Important note: This only applies to Forma members who have FSA, LPFSA, DCFSA, Parking or Transit accounts.
What creates a balance due?
If you make a purchase that is later determined to be ineligible, you owe the amount you spent back to the original pre-tax account. Your Pre-tax Forma Card (and any dependent cards) will be locked until the balance is repaid.
- An ineligible card transaction
- An ineligible approved and paid claim
- An unsubstantiated card transaction (where a receipt was not provided within 90 days of the transaction date)
- The receipt submitted does not include all the required information
- Claimant name
- Vendor name
- Date of service
- Service name
- LMN (if applicable) - to learn more, see When do I need to submit an explanation of benefits (EOB) or letter of medical necessity (LMN)?
- Rx (if applicable)
- To learn more about what's required for DCFSA claims, see What documentation is needed for a DCFSA reimbursement claim?
How do I offset (pay back) my balance due?
A balance due cannot be cleared through direct payment; it can only be resolved by submitting eligible claims.
As you continue to file claims for out-of-pocket expenses, the outstanding balance will automatically be deducted from your next reimbursements until it is fully repaid.
For example, if you make a $20 ineligible card transaction, it will create a $20 balance due. Similarly, if you submit a $20 claim that was initially approved and paid but later deemed ineligible, Forma will reverse the claim, resulting in a balance due.
If you have a $20 balance due and later submit a $120 claim, once the claim is approved, $20 will be applied to offset the balance due, and you will receive a $100 reimbursement.
Please note that all future reimbursements will continue to be used to offset the balance due until it is completely resolved.
Does Forma notify me when I have a balance due?
If you have a balance due on your pre-tax accounts, you will see it appear in multiple places on Forma.
- Your Forma homepage:
When you log in to Forma, you will see a callout under your pre-tax account on the homepage. It will display how much you owe back to your account.
- On the Homepage under "tasks":
- When filing a new claim, on the claim submission success page, you will see the following message highlighted in orange:
- On the account details page:
You'll see a banner detailing the amount you owe back to your account:
- On the Pre-tax Forma Card settings page:
- When filing a new claim:
- On the transactions details page:
This can be accessed from the Balance Due table at the bottom of the account details page.
