So, I was contacted by Carol via telephone last week, who said she would look into our submissions that was on Thursday. This is the kicker. I have around $400 in other claims awaiting processing because
We can't seem to get someone to approve the items as instructed to us by our family specialist for our son Saenz.
AND THEN, I GET ANOTHER CANNED EMAIL:
"On Fri, Feb 19, 2010 at 12:15 PM, FSAFEDS
Dear Mrs. Malissa Torres,
Thank you for your email about your right to appeal a denied FSAFEDS claim.
To submit an appeal, you must write to FSAFEDS and request a review. Include any additional information and/or documentation, such as a Letter of Medical Necessity, that supports the reason(s) you feel your claim should be eligible for reimbursement. To obtain a Quick Reference Guide regarding the Appeal Process, please visit our web site www.FSAFEDS.com. This guide can be accessed under the Quick Links section, by selecting the Quick Reference Guide link. Submit all written appeals by: Fax: 502-267-2233 or 866-643-2245 for those outside the U.S. OR Mail: FSAFEDS P.O. Box 36880 Louisville, KY 40233
If you need further assistance or have additional questions, please feel free to contact us again via email at FSAFEDS@shps.com, or call an FSAFEDS Benefits Counselor toll-free at 1-877-FSAFEDS (372-3337), TTY: 1-800-952-0450, Monday through Friday, 9:00 a.m. until 9:00 p.m. Eastern Time.
YES, I SEEN THIS ABOVE EMAIL ON SATURDAY
I had to give myself some cooling off time before replying.
My answer back to the 'canned email.'
First, This email with your company's response above inquiry will be added to my blogspot.
I was contacted by an employee last week, named Carol.
She informed me, that as a supervisor she would be reviewing our submissions.
We have included: A. Doctors explanation or Letter of Medical Necessity (not on required form). B. A letter explaining my son's treatment for his allergies to include the purchase of:
allergen specific bed products such as: mattress/box spring covers, pillow covers
Eucerin skin products to alleviate his skin allergies as a result of his nasal or environmental allergies
Special Allergen Reducing air conditioning filters
C. A form as required to show the doctors licensure information to include contact information.
Secondly, again my question is this computer generated email is too vague in reference and to which submission is the FSAFeds referring to -- considering the number of submissions we have already forwarded. What did Carol find out?
Did she contact the Allergy Specialist for any further information?
I am trying very hard to retain my civility and professional decorum however, this faceless / voiceless mode of communication is quite frustrating. All I want to know is exactly what information is missing? WHY are our claims being denied? We are not being given any sound professional assessments as to what on our end; what we are not doing correctly to further facilitate these claims.
Respectfully, M Torres on behalf of Mr G. Torres"
Mind you, now my husband is so disgusted by this round and round with this governmental agency that, we went to buy a fax machine for use just with FSAFEDS. Just to deal with sending in our forms, over and over to include our begging of them to reconsider their opines. He is tired of going to another office to fax information to FSAFEDS only to have it lost or denied. Can't say that I blame him.
So my title with use of DIATRIBE equates to their wearing us down and prolonging the claims process. Is it any wonder 80% of Americans feel their government acts without citizens' best interest in mind?
Last blog rant dealing with this subject found here: