Duo Practice is a fourth option: the billing team you never had to hire, as software. It does the steps a biller does, on top of the EHR you already use, and charges only when insurance pays.
What it costs on your claims
The price is 3.9% of what the insurer pays on each claim. There is no monthly fee, the chart is free, and a denied claim costs nothing. Put your own numbers in the calculator above; the defaults are ours.
The $126 default is real: across the 333 claims our practices have been paid on since May 2026, insurers paid about $42,000, or roughly $126 per paid claim. Your average depends on your payers, your codes and your units per visit.
Watch the billing agent work
What a billing service does, and what Duo Practice does
| Step | A billing service or in-house biller | Duo Practice |
|---|---|---|
| Eligibility | Calls the payer or runs a 270/271 check | Runs the 270/271 eligibility check through your Claim.MD account |
| Coding | Reads your note, picks CPT, ICD-10 and units | Builds the claim from the note, with units from how long the session ran (see 97802 vs 97803, or check one visit with the CPT code finder) |
| Filing | Submits from their system, often under their login | Files under your NPI through your own Claim.MD account |
| Payment posting | Reads the ERA, posts and reconciles | Reads the remittance and matches each payment to its claim |
| Denials | Works the denial, may appeal | Explains each denial code in plain English; a corrected claim goes back out the same way. Appeals stay with you |
| Reporting | Monthly report | Every claim's status, live |
The whole sequence, step by step, is in our dietitian insurance billing guide.
How it works
- Bring your clients. Connect Practice Better with its API keys and your clients and their insurance come over. Nothing is written back to Practice Better. SimplePractice support is coming soon.
- See the patient. Run the visit as a video visit in Duo Practice or record alongside the call you already use. Duo drafts the MNT note from the transcript and you sign it.
- The claim builds itself. CPT code, units from the session length, ICD-10 codes, modifiers and place of service come from the signed note.
- It goes out under your name. You approve the claim, and it files through your Claim.MD account under your NPI.
- Payments come back matched. When the 835 remittance arrives, each payment lands on its claim, and every adjustment code is translated. Our denial code pages explain the common ones.
Duo Practice vs a billing company vs doing it yourself
| Duo Practice | Billing company | Do it yourself | |
|---|---|---|---|
| Price model | 3.9% of what the insurer pays | Usually a share of collections, sometimes a monthly minimum; ask for the contract | Your time, plus a clearinghouse plan |
| Who files | Your Claim.MD account, your NPI | Their staff, often in their own systems | You |
| Appeals and prior auths | Not included | Often included | You |
| Speed | The claim is ready when the note is signed | Depends on their queue | Depends on your evenings |
| Best for | Solo and small practices billing MNT that want the work done without handing over control | Practices with many appeals, complex payer mixes, or no wish to touch billing at all | Low volume, one or two payers |
A billing company is the better choice if you need appeals worked for you every week or don't want to look at billing at all. Doing it yourself is fine at low volume; we priced that route in the true cost of a DIY billing stack. If credentialing is your blocker, that is a separate job: see credentialing service vs DIY.
Coming from Practice Better or Healthie?
You don't have to switch. Duo Practice works on top of Practice Better: keep it for programs and the client portal, and let Duo handle the claims. Which billing steps Practice Better's own Claim.MD connection leaves to you is mapped in Practice Better insurance billing. We compare the options honestly, including where the other tool wins, in Practice Better alternatives for insurance billing, Healthie alternatives, Practice Better vs Healthie and free EHRs for dietitians.
Payer rules: Aetna · BCBS, with a visit planner for your contracted rate and each plan's limits.