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O. Box 1853 Alpharetta GA 30023-1853 Questions and Information Call 866 402-1980 or visit www. pennbenefits. Pennbenefits. upenn.edu. Resubmitting an FSA Claim When Additional Information is Requested On occasion you may be asked to resubmit a claim because information you provided was insufficient. Fax 866-392-4090 toll-free or 678-762-5900 OR Mail ADP Claims Processing P. O. Box 1853 Alpharetta GA 30023-1853. Pennbenefits. upenn.edu. Preparing Your FSA Health Care Claim Form Please do not...
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Submitting your FSA health means submitting your claims for reimbursement from your Flexible Spending Account for health-related expenses.
Employees who have signed up for a Flexible Spending Account for health expenses are required to file for reimbursement by submitting their FSA health claims.
To fill out submitting your FSA health claims, you need to gather all receipts for health-related expenses, complete the reimbursement form provided by your FSA administrator, and submit it along with the receipts for processing.
The purpose of submitting your FSA health claims is to receive reimbursement for eligible health-related expenses incurred during the plan year.
When submitting your FSA health claims, you must report the date of service, type of service, provider name, and amount paid for each health-related expense.
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