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Conexis / non payment on claim

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Phone: (866)279-8385

conexis is terrible our city contracted them to manage our Flexible Spending Accounts. They refuse to approve medical expenses because they don't think it's necessary for you to have those procedures, you can summit your proof of all the medical procedures you had done and they will only choose to pay the smaller bills and tell you that is the ones the IRS will take and the others you will have to pay yourself or you will be cancelled and the money you are putting into this account will be off limits to you untill you satisfy or pay them pay for spending your own money when you try to get in touch with them by the time you actually by passed everything you are put on hold for 20min. once you get a hold of some one you will be told that you need to re-submit the paper work again and they will not acknowledge that they have the copies you provided because it's your responsibility to make sure the medical procedure you are having done is covered by them before you walk in to the doctors office or else you are out off luck and you have to pay . I can't believe companies still use them when they have some many complains filed on them throught the BBB

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Comments

  • Mi
      27th of May, 2010

    For help call Conexis V.P. Dee Dee at 214-596-7791 She figured out my 'problem' in one day. Do NOT waste your time with the customer service numbers.

    +1 Votes
  • Do
      11th of Sep, 2010

    CONEXIS does not decide what is medically necessary or what services are eligible for reimbursement. These are IRS guidelines not a companies opinion... This isn't personal. CONEXIS has nothing to gain by denying claims. Any unclaimed funds would go back to your employer.

    You can find the basic IRS eligible expense list here:
    http://www.irs.gov/publications/p502/index.html

    Also, The IRS states the all claims/card transactions have to substantiated. If you don't substantiate a claim, you don't get reimbursed. If you don't substantiate you card transaction in a timely manner, your card can be deactivated until you do. This does't cancel your FSA or make your funds unavailable. If your card in deactivated you can still submit manual claims to be reimbursed.

    Bottom line...
    YOU chose to enroll in a pre-tax benefit that is regulated by the IRS. Therefor you must abide by the IRS guidelines to get the benefit. There is good and bad that come with this. It is YOUR responsibility to understand how this works or ask for help.

    0 Votes
  • Ti
      4th of Apr, 2011

    @dontshootthemessenger: BS. I have another HSA now and I have no problem with submitting claims and being reimbursed. If they have questions about procedures, they take the time and call the medical facility. Conexis SUCKS to no end.

    0 Votes

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