(Imagine what auto insurance would cost if you were able to file reimbursement claims every time you paid for gasoline or changed a tire).
Under the program, dealers give a credit to customers and then file for reimbursement.
Although her workers have filed few reimbursement claims, premiums were set to rise 16percentthis yearar, said Carolyn L. Goodwin, her broker in Dallas.
Students could pay for health services themselves and then file for reimbursement from their insurance companies, but Mr. Menter said only about one in eight claims is reimbursed for out-of-network providers.
When the outpatient oncology clinic studied its 2006 billings, it discovered that the paperwork on one in four patients had vanished before Grady could even file for reimbursement, said Dr. Otis W. Brawley, who left as chief of oncology last summer.
A Times report last Sunday found that Mr. Blair had filed for reimbursement for purchases he made in Washington, when the receipts showed the purchases were made in Brooklyn.
Fortunately, pharmacies can bill Medicare directly, under Part D, whereas physicians are reimbursed under Part B and therefore may require patients to pay for the vaccine themselves, then file for reimbursement.
Since 2003, most of them have been eligible expenses, making flexible spending accounts so popular that some plans issued debit cards that allowed users to make purchases without having to file for reimbursement later.
In 1997, the federal Department of Education, finding mismanagement of millions of dollars of student aid, required Texas Southern to pay the students first and then file for reimbursement, draining the university's coffers and leaving some students without money and forced to sleep in their cars.
The group, the School Nutrition Association, said in a letter to House Speaker John A. Boehner and Senate Majority Leader Harry Reid that the protracted government shutdown left many school administrators uncertain of their ability to sustain the meal programs after Nov. 1, when schools begin to file federal reimbursement claims for meals served through October.
