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> For a complete documentation index, see https://help.truemed.com/llms.txt.
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# Why Didn't I Get an LMN for My Purchase?

> Some purchases are pre-approved and don't need a Letter of Medical Necessity. Here's what to do if your HSA/FSA administrator asks for one.

If you checked out with Truemed and didn't receive a Letter of Medical Necessity (LMN), your purchase may be pre-approved. Pre-approved products are recognized as qualified medical expenses on their own, so Truemed doesn't issue an LMN for them.

## What is a pre-approved purchase?

Most products bought through Truemed need an LMN to show they're being used to treat or prevent a specific health condition. Pre-approved products are different. They're medical by nature, so they're generally recognized as eligible HSA/FSA expenses without any additional documentation.

For a pre-approved purchase:

* You don't need to complete a health survey.
* Truemed doesn't issue an LMN.
* You won't see an LMN for that order in your Truemed dashboard.

## If your administrator asks for an LMN

Some administrators request an LMN by default, even for pre-approved items. Here's what to do:

1. **Download your receipt.** Log in to your dashboard at [truemed.com](https://truemed.com). Your receipt is in the **Download Documents** section on your **Overview** page, or in the individual order in the **Orders** tab.
2. **Submit your receipt to your administrator.** Upload it through your administrator's portal as the documentation for your purchase. For a pre-approved purchase, the itemized receipt is typically the only documentation needed.
3. **Contact us if your administrator still asks for an LMN.** Email [support@truemed.com](mailto:support@truemed.com) with your order number or the email address you used at checkout, the merchant name, and a copy of your administrator's request or denial notice. We'll help you respond.

> **Note**
>
> Your HSA/FSA administrator makes the final decision on any reimbursement request.

## Related articles

* [Receipts](/reimbursements-claims/receipts)
* [Why Was My Claim Denied?](/reimbursements-claims/why-was-my-claim-denied)
* [Truemed Dashboard](/truemed-dashboard/truemed-dashboard)