From 5-minute intake to reimbursement check.
DoctorNoted does one thing: makes it dead simple to get a Letter of Medical Necessity from your own primary care doctor. Here's exactly how the process works, end to end.
Tell us about your condition (5 minutes)
You complete a structured health intake covering your diagnosed condition(s), current treatment, exercise history, and any medications. We turn your answers into a clean clinical summary — written in the language your doctor expects.
- Structured questions, not free text
- ICD-10 code selection guided by symptoms
- Medications, lab values, prior treatments
- What you're hoping to expense (gym, training, equipment)
We prepare your packet
Within an hour of submission, our compliance team prepares and reviews three documents: a one-page clinical summary, a draft Letter of Medical Necessity formatted for your physician's review, and a patient portal message you can copy-paste into your doctor's office portal.
- Clinical summary (PCP-friendly format)
- Draft Letter of Medical Necessity (signature-ready)
- Patient portal message template
- Receipt template formatted for FSA/HSA admins
Send to your own doctor
You log into your existing patient portal (MyChart, Athena, FollowMyHealth, etc.) and send the message with the attached draft letter. Your doctor reviews — typically takes them under a minute — and signs.
- Works with any patient portal
- Average doctor turnaround: 3–7 days
- Fully editable — your doctor adjusts as needed
Submit for reimbursement
Once you have the signed letter, you pay for your gym, training, or equipment as usual, save the receipts, then submit them with the letter to your FSA/HSA administrator. Most reimbursements process in 7–14 days.
- Works with HealthEquity, Optum, Lively, Fidelity, WageWorks, Inspira, and others
- Typical reimbursement: $1,500–$3,000/year
- Letter is valid for 12 months — renewable annually
- Premium and Pro tiers include denial appeal support
What we don't do
Important context for what DoctorNoted is and isn't.
- ✕We don't diagnose conditions. Your physician retains all clinical authority. We only document conditions they've already diagnosed.
- ✕We don't sign the letter. Your own primary care physician does. We just prepare the draft and make their part effortless.
- ✕We don't determine medical necessity. Whether exercise is medically necessary for your condition is between you and your doctor.
- ✕We don't guarantee reimbursement. Approval is up to your FSA/HSA administrator. We design every part of the packet to maximize approval, but final say isn't ours.