Legal

Ask a lawyer and get answers to your legal questions

Ask a Lawyer,
Get an Answer ASAP!

I have been contacting my Payflex for over a year now trying…

Customer Question
Hello, I have been...

Hello, I have been contacting my Payflex for over a year now trying to unfreeze my FSA for the past years and have been unsuccessful in getting this accomplished. In 2016 the changed the way claims are processed and now they required raw EOB from the insurance company. I have provided them with all my receipts from the Dental office and also conferenced Aetna so they can fax them all the documents they need an here it is a year later I still cannot use my FSA card. What are my options?

Lawyer's Assistant: What state are you in? It matters because laws vary by location.

GA

Lawyer's Assistant: Has anything been filed or reported?

Every claim I filed over the past year they denied stating that is insufficient documentation. I have had Aetna fax them all the EOB's several times and each time I call they say they have not received it.

Lawyer's Assistant: Anything else you want the lawyer to know before I connect you?

That's it

Submitted: 7 months ago.Category: Legal
Show More
Show Less
Ask Your Own Legal Question
Answered in 10 minutes by:
11/25/2017
Lawyer: Law Educator, Esq., Attorney replied 7 months ago
Law Educator, Esq.
Category: Legal
Satisfied Customers: 125,823
Experience: JA Mentor -Attorney Labor/employment, corporate, sports law, admiralty/maritime and civil rights law
Verified

Thank you for your question. I look forward to working with you to provide you the information you are seeking for educational purposes only.

If you have provided the documentation required and they still refuse to release your funds, your next step is filing suit against them in small claims court, which in GA you can do without an attorney for up to $15,000 in their small claims system. If the FSA is refusing to release the funds and it has been going on this long after everything has been provided and Aetna is saying it was provided, a lawsuit is your only option for breach of contract.

Please do not forget to leave positive feedback by clicking on the 5 stars at the top of your page, as the experts are not employees of the site and get no credit for spending time with customers unless they leave positive feedback. Thank you.

Ask Your Own Legal Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a lawyerLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Law Educator, Esq. Your Own Question
Law Educator, Esq.
Law Educator, Esq.
Law Educator, Esq., Attorney
Category: Legal
Satisfied Customers: 125,823
125,823 Satisfied Customers
Experience: JA Mentor -Attorney Labor/employment, corporate, sports law, admiralty/maritime and civil rights law

Law Educator, Esq. is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

Mr. Kaplun clearly had an exceptional understanding of the issue and was able to explain it concisely. I would recommend JustAnswer to anyone. Great service that lives up to its promises!

Gary B.Edmond, OK

My Expert was fast and seemed to have the answer to my taser question at the tips of her fingers. Communication was excellent. I left feeling confident in her answer.

EricRedwood City, CA

I am very pleased with JustAnswer as a place to go for divorce or criminal law knowledge and insight.

MichaelWichita, KS

PaulMJD helped me with questions I had regarding an urgent legal matter. His answers were excellent.

Three H.Houston, TX

Anne was extremely helpful. Her information put me in the right direction for action that kept me legal, possible saving me a ton of money in the future. Thank you again, Anne!!

ElaineAtlanta, GA

It worked great. I had the facts and I presented them to my ex-landlord and she folded and returned my deposit. The 50 bucks I spent with you solved my problem.

TonyApopka, FL

Not only did he answer my Michigan divorce question but was also able to help me out with it, too. I have since won my legal case on this matter and thank you so much for it.

LeeMichigan

< Previous | Next >

Meet the Experts:

Ely

Ely

Counselor at Law

24,657 satisfied customers

Private practice with focus on family, criminal, PI, consumer protection, and business consultation.

INFOLAWYER

INFOLAWYER

Attorney

22,408 satisfied customers

Licensed attorney helping individuals and businesses

JPEsq

JPEsq

Attorney

2,132 satisfied customers

Experience as general attorney, in house counsel, SSDI, Family Law attorney, and law professor

Law Educator, Esq.

Law Educator, Esq.

Attorney

125,823 satisfied customers

JA Mentor -Attorney Labor/employment, corporate, sports law, admiralty/maritime and civil rights law

Ellen

Ellen

Lawyer, Consultant

8,238 satisfied customers

25 years of experience helping people like you.

Guillermo Senmartin

Guillermo Senmartin

Lawyer

300 satisfied customers

Principal Attorney at Guillermo J. Senmartin, P.A.

Dimitry K., Esq.

Dimitry K., Esq.

Attorney

17,183 satisfied customers

Multiple jurisdictions, specialize in business/contract disputes, estate creation and administration.

< Previous | Next >

Related Legal Questions
I was working with a billing company. They did not do a good
I was working with a billing company. They did not do a good job and so I terminated the contract. They want me to pay an inaccurate/bogus final bill and until I do that, they are not releasing my EOB… read more
Olivia Kent
Olivia Kent
Managing Partner
Doctoral Degree
3,964 satisfied customers
I signed a contract with my wedding videographer in
Hello- I signed a contract with my wedding videographer in California in 2015. I paid my initial payment of $1,975.50 via credit card, and late the balance via check of $1,909. After significant delay… read more
Law Educator, Esq.
Law Educator, Esq.
Attorney
125,823 satisfied customers
Myself and my former dentist are disputing a bill.
Myself and my former dentist are disputing a bill. Unfortunatly the dental insurance company Aetna has come back after aying a dental bill for 1300.00 April 2015 and now are saying the Dentist billed … read more
Dwayne B.
Dwayne B.
Juris Doctor
28,766 satisfied customers
I have a dental case where the dentist was to place
I have a dental case where the dentist was to place permanent dentures on the lower jaw, and provide permanent dentures for both top and bottom. After 2 years he has not been able to provide the servi… read more
CalAttorney2
CalAttorney2
Attorney
Doctoral Degree
8,845 satisfied customers
A insurance company asks a doctor to pay back $6000 due to
A insurance company asks a doctor to pay back $6000 due to alleged inappropriate billing but the insurance does not indicate for exact dates of service. The doctor believe the billings are correct acc… read more
Law Educator, Esq.
Law Educator, Esq.
Attorney
125,823 satisfied customers
I have an FSA [tax advantaged]. My medical insur. premium is also tax
I have an FSA [tax advantaged]. My medical insur. premium is also tax advantaged. I go to a doctor and he/she charged me a std co-pay and deductible and bills the health insurance provider. I paid the… read more
MyVirtualCPA
MyVirtualCPA
Master's Degree
312 satisfied customers
Connecticut: I went to a dentist and provided Aetna Insurance.
Connecticut: I went to a dentist and provided Aetna Insurance. "Supposedly" they verified the insurance, and then did $775 worth of dental work. Despite paying my families previous dental claims for m… read more
Law Educator, Esq.
Law Educator, Esq.
Attorney
125,823 satisfied customers
"socrateaser"Kind of scratching my head on this one. If one
"socrateaser"Kind of scratching my head on this one. If one has a company sponsored limited FSA and from a historical perspective accepted for example completely filled out dental form with the approp… read more
socrateaser
socrateaser
1,031 satisfied customers
I had medical reispertory provider supply cpap machine wth
I had medical reispertory provider supply cpap machine wth blue cross blue shield was told it was pd by insurance no charges or bills to me /jan medical insurance chang of ed to aetna aprox 10 months … read more
INFOLAWYER
INFOLAWYER
Attorney
Doctoral Degree
22,408 satisfied customers
Please refer to my original statement a few minutes ago. The
Please refer to my original statement a few minutes ago. The doctor pointed out that it was a difficult intervention because there were two blocks and he had to decide where he would intervene. I rece… read more
MShore Law
MShore Law
Doctoral Degree
1,233 satisfied customers
Hello,My health insurance company challenged several claims
Hello, My health insurance company challenged several claims I submitted for reimbursement and asked that I refund overpayments to them in the amount of $2,161.36. Overpayments request are not valid a… read more
FraudExaminerNate
FraudExaminerNate
Managing Member
Juris Doctor
286 satisfied customers
Hi! My name is Judith (Judee) Wright. I am an international
Hi! My name is Judith (Judee) Wright. I am an international flight attendant with American Airlines (34 yrs). My permanent residence is Waco, Tx but I fly out of New York (JFK). A flight attendant can… read more
baezlawfirm
baezlawfirm
Attorney
Doctoral Degree
45 satisfied customers
I went to Airport Dental in Pensacola, Florida on 12/9/2010
I went to Airport Dental in Pensacola, Florida on 12/9/2010 and they performed an x-ray, cleaning, and came up with a "treatment plan." I talked to Mike, (Airport Dental treatment coordinator) and I t… read more
MShore Law
MShore Law
Doctoral Degree
1,233 satisfied customers
My daughter had her wisdom teeth pulled back in January 2008,
My daughter had her wisdom teeth pulled back in January 2008, at the time I thought my health insurance had covered it since they had preapproved her going to the oral surgeon. Only to find out that I… read more
dkennedy
dkennedy
Attorney
Juris Doctorate
27 satisfied customers
My husband and I filed for divorce 2 years ago, at which time
My husband and I filed for divorce 2 years ago, at which time I contacted Aetna PPO to verify that I would have a separate account and address. My husband (we are still in the process of a divorce) ha… read more
A.J.
A.J.
Attorney
Doctoral Degree
1,796 satisfied customers
My daughter purchased fuel at an ExxonMobil gas station in
My daughter purchased fuel at an ExxonMobil gas station in January 2009. She only buys gas at that station because we provide her with a gas card. We have a receipt for the purchase, and her car gets … read more
Sam
Sam
Attorney
Doctoral Degree
10,701 satisfied customers
We have a billing coding dispute. I sent 3 patient EOBs, by
We have a billing coding dispute. I sent 3 patient EOBs, by fax, to an attorney. How much trouble am I in. I didn't know that I needed to blank out their names since it is a dispute with our billing c… read more
Jane Doe Deer's Jobs
Jane Doe Deer's Jobs
Attorney
Post-Doctoral Degree
14 satisfied customers
Can I successful appeal a dental insurance claim denial
Due to tactical errors on behalf of my medical provider in filing an insurance claim, I missed the statute of limitations (15 months) for filing a claim. The claim was FINALLY successfully filed at 18… read more
Medicine&amp;Law
Medicine&Law
Nurse Practitioner
1,896 satisfied customers

DISCLAIMER: Answers from Experts on JustAnswer are not substitutes for the advice of an attorney. JustAnswer is a public forum and questions and responses are not private or confidential or protected by the attorney-client privilege. The Expert above is not your attorney, and the response above is not legal advice. You should not read this response to propose specific action or address specific circumstances, but only to give you a sense of general principles of law that might affect the situation you describe. Application of these general principles to particular circumstances must be done by a lawyer who has spoken with you in confidence, learned all relevant information, and explored various options. Before acting on these general principles, you should hire a lawyer licensed to practice law in the jurisdiction to which your question pertains.

The responses above are from individual Experts, not JustAnswer. The site and services are provided “as is”. To view the verified credential of an Expert, click on the “Verified” symbol in the Expert’s profile. This site is not for emergency questions which should be directed immediately by telephone or in-person to qualified professionals. Please carefully read the Terms of Service (last updated February 8, 2012).

DISCLAIMER: Answers from Experts on JustAnswer are not substitutes for the advice of an attorney. JustAnswer is a public forum and questions and responses are not private or confidential or protected by the attorney-client privilege. The Expert above is not your attorney, and the response above is not legal advice. You should not read this response to propose specific action or address specific circumstances, but only to give you a sense of general principles of law that might affect the situation you describe. Application of these general principles to particular circumstances must be done by a lawyer who has spoken with you in confidence, learned all relevant information, and explored various options. Before acting on these general principles, you should hire a lawyer licensed to practice law in the jurisdiction to which your question pertains.

The responses above are from individual Experts, not JustAnswer. The site and services are provided “as is”. To view the verified credential of an Expert, click on the “Verified” symbol in the Expert’s profile. This site is not for emergency questions which should be directed immediately by telephone or in-person to qualified professionals. Please carefully read the Terms of Service (last updated February 8, 2012).

Show MoreShow Less

Ask Your Question

x