Get the free Flex Claim Form - Flexmagic Consulting, Inc.
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Return this Claim Form and documentation to: TPA Claims Dept., FlexMagic Consulting, Inc., 6450 S. Quebec St. #5-28, Centennial, CO 80111 / Fax to: 303-649-1925 or 800-889-6260 / E-mail to: claims
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What is flex claim form?
Flex claim form is a form used to submit claims for reimbursement of eligible expenses under a flexible spending account (FSA).
Who is required to file flex claim form?
Employees who participate in a flexible spending account (FSA) are required to file flex claim form to request reimbursement for eligible expenses.
How to fill out flex claim form?
Flex claim form can be filled out by providing necessary information such as employee's name, account number, date of service, description of expense, and amount requested for reimbursement.
What is the purpose of flex claim form?
The purpose of flex claim form is to request reimbursement for eligible expenses paid for out-of-pocket by the participant of a flexible spending account (FSA).
What information must be reported on flex claim form?
Information that must be reported on flex claim form includes employee's name, account number, date of service, description of expense, and amount requested for reimbursement.
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