Frequently Asked Questions

What supporting documentation do I need to submit with my completed claim when requesting reimbursement from my Medical FSA?

Acceptable supporting documentation for medical claims must include the following information:

  • Name of provider of the service/product
  • Date of service/date product was purchased
  • Type of service/product (drug name required for prescription claims)
  • Your out-of-pocket expense for the service/product (amount not covered or reimbursed elsewhere)
  • Name of employee or dependent for whom the service/product was provided.

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