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HRA Reimbursements: What should I do if my reimbursement claim is denied?

This article is for employees participating in an ICHRA or QSEHRA through Take Command.

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Written by Mel Vazquez-Martinez

If your reimbursement claim is denied, review the denial reason, gather any missing documentation, and resubmit the claim with the requested information.

Step 1: Review the denial reason

Start by reviewing the denial notice in your Take Command account.

The denial notice will typically explain:

  • Why the claim was denied

  • What information is missing

  • Whether additional documentation is required

Understanding the reason for the denial will help determine the next steps.

Step 2: Gather the required documentation

Many claim denials occur because documentation is incomplete or missing.

Depending on the expense, you may need:

  • Itemized receipts

  • Invoices

  • Proof of payment

  • Insurance premium bills

  • Letters of Medical Necessity

  • Other supporting documentation

Review the denial notice carefully to identify what is required.

Step 3: Verify the information on your documents

Before resubmitting, confirm that your documentation includes:

  • Patient name

  • Provider or merchant name

  • Date of service

  • Description of the service or item

  • Amount charged or paid

Missing information may result in another denial.

Step 4: Resubmit your claim

Once you have the required documentation:

  1. Log in to your Take Command account.

  2. Locate the denied claim.

  3. Upload the requested documents.

  4. Submit the claim for review.

The review team will evaluate the updated submission.

Common reasons claims are denied

Missing documentation

Required supporting documents were not included.

Incomplete documentation

The submitted documents do not contain enough information to verify the expense.

Expense is not eligible

The expense is not reimbursable under IRS rules or your employer's plan design.

Incorrect claim type

For example, a premium reimbursement may have been submitted as a medical expense claim.

Additional medical documentation is required

Certain expenses may require a Letter of Medical Necessity or other supporting documentation.

What if my claim is denied again?

Review the updated denial reason and provide any additional information requested.

If you believe the claim was denied incorrectly, contact support for assistance and further review.

Key takeaway

Most denied reimbursement claims can be resolved by reviewing the denial reason, providing complete documentation, and resubmitting the claim with the requested information.

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