Case Study 2

Claim Summary:

An HSA Member with a chronic condition had an issue with prescription refill authorization. His medication was costing him $450/month.


  • Obtained copy of member’s records and submitted documentation to carrier for urgent review on terms of medical necessity.
  • Received approval from Medical Board and Medical Director
  • Resubmitted all previous prescription claims
  • Member met his deductible with submitted claim and received reimbursement

Money Saved:  $5,400