Pre-tax claims can be submitted for FSA, LPFSA, DCFSA, Parking, or Transit. Below are the most common reasons why your claim was denied.
Claim submitted after coverage end date
FSA, LPFSA, and DCFSA accounts have deadlines for submitting claims. You can find the last day to submit claims in your Forma account.
If claims are submitted after the date listed, they will be denied, so please make sure to submit your claims before the cut-off date.
Receipt submitted outside of pre-tax coverage dates
FSA, LPFSA, and DCFSA accounts have specific plan dates. Check your Forma account for more information on those coverage dates.
For Parking and Transit accounts, you can submit claims for expenses incurred during your employment.
Claims submitted for items or services incurred outside of the plan dates will be denied.
Missing information on the receipt
Sometimes receipts are missing required information. When purchasing an item or service, make sure that the receipt includes all necessary details, including:
- Claimant name
- Merchant or provider
- Description of the service or item
- Date of service
- Amount
If your DCFSA or Commuter receipt is missing information, submit a claim using the correct Manual Reimbursement Form along with proof of payment (invoice or receipt).
No Explanation of Benefits (EOB), Letter of Medical Necessity (LMN), or Prescription (Rx) included
Some items and services covered under FSA and LPFSA require an Explanation of Benefits (EOB), Letter of Medical Necessity (LMN) or a doctor’s prescription (Rx) along with a detailed receipt. You can check the eligibility list to see which items and services require an LMN and/or Rx.
If an LMN is required, share Forma’s LMN template with your provider and ask them to complete the form.
For more information, see When do I need to submit an explanation of benefits (EOB) or letter of medical necessity (LMN) for my pre-tax claim?
Dependents not added to Forma
Before submitting FSA, LPFSA, or DCFSA claims for your dependents, first add them to your Forma account.
The claim submission form requires you to specify the service recipient. If an item or service is for a dependent, you must add their information before submitting the claim, ensuring you can select the dependent whose name matches that on the receipt.
For a step-by-step guide on adding dependents to your account, refer to the article How do I add, edit, or remove dependents?
Expense is ineligible
Some items or services may not be eligible under FSA, DCFSA, LPFSA, Transit, or Parking.
For more information refer to the following eligibility lists:
DCFSA expenses not fully rendered
DCFSA claims submitted for expenses with a future service end date are not eligible.
Claims will only be approved for eligible services that have been fully rendered, meaning the end date has already passed.
Multiple service dates in one claim
Receipts showing multiple payment dates cannot be submitted as a single claim. Please submit a separate claim for each payment, as we only allow one payment date per claim.
Multiple items/services from different categories in one claim
Items or services that fall under different categories cannot be submitted as one claim.
For example, if you submit one claim with receipts for both a dental service and a medication purchase, the claim will be denied because these expenses fall under different categories.
If you have questions about how to categorize your expenses, you can reach out to Forma support for assistance: How can I get in touch with Forma?