Most people have no idea what's eligible. The agent does. Paste your EOB — in 30 seconds it shows which expenses may qualify for pre-tax treatment. It watches your spend, routes what qualifies for physician review where a documented condition supports it, and organizes HSA, FSA, and HRA in one place. No HR department. No insurance expertise required.
You connect your accounts once. The agent watches your spend, drafts the LMNs, gets them signed, and prepares your pre-tax reimbursement for approval. You write code; we handle the paperwork.
Connects to your card + Plaid + Stripe + Apple/Google Pay. Categorizes every health-relevant transaction (clinical care, therapy, devices, services) and flags the ones that may qualify when tied to a documented condition.
Where your record already documents a relevant diagnosis, prepares a draft Letter of Medical Necessity under IRS §213(d) for clinical review. A licensed physician evaluates the request and decides. No documented condition means no letter — the agent will not build a case around a purchase.
If you don't have an HDHP yet, the agent identifies the best one for your state and prepares the enrollment and contribution plan — you review and approve. If you already have one, it just plugs in. Either way: max-out your annual HSA contribution ($4,400 individual / $8,750 family in 2026) with almost none of the manual tracking.
For each LMN-approved purchase, the agent prepares your HSA reimbursement — pre-tax — for one-click approval. End of year, exports a clean ledger for your CPA: every purchase, every LMN, every receipt, every dollar saved. Stripe-grade reporting.
Every LMN is hashcare-signed (cryptographic timestamp + physician signature + diagnosis basis). If the IRS ever asks, your audit packet is one click. Your evidence chain survives every probe — you don't have to.
Every LMN, every receipt, every reimbursement lives in your ComfortCard health identity wallet. Auditable. Portable. Yours forever — even if you cancel.
In March 2024 the IRS warned specifically that notes based on self-reported information do not convert food, wellness or exercise spending into medical care — and that real documentation requires a visit with the diagnosing and treating provider, in person or by telehealth. We agree with that, and we build to it.
Where the ground is genuinely solid is long-term care. Qualified long-term care services are already medical care under the statute when two conditions hold: the person is chronically ill, and the services follow a plan of care prescribed by a licensed practitioner. Nothing is being converted — the certification is what the law asks for.
The test we apply. Unable to perform at least two activities of daily living for 90 days or more without substantial assistance, or requiring substantial supervision due to severe cognitive impairment. Certified within the last twelve months, renewed annually.
What we decline. General fitness and wellness. Food and supplements for general health. Any request that arrives as “write me a letter so I can pay for this.” A review that never says no is not a review — so we publish that we decline, and we do it before you pay.
Check this first: HSA funds cover you, your spouse and your tax dependents. Paying for a parent usually means they must qualify as your dependent.
General information, not tax or legal advice. Eligibility depends on IRS rules, your plan terms and your circumstances.
ComfortCard is your health identity wallet. AgenticHSA is the engine that finds you eligible spend, drafts LMNs, and prepares pre-tax reimbursement for your approval. One membership. Two products. Zero paperwork.