The Corporate Wellness Contract That Rewired How I Charge for Everything
By Camille Okafor, Registered Dietitian — Atlanta, GA
I opened my private nutrition practice in 2018 after eight years working for a hospital system. I knew how to counsel patients. I knew my clinical stuff cold. What I didn’t know was how to run a billing system.
For the first two years, I charged per session: $125 for a 60-minute initial consultation, $85 for follow-ups. I invoiced after appointments, waited to be paid, followed up when I wasn’t. The income was real but the cash flow was unpredictable. Some months I collected $4,200. Some months I collected $2,600. I had the same overhead either way.
In 2020 a mid-size law firm reached out. Their HR director had read an article about employee wellness programs and wanted to offer nutrition counseling as a benefit. They had 140 employees and wanted to offer monthly group sessions plus discounted individual consultations for anyone who wanted them.
The contract size was approximately $3,200/month. I had no invoice that looked like what their accounts payable expected.
The Corporate Wellness Invoice That Opened the Door
Law firm HR departments run on purchase orders, net-30, and W-9s. I had none of that structure.
Here’s what I built:
Corporate Wellness Services — [Firm Name] — [Month Year]:
Billing Period: [Month Year]
- Monthly group nutrition workshop (75 min, all-staff eligible): $850.00
- Individual consultations: [N] sessions × $95.00/session = $[total]
- Monthly wellness report (participation summary, aggregate goals): $150.00
- Invoice total: $[total]
Remit to: Camille Okafor, RD | EIN: [XX-XXXXXXX] PO Number: [PO-####] Payment Terms: Net-30 W-9 on file
That first invoice went out for $1,245 — a partial month while we finalized the scope. The full monthly contract started the following month: $3,200.
The key was the EIN and W-9. Corporate HR departments pay contractors on file. Without the EIN on the invoice, I was asking them to create a vendor record they couldn’t complete.
Individual Client Package Invoices
The corporate account made me rethink how I billed individual clients too. I was charging per session, which meant clients could cancel a single appointment and I’d lose that revenue with no recourse.
I rebuilt to packages:
Nutrition Counseling Package — [Client Name] — [Date]:
- Package: [Foundation 3-month | Transform 6-month | Maintenance 12-month]
- Includes: [N] initial consultation + [N] follow-up sessions + [N] check-in calls + meal plan + resources
- Package rate: $[amount] (saves $[amount] vs. per-session pricing)
- Payment: Paid in full or monthly installments
Monthly installment option:
- Month 1 (due at enrollment): $[amount]
- Month 2 (auto-billed on [date]): $[amount]
- Month 3 (auto-billed on [date]): $[amount]
InvoiceFlow generates and sends each installment invoice on the scheduled date. I stopped chasing monthly payments.
The shift from per-session to packages changed my revenue predictability completely. A client on a 3-month package is committed revenue. A per-session client can disappear after one appointment.
Why Package Pricing Works for Nutrition Practices
Per-session pricing undervalues the work and creates perverse incentives. A client who feels better after 3 sessions might stop coming — even though the long-term behavior change work happens in months 4–6. Package pricing keeps the client engaged through the full protocol.
My package structure:
- Foundation (3 months): Initial assessment + 6 follow-ups + 1 check-in call/month + custom meal plan. $[amount]
- Transform (6 months): Initial assessment + 12 follow-ups + 2 check-in calls/month + quarterly lab review support. $[amount]
- Maintenance (12 months): Monthly accountability session + quarterly comprehensive review + unlimited messaging. $[amount]
Each package has a separate InvoiceFlow template. New client enrollment: I open the appropriate template, enter the client’s details, and the pricing, session count, and installment schedule auto-populate.
Group Programs and Workshops
Online workshops and group programs became a significant revenue stream after 2020.
Nutrition Workshop Invoice — [Group Program Name] — [Date]:
- Program: [Title] — [N]-week group program
- Format: [Live video / Recorded + live Q&A]
- Enrollment: [Dates]
- Program rate: $[amount] per participant
- Participants: [N] enrolled
- Total revenue: $[total]
For prepaid group programs, I invoice at enrollment. For cohort programs with installments:
- Enrollment deposit (30%, due at registration): $[deposit]
- Balance (due at program start): $[balance]
Insurance Reimbursement Documentation
Some clients use health savings accounts (HSAs) or flexible spending accounts (FSAs), or request documentation for insurance reimbursement. I’m not in-network with any insurers, but I provide detailed superbills on request.
Superbill / Reimbursement Documentation — [Client Name] — [Date of Service]:
- Provider: Camille Okafor, MS, RD | NPI: [XXXXXXXXXX]
- Service Date: [Date]
- Diagnosis code (ICD-10): [Code — e.g., Z71.3 Dietary counseling]
- Procedure code (CPT): [Code — e.g., 97802 Medical nutrition therapy, initial]
- Service: [Description]
- Fee: $[amount]
- Amount paid by patient: $[amount]
- Balance: $0.00 (paid in full)
I add a note: “This is a superbill for patient reimbursement purposes. It does not constitute a claim submission to any insurer.” Clients use this to seek out-of-network reimbursement from their insurance or FSA/HSA.
Retainer Clients
Some long-term clients want ongoing access without booking individual sessions: a monthly retainer for unlimited messaging, quick questions, and one scheduled check-in per month.
Monthly Retainer — [Client Name] — [Month Year]:
- Retainer: Ongoing Nutrition Support
- Includes: Unlimited messaging response (24-hr turnaround) + one 30-min monthly check-in
- Retainer rate: $[amount]/month
- Auto-billed on the 1st of each month
- Payment via the method shown on the invoice
12 retainer clients × $175/month = $2,100/month, invoiced automatically on the 1st regardless of my session schedule that week.
Five Years In
I left the hospital system with $0 in private practice revenue. Five years later:
- Corporate wellness contracts (3 firms): approximately $9,600/month
- Individual packages (active clients): approximately $7,200/month
- Group programs and workshops: approximately $3,400/month
- Monthly retainers (12 clients): approximately $2,100/month
- Speaking and consulting: approximately $1,800/month
- Total monthly revenue: approximately $24,100/month
The per-session model would have kept me around $6,000–$8,000/month. The shift to packages, retainers, and corporate contracts built the rest.
Download InvoiceFlow. Build package templates with installment schedules. Set retainers to auto-bill on the 1st. Add EIN and W-9 status to corporate invoices. The corporate wellness contract that scared you because you didn’t have the invoice structure — that’s the one worth going back for.
Camille Okafor is a registered dietitian in Atlanta, Georgia, with a private nutrition practice serving individual clients on package programs, corporate wellness accounts, and monthly retainer arrangements.