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Once you have complete the form SIGN and DATE it. Retain copies of all documents for your records. Submit your claim to INNOVA via fax upload or mail. Faxing your claim will expedite reimbursement. If your expenses are not paid in full or are not covered you may then request reimbursement from your Healthcare Reimbursement Account. Qualified Dependent In general a child is a qualifying child if the child is a U.S. Citizen or national or a resident of the U.S. Canada or Mexico and 1 has the...
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