I had my FSA provider PayFlex deny a medical co-pay as "Not Medically necessary."
Isnt it lovely when a Private Equity firm decides what is or isnt medically necessary? They were obviously using some automated system to try and deny claims, to hell with false positives.
The best thing is to just repeatedly submit the legitimate claim until it goes thru. There seems to be some non-determinism in these systems and the same thing will sometimes be accepted and sometimes rejected. Bless my wife for taking care of this insanity.
Isnt it lovely when a Private Equity firm decides what is or isnt medically necessary? They were obviously using some automated system to try and deny claims, to hell with false positives.
The best thing is to just repeatedly submit the legitimate claim until it goes thru. There seems to be some non-determinism in these systems and the same thing will sometimes be accepted and sometimes rejected. Bless my wife for taking care of this insanity.