Responding to Claim Denials: LMN Missing Product Name or Details
Common Scenario
The customer’s HSA/FSA claim is denied because the Letter of Medical Necessity (LMN) does not include the specific product name(s) or item details.
Step 1: Check If Product Information Has Already Been Provided
Before asking the customer for anything, review their message to see if they’ve already included:
The name(s) of the product(s) they purchased
A receipt or order confirmation showing the purchased item(s)
If the product info is already included, skip the request and proceed to Step 2.
Step 2: If Product Info Is Not Provided, Ask for It
If the customer hasn’t shared specific product details, request one of the following:
Suggested message:
Thanks for flagging this.
Some HSA/FSA administrators require that the Letter of Medical Necessity (LMN) include the specific product(s) purchased. We can update your letter accordingly.
Could you please reply with either:
A copy of your purchase receipt, or
A list of the exact product(s) you bought through the TrueMed checkout
Once we have that, we’ll revise your LMN and send you an updated version for resubmission.
Step 3: Update the LMN
Once product info is available:
Request an Update the LMN to include:
Full product names
Step 4: Guide the Customer to Resubmit
Let the customer know they can now resubmit their claim with the updated LMN that they will be able to download from truemed.com and that this version includes the product-specific details requested by their administrator.
Notes
IRS guidance doesn’t explicitly require product names in the LMN, but many administrators request them for internal documentation.
We aim to resolve these denials by providing a revised LMN with sufficient product specificity—no further escalation is usually needed.