FSA Feds claim being denied over and over again....

[Anonymous]

It is incredibly easy for us. We have it set so that there is automatic coordination between my insurer (BCBS) and FSAFEDS. If I have a copay, I'll automatically get reimbursed a few days after the EOB is issued. I would only need to submit something that wasn't run through BCBS. I would assume this coordination can be done with other insurers, but I am not sure.

[Anonymous]

I had a lot of problems in the past. Now I don’t have issues. I download a copy of the statement from my health insurance site then submit the claim electronically online on FSAFEDS and upload the statement. Zero denied claims since I started doing it this way.

[Anonymous]

We enrolled in fsafeds in January 2019 after my wife switched jobs - looking like a big mistake. Our first claim, we are being denied after a 2nd iteration for reason 16 - "The IRS requires you to provide us with documentation from the provider which includes the date(s) the expense was incurred, the description of services, the person to whom the services were provided to and the amount charged." in which I turned in an invoice. The invoice shows all of the above information. I am now forced to waste my time and call their scumbag business. Its blood boiling. Will send a complaint to OPM - (like they care).

[Anonymous]

Anonymous wrote:We enrolled in fsafeds in January 2019 after my wife switched jobs - looking like a big mistake. Our first claim, we are being denied after a 2nd iteration for reason 16 - "The IRS requires you to provide us with documentation from the provider which includes the date(s) the expense was incurred, the description of services, the person to whom the services were provided to and the amount charged." in which I turned in an invoice. The invoice shows all of the above information. I am now forced to waste my time and call their scumbag business. Its blood boiling. Will send a complaint to OPM - (like they care).

Man. I’m sorry to hear that. I’ve never had an issue and I bought a peloton through mine and get regular massages.

[Anonymous]

Anonymous wrote:I had a procedure on August and although my insurance covered most of it, I had to pay $2500 out of pocket. The doctor's office had said FSAwould cover, so 8 submitted the receipt... Well, they denied and said they needed an intemitezed receipt, we submitted that... Then they requested a letter of medical necessity -we provided that... Then they requested it to be coded, the code for the medical necessity... We provideded that, then they said AGAIN it needed to be itemized. My husband sent ALL the doc. Again to them and I just saw it was denied again (separate letter in the mail).

Anyway, we followed their instructions to a T and I know it is covered. After 6 months of this, I'm soooo annoyed! Do we have any resources here besides keep trying in this endless circle? I know with health insurance you can appeal decisions... What about FSA?

Also, the money that is not used.... Does anyone know where it goes? God, I hate stupidcrats!

Sounds like anthem. They have been doing this to every claim. It’s nwver happened with my other co

[Anonymous]

Anonymous wrote:It is incredibly easy for us. We have it set so that there is automatic coordination between my insurer (BCBS) and FSAFEDS. If I have a copay, I'll automatically get reimbursed a few days after the EOB is issued. I would only need to submit something that wasn't run through BCBS. I would assume this coordination can be done with other insurers, but I am not sure.

We keep getting notification of this, but how/when do you actually get reimbursed?

[Anonymous]

Anonymous wrote:

Anonymous wrote:It is incredibly easy for us. We have it set so that there is automatic coordination between my insurer (BCBS) and FSAFEDS. If I have a copay, I'll automatically get reimbursed a few days after the EOB is issued. I would only need to submit something that wasn't run through BCBS. I would assume this coordination can be done with other insurers, but I am not sure.

We keep getting notification of this, but how/when do you actually get reimbursed?

I’m not that PP but also have the automatic contributions set up. I get a direct deposit to my checking account a few days after the eob is processed.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:It is incredibly easy for us. We have it set so that there is automatic coordination between my insurer (BCBS) and FSAFEDS. If I have a copay, I'll automatically get reimbursed a few days after the EOB is issued. I would only need to submit something that wasn't run through BCBS. I would assume this coordination can be done with other insurers, but I am not sure.

We keep getting notification of this, but how/when do you actually get reimbursed?

I’m not that PP but also have the automatic contributions set up. I get a direct deposit to my checking account a few days after the eob is processed.

Did you have to set up the deposit account with the FSA?

[Anonymous]

BUMP. Has anyone had any success recently in getting OTC meds reimbursed through FSAFEDS?!!!

[Anonymous]

Anonymous wrote:BUMP. Has anyone had any success recently in getting OTC meds reimbursed through FSAFEDS?!!!

You need a literal doctors prescription for many of them. Some things do not require that which you can get from the site. Surprising things actually.

[Anonymous]

Anonymous wrote:

Anonymous wrote:BUMP. Has anyone had any success recently in getting OTC meds reimbursed through FSAFEDS?!!!

You need a literal doctors prescription for many of them. Some things do not require that which you can get from the site. Surprising things actually.

And this works for you with the doctor’s note?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:BUMP. Has anyone had any success recently in getting OTC meds reimbursed through FSAFEDS?!!!

You need a literal doctors prescription for many of them. Some things do not require that which you can get from the site. Surprising things actually.

And this works for you with the doctor’s note?

I had a note that did NOT work but I didn’t say a note, I said a PRESCRIPTION. As in, you need a prescription written for Tylenol written on a prescription pad. I wouldn’t even bother trying. Just get the other OTC stuff that doesn’t require a doctor’s letter. For example, a First Aid Kit. You can buy the nicest most extravagant one you can find and be reimbursed with the receipt. FYI: download the APP. It makes it really easy to submit claims for stuff like that.

[Anonymous]

FSA Feds has improperly denied claims for me. They say they follow IRS but they actually make up their own rules so they can keep your money. Just do a search for the IRS rules and compare it to FSAFeds so-called "requirements" and this is easy to see. Unbelievable.

[Anonymous]

I begrudgingly opened an FSA last year after many years without, because they used to deny claims and then I'd lose funds for the year. It has been easier than in the past but they're still approving only portions of my bills. Since I had rollover funding this year, I had to re-enroll to maintain it. This will be my final year. I'd rather just pay the taxes rather than risk losing money. I don't have the emotional or mental bandwidth to go back and forth over charges.

[Anonymous]

Anonymous wrote:FSA Feds has improperly denied claims for me. They say they follow IRS but they actually make up their own rules so they can keep your money. Just do a search for the IRS rules and compare it to FSAFeds so-called "requirements" and this is easy to see. Unbelievable.

Work for IRS and can confirm. I dropped FSA Feds after my first partial year. I have a HDHP and HSA now and I decide for myself what documentation is necessary.