What type of documentation is acceptable for reimbursement or substantiation?

Documentation for medical (MSA) expenses required by the IRS includes a third-party receipt containing the following information:

- Date(s) of service or purchase made
- Type(s) of service or name(s) of item(s) purchased
- Dollar amount(s) (after insurance, if applicable)

*For example: an Explanation of Benefits from your insurance company or itemized statements from the provider are excellent documentation.

Documentation for dependent care (DCA) expenses required by the IRS includes a third-party receipt containing the following information:

- Date(s) of service
- Dollar amount
- Name of day care provider

In the event the provider is unable to provide a receipt with this information, they may simply sign the Reimbursement Request Form or the confirmation page (if the claim was filed online).

Commonly submitted documentation that result in denials are:

- Statements only indicating a paid amount, balance forward or previous balance
- Credit card receipts only reflecting a payment
- Bills for dependent care/medical expenses where services have not yet been incurred

When submitting a receipt for a co-payment amount, please be sure the co-payment description is on the receipt. In some cases, you will need to ask for a receipt at the point of service. If "co-payment" is not clearly identified, have the provider write "co-payment" on the receipt and sign it.

« return