Filing your claims is easy! If you participate in a Health Care FSA or Limited Purpose FSA, you may use your PayFlex debit card where accepted.
If you do not use your debit card at the point of care, in order to receive a reimbursement for your Health Care FSA and Limited Purpose FSA, you will need to submit your claims online or through the mail. If you participate in a Dependent Day Care FSA you can submit for reimbursement by using a claim form.
Follow the instructions below to learn more.
PayFlex Card™ Claim Filing
When you participate in the Health Care FSA and Limited Purpose FSA, you will receive a PayFlex debit card to pay for your eligible expenses. To submit your claims via a claim form, you will need to log in to PayFlex.com and select “File a Claim.”
If you are required to substantiate your card transactions, you will need to provide documentation such as an Explanation of Benefits (EOB) or an itemized statement to verify that your purchases were eligible expenses and were processed through your insurance first. To do so, you must log in to PayFlex.com to see whether your card has any outstanding transactions requiring documentation. If you have an outstanding transaction, select the transaction for which you need to provide an EOB or itemized receipt. Then, select Fax My Receipts or Upload My Receipts. In order to upload, you must submit the document in PDF Format.
Once PayFlex has reviewed and accepted your documentation, your transaction(s) will be removed from the alerts on
My Dashboard. Please allow at least 48 hours for this to occur.
Online Claim Filing
You can file your claim online. Log in to your member web portal and under “Quick Links” select “File a Claim.” Follow the four quick steps on the site to file your claim.
Paper Claim Filing
If you prefer to file your claim by mail, follow these steps. Claim forms are available on your member web portal.
- Click on “My Resources” and then click on “Administrative Form — Reimbursement Account Forms.”
- Fill out and print the correct claim form for your account and expense type.
- Complete all sections.
- Sign and date the claim form.
Note: If you send in an incomplete or unsigned form that will delay your payment.
- Include the supporting documentation noted in the form for all expenses on the claim form.
- Mail or fax entire submission to the address or fax number listed on the claim form.
Keep a copy of your entire claim submission. PayFlex will not return any of this paperwork to you. You may need to refer to this information.
How to Use Your PayFlex Debit Card
Your Flexible Spending Account (FSA) includes the PayFlex Card®. You can use it to pay for your eligible expenses at qualified merchants where MasterCard® is accepted. This includes doctor offices, hospitals, pharmacies (including mail-order prescriptions), hearing and vision care centers, and discount and grocery stores.
Note: You do not need to pay at the time of your visit unless you’re only paying for a copay. Wait until your insurance provider pays their portion and sends you an itemized statement or Explanation of Benefits (EOB) showing the amount you owe, then use your card for the payment. Remember to save your receipts because PayFlex might ask you to verify your card purchase was for an eligible expense. Remember, you can check your account balance and card payments at the Financial Center on the PayFlex member website or PayFlex Mobile® app. Note: Standard text messaging and other rates from your wireless carrier may apply.