For HRAs - we require the Explanation of Benefits from your insurance provider

For FSAs - we require the Explanation of Benefits from your insurance provider or a detailed statement or invoice from your provider that includes the following:

1. Date of Service
2. Patient Name
3. Provider Name
4. Amount due (after insurance, if applicable)
5. Services performed

For DCAP - we require a receipt with the dates of sevrice and the caregiver's EIN/SS#

For Parking & Transit - we require the parking or transit receipt with valid dates.  If parking in a facility that does not generate receipts, you must declare the dates you parked in facility.