Claim Filing Requirements

Step one - Incur the expense

Federal rules stipulate that you cannot be reimbursed for future services through your FSA, so the first step in being reimbursed for your out-of-pocket medical and/or child care expenses is to have the services provided. Eligible expenses include things like:

Step two - Supporting documentation

In order to be reimbursed you are required to submit documentation that includes:

Your insurance Explanation of Benefit (EOB) will almost always provide all of the necessary information.

For Dependent Care FSA claims, you can simply have your provider sign the claim form, and no other documentation is required.

Step three - Submitting

Submit your claims to ASIFlex for processing and get your money back fast....sign up for direct deposit, and your money comes even quicker. You can submit your claim to ASIFlex by:

Step four - Receive your reimbursement

Sign up for Direct Deposit to insure that your funds are sent to you quickly. If you aren't signed up for direct deposit, you will receive a check in the mail.

You can always call ASIFlex directly at 1-800-659-3035 with any questions that you have.


About Us

ASIFlex is a Third Party Administrator of employee benefit programs, and has over 400 clients around the nation.

We are located in Columbia, Missouri.

Go Green

Click the Go Green link above to manage your account or Click Here to print the form, then mail or fax it in.

Contact ASIFlex

  • Phone: 1-800-659-3035
  • Email: [email protected] *For your security, please do not include any specific health information in an email.
  • Fax: 1-877-879-9038

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