My Reimbursement Claim Was Denied... Now What?

If you receive an alert of a denied claim—don’t worry! We are here to help you navigate next steps.

To best assist you, please compile the following information:

• Denial Notice

  • A screenshot or copy of the denial notice.

  • The denial reason clearly stated (or summarized if lengthy).

  • The denial code, if one is provided.

• Your HSA/FSA Administrator Information

  • The name of your administrator (if not clearly shown on the denial notice).

Once you have this information compiled, please email support@truemed.com. Include all the above details (denial notice, administrator name, reason, etc.) in the email body or as attachments. The more details you can provide, the better we can help.

Based on the information you send, our team will do the following:

1. Review Your Documentation

   • Our support specialists will examine the denial reason and any codes provided. This helps us understand the root cause (e.g., missing documentation, coverage issue, plan limitations).

2. Recommend Next Steps

   • We’ll advise you on any additional documentation that might strengthen an appeal—such as an updated Letter of Medical Necessity (LMN) or receipt.

• Insufficient Documentation: Your plan may require more detailed medical records, an LMN that specifically covers your item, or receipts with itemized details.

• Clerical Error: Incorrect codes or missing information often lead to an automatic denial.

Truemed’s mission is to simplify the process of using your HSA/FSA for eligible products and services. If your claim is denied, we can:

• Clarify Next Steps: We’ll explain your plan’s terminology and point you to the right resources for an appeal.

• Update or Edit LMNs: If needed, we can help you request updated medical documentation.

• Monitor Progress: Once you submit an appeal, we can check in with you on any additional requests your plan may have.

• Contact Your HSA/FSA Administrator: Ask about specific appeal deadlines or unique documentation requirements.

• Keep Original Documents: Maintain digital or hard copies of all receipts and LMNs; you may need them again.

Don’t be discouraged by a denial notice. Our team at Truemed is committed to helping you understand the process, compile the necessary information, and support you through an appeal if applicable. For any questions, please reach out to support@truemed.com. We are here to make your HSA/FSA experience as smooth as possible!