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Appeal a denied claim

You have the right to appeal any claim denial that involves your FSA, HRA, LSA, or Commuter benefit.

Updated over a month ago

Have a denied claim? Here's some information that might be useful!

Common reasons for claim denials

Common reasons for claim denials include:

  • Claim amount & receipt amount mismatch - the amount you're requesting to be reimbursed for does not match the payment amount on your receipt

  • Claim date & receipt date mismatch - the date of expense and date on your receipt do not match

  • Claim outside of plan year - the expense was made outside of the benefit plan year

  • A receipt is missing/invalid - the claim did not include a valid receipt

  • Ineligible expense - the expense type/items are not eligible in the benefit program

  • Other - the reason will be specified by your employer or plan administrator

Resubmitting a corrected claim

Most reasons for denial can easily be remediated by submitting a new and corrected claim.

Contacting support

If you need additional information about your claim denial before making a formal appeal, contact Support within the appeal deadline timelines listed below.

Formal appeal deadlines

You also have the right to formally appeal a denied claim in writing.

Benefit Account Type

Deadline to Appeal

Administrator’s Deadline to Respond

Commuter

60 days after you received notice of denial

Within 60 days

DC-FSA

60 days after you received notice of denial

Within 60 days

FSA

180 days after you received notice of denial

Within 60 days

HRA

180 days after you received notice of denial

Within 60 days

LPFSA

180 days after you received notice of denial

Within 60 days

LSA

60 days after you received notice of denial

Within 60 days

How to submit a formal appeal

You may request a formal appeal in writing by following these steps:

  • Submit your appeal request to support using the attached form. You must send your appeal request within the deadline to appeal the timeline listed above.

  • Your plan administrator will review your appeal request within their designated timeline and notify you of the outcome of your appeal.

Here are some insights into the formal appeal process.

  • The review will show no deference to the initial decision.

  • Customer or authorized representative may submit written comments, documents, records, or other information relating to the claim for benefits, and, upon request and free of charge, will be provided reasonable access to, and copies of, all documents, records, and other information relevant to the claim for benefits.

  • Customers may request the identity of any medical experts consulted by the plan in connection with the initial benefits decision.

  • The appeal will consider all information submitted, regardless of whether it was submitted or considered in the initial decision.

  • The plan administrator may consult with, or seek the participation of, medical experts as part of the appeal resolution process.

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