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Remember to Fax all claims to: 1.253.793.3766.
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Sending Claims
How do I send in a claim for reimbursement?
Here is the Reimbursement Request Form you need to use to send us a claim:
Click Here for FSA Reimbursement Request Form - Please print, complete and sign.
Each reimbursement request must be submitted with a completed, signed and dated reimbursement form and must include backup documentation that follows the IRS guidelines found on the second page of the reimbursement form. Be sure that supporting documentation includes: Date of Service, Description of Service and Total Cost of Service.
How to send in the Reimbursement Form:
Please fax completed FSA Reimbursement Request Forms to: 1.253.793.3766 or email to FSA Claims Administrator by clicking here.
Note: All reimbursement request forms received by 5:00PM CST on Wednesday are processed on Friday of the same week. You can email reimbursement forms by clicking here but we must also receive documentation that follows the IRS guidelines before we can process the claim for payment.
If you have any questions or problems, please call the Benefit Express Service Center at: 1.877.837.5017 or email us at HELP@mybenefitexpress.com - Thank you.
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Helpful Links
FSA Reimbursement Request Form
Fax 1.253.793.3766
Get Your Reimbursement Faster! Use Direct Deposit.