Completing the Card Use Verification Form Now that you know how you are going to resolve your transaction(s), it’s simple to complete the form. Check the box. The Card Use Verification form is available on the WageWorks Web site when you log into your account. A link titled ‘Submit Receipts for Health Care Card Use’ . is new for and enables merchants to verify eligible purchases at the register When you use your Card for an eligible item or service, the money is taken Use another form of payment and submit receipts for reimbursement via Pay.
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You still will be able to use the Card to purchase certain medical items, such as band-aids, at qualified merchants. Your Health Care FSA may be used to reimburse eligible expenses incurred by yourself, your spouse, your qualifying child or your qualifying relative. If you have lost or misplaced the receipt, you can submit a substitute receipt of equivalent value or repay your account. Substitute documentation may be for the same amount as the original transaction usf it could add up to the amount of the original transaction.
Log on to your account at www.
Even when your Card is approved, a detailed receipt may still be requested; you will be notified by email and when you log into your account when a Card transaction is in need of verification. Let’s begin by completing the form. Follow the step-by-step instructions provided to upload and submit your claim. If documentation for the actual transaction is not available, you may submit substitute documentation for any eligible purchase that was not made with your WageWorks Health Care Card or filed as a Pay Me Back claim.
Wageworos not included, a copy of the prescription must accompany the receipt instead. If you use the Card at a health care provider or at a pharmacy that does not have an IIAS system, WageWorks will likely require that you submit a receipt or your health insurance explanation of benefits EOB to verify that the transaction was for an eligible health ude expense or dageworks.
You will be responsible for any charges until you report the lost Card. Please keep the following vfrification in mind when sending a fax. When you pay for an eligible health care or dependent care expense, you want to put your FSA account to work right away.
First, the patient name, this may be excluded for over the counter items. Please make sure to include all documentation with your Card Use Verification Form. For more information on eligible expenses go to: Submit these fform, along with a claim form to WageWorks. In order for the receipt or any documentation to be valid, it must include the five specific pieces of information required by the IRS:.
If documentation for the actual transaction is not available, you may submit substitute documentation for any eligible purchase. Most claims are processed within one to two business days after they are received, and payments are sent shortly thereafter. If WageWorks is unable to determine that your Card was used to pay for eligible health care products caed services, you will need to take the following action to verify the transaction:.
In most instances, your Card transaction will be verified at checkout, which means you will not have to submit a receipt to WageWorks after the transaction.
Third, the date of service or the purchase. You can choose from two accounts: Attach supporting documentation to your claim by using the upload utility. You have 90 days from the date of the transaction to take care of any outstanding unverified purchases.
Unlike a Medical Expense FSA, the entire maximum annual amount is not available during the plan year, but rather after your payroll deductions are received. If you lose your Card, please call WageWorks immediately to report your missing Card and order a new one. Not only are your Medical Expense FSA funds available to you in one lump sum at the beginning of your plan year, but your FSA funds are deducted before federal and state taxes are calculated on your paycheck.
You have the option to fax, email or mail in the Card Use Verification Form. Use your WageWorks Health Care Card instead of cash or credit at health care providers and pharmacies for eligible services, goods and prescriptions. If you do not take action within 90 days:.
Dates of Service — Service start and end date for services provided. If you do not take action within 90 days: Scan receipts, EOBs and other supporting documentation. I want to learn more about With either FSA, you benefit from having less taxable income in each of your paychecks, which means more spendable income to use toward your eligible medical and dependent care expenses. Failure to do so will result in your Card being suspended.
While many of your Card transactions will be verified at checkout, you still will need to hold on to your receipts for tax purposes and in case we need to verify the transaction for any reason. A Flexible Spending Account FSA is an account you set up to pre-fund your anticipated, eligible medical services, medical supplies and dependent care expenses that are normally not covered by your insurance.
The form does not need to be signed or dated.
WageWorks Web Tutorial: WageWorks Card Use Verification Form
How to Verify a Card Transaction If WageWorks is unable to determine that your Card was used to pay for eligible health care products and services, you will need to take the following action to verify the transaction: Within five business days, WageWorks will process your request and mail your reimbursement check to you or direct deposit your funds into the account of your choice.
Only the custodial parent of divorced or legally-separated parents can be reimbursed using the Dependent Care FSA. To pay a provider: The Card Use Verification form should be the first sheet of your fax, please don’t use a cover-page.
Now, let’s discuss the types of documentation that may be sent in to take care of Card Use Verification Requests.
For each transaction that’s listed, be sure you mark whether you’re sending the actual documentation. For yse list of qualified merchants, please visit www.
Examples of how to use your FSA: