How to Submit Documentation or File a Claim

Welcome to our comprehensive guide to providing documentation and filing claims for Flexible Spending Accounts (FSAs) and Health Reimbursement Arrangements (HRAs). This documentation guide discusses how these tax-advantaged accounts are designed to help you save money on eligible medical expenses. 

Contents:

  1. How to submit documentation online
  2. How to submit documentation on the app
  3. Receipt/documentation requirements
  4. How to file a claim online
  5. How to file a claim on the app
  6. What to expect after you file a claim
  7. How to track your claim
  8. How long does it typically take to get reimbursed?
  9. What is an EOB?

 

SUBMIT HSA AND FSA DOCUMENTATION Online:

  • On the Clarity Portal, choose the  Access Your Clarity Employee Benefits tile
  • Select My Accounts
  • Select Transactions
  • Next to Which transactions do you want to see? Select Pending/Processing
  • Select ADD RECEIPT to upload the Explanation of Benefits / detailed receipt
  • Select Submit
  • Select Next
  • Check the certification box and Submit your FSA or HSA claim 

 

SUBMIT HSA AND FSA DOCUMENTATION on the app:

  • Locate the Opportunity Notification
  • Select Add a Receipt 
  • Take a photo or upload one from your gallery.
  • Select Submit

 

Receipt Requirements

Reimbursements from an FSA or HRA can only be paid to reimburse you for a qualified medical expense incurred during your period-of-coverage. These reimbursements require a detailed receipt or invoice detailing the eligible expenses incurred. 

Credit card receipts from healthcare providers and canceled checks typically do not include all the required information. We suggest requesting an itemized receipt from your provider that properly describes the services provided before submitting a reimbursement request. 

Receipts from card transactions printed by retail point-of-sale machines may meet FSA receipt requirements if the item description is reasonably clear and readable. 
Many people also prefer to shop online as invoices and purchase histories on their online accounts generally provide clearer item descriptions for eligible items purchased. Many items like over-the-counter (OTC) medicine and feminine hygiene products are FSA eligible and can be purchased from any store, pharmacy, or online retailer.

The receipt requirements vary slightly depending on the type of plan you have and the type of expense for which reimbursement is being sought. You should retain documentation for all expenses that they plan to submit to their FSA.

Receipts for eligible medical expenses typically need to have these five key pieces of information to be processed for reimbursement:

  1. Service Type
  2. Service Start/End Date
  3. Claimant
  4. Claim Amount
  5. Who to Pay
  6. Provider Name
  7. Account Number

 

File an FSA and HSA Claim Online:

 

File a Claim on the App

  • In the Clarity Mobile app, select Add Expense at the bottom of the homepage and click Start Here
  • Enter your claim information (Service Start and End Date, select Service Type, Claim Amount)
  • Select ADD to upload a detailed receipt (receipt can be picture uploaded from a smartphone) 
  • Check the certification box and Submit your claim 

 

What to Expect After You File a Claim

Clarity will process non-HSA claims within 2-3 business days.

 

How to Track Your FSA and HSA Claim

Participants can view their transaction history via the Clarity portal or mobile app to confirm whether the claim was approved or denied.

 

How Long Does it Take to Get Reimbursed?

Reimbursement timing can vary based on when the claim was submitted and approved, the employer's reimbursement schedule, and the whether the participant's reimbursement method is by check or direct deposit.

For non-HSA claims, regardless of the weekly or biweekly reimbursement schedule, checks are cut on Tuesday, and we advise participants to allow 7-10 business days for checks to be received.

Additionally, for non-HSA claims, regardless of weekly or biweekly reimbursement schedule, direct deposits are issued on Tuesday, and we advise participants to allow 1-3 business days for the funds to be available in their bank account.

HSA accounts do not follow reimbursement schedules. Participants are allowed to schedule the reimbursement date when they submit HSA claims. Once prepared, the check can take 7-10 business days to be issued, and direct deposit can take up to 1-3 business days.

 

What is an EOB or Explanation of Benefits

If you have an HRA, you may be required to provide an EOB. An EOB is sent to you from your insurance provider, typically along with your billing statement. It is not a bill; rather, it is a document that explains how your insurance processed the claim for the services you received.
It breaks down the information like this:

  • The services provided
  • What the doctor or hospital charged (all charges)
  • What your insurance cover and did not cover
  • What your insurance agreed to pay
  • The amount you must pay (the amount you are responsible for)

 

Information Your EOB Contains

While all benefit statements look a little different, they will all contain the same basic types of information:

  1. Account Summary - The summary lists your account information with details like the patient’s name, date/s, and claim number.
  2. Claim Details - Claim details are a list of the dates you were provided the service and a description of the service.
  3. Amounts - a. charged by the facility or provider; b. the amount your insurance has agreed to pay per their contract with the provider/facility; and c. the difference or discount between what the facility or provider charged and what your insurance paid. (This may also be referred to as an “Adjustment”, “Contracted Agreement”, or “Allowed Amount.”)

 

Most of the time, there will also be a section describing any:

  • Copays: a fixed amount you pay for a health care service covered by your insurance. It is typically due before we provide service. Copays are different for different services in the same plan. You may pay a different copay for your primary care than for a specialty service. Emergency care copays are also higher than other copay amounts.
  • Coinsurances: the amount you may be required to pay towards the claim, apart from any copayments or deductibles.
  • Deductibles that have been applied according to your health plan. This is the amount you pay for health care services before your insurance starts to pay anything.