Refusal to pay after submitting appropreciate docs
I have a complaint that I want to submit to the government agency that manages the Flex insurance carriers, but do not know who to contact.
My complaint is with PayFlex Systems USA, Inc. I have submitted a stack of receipts and co-pay charges from my doctors office, with legitimate letter head, and PayFlex has refused to pay. Now I can understand refusing to pay from the charge receipts, since they can be from anywhere, but the receipts I sent listed date of service, what service was for, my co-pay charge, and the amount billed to insurance. That is a legitimate receipt; at least, it has been the accepted form of receipt from Flex insurance companies in the last 10 years. Has a law changed? Has anyone else noticed that it has become harder and harder to get the money you contribute to Flex to get it out?
An inquiring mind would like to know.
Pam Schlutt
The complaint has been investigated and resolved to the customer’s satisfaction.
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I have requested an FSA card to access my available funds three times and still have not received a card. Every time I request another card the customer service representative tells me they have sent the card to the address on file.
Payflex has horrible service. No sign of professionalism in the way of handling issues.
It has been a month trying to solve the issues, but they provide no sign of professionalism to assist.
Horrible and worst customer service ever.
I received a letter from Payflex asking for documentation my social security card and drivers license. When I called them they wouldn’t verify me and I ended up providing my last 4 digits of my social security number and then they still couldn’t verify me even though they sent me a letter. Are these people scammers ?
Payflex...Horrible company to deal with ! nothing good.
Payflex has stopped allowing Quicken to connect and download transactions.
It worked fine for years, then suddenly stopped working on or about Jan. 9, 2023. It has not updated my accounts since.
I too am appalled at the ability of a company to deny claims with appropriate documentation to then give participants in “forfeiting” their hard earned money and claim they are backed by the IRS to keep said funds for administrative costs. This is a scam and unethical as there is no way to stop the payments when you are outside of open enrollment and no way to remove funds with the option to be taxed so that they are not lost. I will gladly join a class action if one exists!
I too need to file a complaint against PayFlex because of the same exact reason. I submitted all documents before the deadline (including LOMN, receipts and claims forms) and they refuse to reimburse me for my expenses.
I believe Payflex FSA to be unethical in several ways. They challenge every charge not matter what documentation I provide including Explanation of Benefits from the insurance company, detailed 'walk out' bills at provider offices, and reverse approvals on charges after the calendar has run out putting them in the position of retaining my funds and leaving me in debt.
At the same time, the use threatening language on a first enquiry into a charge. The amount of detail they request including whether a charge will be added to my insurance company deductible or not, is unnerving. The insurance company finds Payflex's demands for additional detail to be beyond IRS requirements and unorthodox.
If I could break the account mid-benefit year, I would. It would be more efficient and cheaper to pay with post tax dollars.
I am so happy to see this site. I am also a calm and reasonable person but Pay Flex has driven me tears multiple times in the last few years. Claims deboned over and over. Card held turned off multiple times because they deny legitimate claims provided for services. I am going through breast cancer treatment and then fractured my ankle. I have not been a toe to pay for anything because of a claim back in May. I had to have the provider resend to me 4 times after they denied the first time. So 5 times total. Was in with a supervisor at PayFlex who did virtually nothing. I have spent hours of my time... work time trying to clear things up. And it is still not cleared up. And now there is t even an option for me to upload. Because that function was turned off. The only option is for me to pay it back. So after my 3rd rep that day... she said well you can fax it to us. WTF?! Fax it now?! So now I need to get an app to fax the receipt because their site won’t let me upload it?!
I AM SO READY TO GET A CLASS ACTUON SUIT AGINST PAYFLEX! The whole system is messed up. Suggestions fro improvement have don’t nothing. And they are holding our money hostage! It’s criminal.
I also want transparency on who it is that reviews the claims. It seems that they are now outsourcing reps outside of the US
So who is deciding and rejecting legit health claims?! We have a right to know!
I will happily sign up with your class action suit! I've been trying to find a federal oversight agency for these types of companies and have yet to find one. Of course, I have my own horror story. I'm so happy to have found this site.
Count me in for class action
I have to jump into this as I am typically calm, cool and collective but Payflex has me livid. I have a large amount of $ held by Payflex that is "my money" deducted from my pay. They want me to validate payments for 2019 that were submitted from a hospital for emergency treatment for my son in 2019. I spent a good part of 3 months tracking down the claims to send to them (a second time). and now they are saying I need to submit claims going back to 2015 ? Thats 3 years ago. AND I was not told about these claims before. It feels - yea I am saying feels like there is something illegal going on here.. At first I was told I needed to verify claims made in 2019. NOW they want claims going back 2015 that I cannot substantiate as some of these practices no longer exist. I know the IRS wants to make sure that this money is used for legitimate medical expenses but Payflex has you jump through hoops that don't make sense and continues to ask for more verification after you provide what they asked for ? Does anyone know where the money goes if they don't release it back to me for valid claims. Does Payflex get to keep it ? Is there a motivation for PAyflex to not pay out these claims ?
If it’s an FLex spending account then your employer keeps any monies not used for the year. Not sure what happens with HSA monies.