Receiving a denied claim can be frustrating, and we at myHSA try really hard not to deny claims if we don't absolutely have to. But don’t worry—we’re here to guide you through the next steps to resolve the issue. Follow this step-by-step guide to understand and resubmit your claim. If you win, we all win!
Step 1: Understand the Reason for Denial
Check the Notification:
Review the email notification or myHSA portal in your "View Claims" tab to check on the notes from the adjudicator that outline why your claim was denied.
Common Reasons for Denial:
Missing documentation (e.g., receipts, invoices, or prescriptions) and no response for the 7 day time frame provided to collect.
Ineligible expenses
Receipts missing essential details (e.g., date of service, provider’s name) and no response for the 7 day time frame provided to collect.
Step 2: Gather the Necessary Information
Review your submission and gather all required documents, such as:
Detailed receipts showing the date of service, itemized charges, and provider information.
Any prescriptions, doctor’s notes, or supporting documents if required.
Cross-check the eligibility of the expense in your plan’s guidelines.
Step 3: Make the Necessary Corrections
Fix Documentation Issues:
If a receipt is missing details, contact the service provider for an updated version.
If a prescription or doctor’s note is needed, obtain one from your healthcare practitioner.
Step 4: Resubmit Your Claim!
Log Into Your Account:
Access your myHSA account and navigate to the claims submission section.
Edit and Upload Documents:
Select the denied claim and update it with the corrected information and additional documents.
Add Notes (if necessary):
Include a brief explanation in the notes section, clarifying the changes you’ve made.
Submit for Review:
Double-check all details before resubmitting.
Step 5: Monitor Your Claim’s Status
Keep an Eye on Notifications:
You’ll receive updates about your claim’s progress through email or your account dashboard.
Respond to Requests Promptly:
If additional information is needed, respond quickly to avoid delays.
Step 6: Reach Out for Assistance
If you’re unsure why your claim was denied or need any further assistance:
Contact Support: Use our chat or email adjudicator@getmyhsa.com to connect with an adjudicator
Provide Details: Have your claim number and any relevant documents handy to streamline the conversation.
Tips for Future Claims
Always review your receipts and documentation before submitting.
Use the help center or plan guidelines to confirm eligibility for specific expenses.
Reach out to support if you’re unsure about submission requirements.
We’re here to help every step of the way. A denied claim doesn’t have to be the end of the road—follow these steps to get back on track!