Acumen Fiscal Agent Information Site

FORMAL DEMAND FOR PAYMENT OF EARNED WAGES

Date: January 12, 2026

From:
[REDACTED – Caregiver Identifying Information]

Via Certified Mail – Return Receipt Requested

To:
Acumen Fiscal Agent
Attn: Accounts Payable and Legal Department

Recipients / Addresses:
Corporate Headquarters – Mesa, Arizona
Texas Program Office – Richardson, Texas
Texas Physical Office – Allen, Texas

Identifying Information:
Caregiver / Employee: [REDACTED]
Care Recipient / Employer: [REDACTED]
Acumen Reference IDs: [REDACTED]
Service Period at Issue: December 2024 through present

RE: Formal Demand for Payment of Unpaid Wages – Authorized Caregiver Services

This letter formally demands payment of earned but unpaid wages for authorized caregiver services performed under administration by Acumen Fiscal Agent.

The caregiver served continuously as a live-in caregiver since approximately 2017 and was paid regularly through Acumen for many years without issue. Authorized hours consistently ranged between approximately 37 and 40 hours per week, with approved hourly rates reflected in Acumen’s records.

Unpaid Wages

Despite continuing to perform authorized services, no payment was made for work performed from December 2024 through the present, resulting in estimated unpaid wages of approximately $30,000.

System Access Failures Do Not Excuse Non-Payment

Beginning in or around November 2024, persistent access failures were experienced with Acumen’s timekeeping system. These issues were reported repeatedly, and assistance was requested in good faith.

A fiscal intermediary’s system access or usability failures do not justify withholding payment for authorized services that were actually performed, particularly where the intermediary controls the system, support, and approval process.

Prior Representations and Reversals

Representatives of Acumen made multiple representations that payment would be issued for the unpaid period, including instructions to re-enter time retroactively, followed by later reversals indicating payment would be limited or denied.

Confirmation of Payor Funding

A representative of UnitedHealthcare verbally confirmed that program funds covering the services at issue were paid to Acumen Fiscal Agent. Despite receipt of those funds, payment was not remitted to the caregiver who performed the authorized services.

Formal Demand

Full payment of all unpaid wages for services performed from December 2024 through the present is demanded within seven (7) business days of receipt of the original letter, without further conditions related to retroactive system access barriers or re-entry requirements.

Notice of Escalation

If the matter is not fully resolved, all available remedies may be pursued, including wage- payment claims, program compliance review, and escalation to appropriate regulatory and legal authorities.

This matter was presented with the preference that it be resolved promptly and without further escalation.

Sincerely,
[REDACTED]

Certified Mail Delivery Confirmations

• Delivery records for demand letters sent to multiple offices
• Includes accepted and refused delivery attempts

Account Statements (Redacted)

• Statements reflecting authorized services and utilization entries
• Referenced service periods shown

BBB Complaint Records

• Complaint acknowledgment and communications
• BBB complaint identification number documentation