Most reimbursement denials occur because the health plan is not eligible, required documentation is missing, or the expense does not qualify under your employer's ICHRA.
Why was my reimbursement denied?
Common reasons include:
Your health plan is not eligible.
Required proof of coverage is missing.
Documentation is incomplete.
The expense is not eligible under your employer's HRA.
How do I resolve a reimbursement issue?
Review the reason your reimbursement was denied.
Confirm your health plan is eligible.
Upload any requested documentation.
Submit corrected information if requested.
Monitor your Member Portal for status updates.
Can I receive reimbursement after correcting my information?
Yes. If your coverage and documentation meet your employer's ICHRA requirements, your reimbursement may be approved after review.
Can I receive reimbursement for an ineligible plan?
No. Plans that do not meet ICHRA eligibility requirements cannot be reimbursed.
When does this article not apply?
This article does not apply if your reimbursement has already been approved.
Key takeaway
Most reimbursement issues can be resolved by confirming your health plan is eligible and submitting complete documentation.