Filing a FSA ClaimWhen filing your claim form, you must attach copies of detailed provider statements or an Explanation of Benefits (EOB) from your insurance provider. The documentation must show the date of service, a description of the service, the patient name, and the dollar amount of the expense. Canceled checks, credit card slips, or statements showing only a balance due on your account are not acceptable. If you mail your claim form with the proper documentation, remember to keep a copy of the claim form and supporting documents for your records. If you fax your claim form with receipts, please remember to keep the original claim form and supporting documents for your records. Do not mail and fax the same claim. Please forward your claim to us using one method.
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Please submit claims to:Benefit Plans Plus -- Illinois 618.654.4624 fax |