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How do I submit an HRA claim to Flex Administrators for reimbursement?

    1. Patient name
    2. Date of service
    3. Description of service
    4. Provider name and address
    5. Amount of the expense that you are responsible for

For prescription reimbursement, a cash register receipt is acceptable.

Can I use one reimbursement form for HRA & FSA plans?

Yes, you can use one reimbursement form when submitting a claim for both HRA and FSA eligible items. Your account manager with Flex Administrators, Inc. knows your benefit order and will process the payment accordingly.

FSA  Section 125
FSA • SECTION 125
Flexible Spending
Accounts
HRA  Section 105
HRA • SECTION 105
Health Reimbursement Arrangements
HSA  Section 105
HSA • SECTION 223
Health Savings Accounts
Section 213
SECTION 213
Reimbursable / Unreimbursable Expenses
Cobra Administration
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