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How To File A Claim

File FSA claims on the mobile app or online. It’s easy, secure, and you will receive the fastest service and reimbursement of your claims. Submit a Claim Using the Chard Snyder Mobile App Submit your claim using a mobile device 1. Log in to your Chard Snyder account using the mobile app 2. Choose Reimburse Myself under the I Want To section 3. Enter requested details regarding the claim 4. Click Upload Receipt (Device camera will take a picture of your receipt. Make sure the picture is clear and the writing is legible.) 5. Click the Submit button Submit a Claim Online Save postage and time by filing your claim online 1. Log in to your Chard Snyder online account 2. Click File Claim/Reimburse Self in the I Want To section or click the Accounts tab and choose File Claim/Reimburse Self from the drop-down menu 3. Choose the account that you would like to use and where you would like payment to go (to your via check or to an account you have set up for direct deposit). Click Next to continue. 4. Click Upload Valid Documentation to attach your receipt(s) to your claim. Be sure to upload the correct receipt file, as attaching the wrong file will delay your payment. Click Next to continue. 5. Enter requested details regarding the claim. Click Next to continue. 6. Review details of the claim 7. Read Terms & Conditions then click that you have done so 8. Click Save for Later, Add Another or Submit After you click Submit , a confirmation screen will show a list of all claims that you just submitted. Submit a Paper Claim Form Submit paper claims for services you have received or purchases you have made 1. Complete the Flexible Spending Account (FSA) Claim Reimbursement Form available under Tools & Support on your Chard Snyder online account 2. Make a copy of your completed claim form and send it with a copy of your receipt or EOB 3. Fax: 513-459-9947 or 888-245-8452 4. Mail: Chard Snyder, P.O. Box 2924, Fargo, ND 58108-2924

Very Important: Proof of Your Expense • Date of service (must be during the plan year) • Provider’s name • N ame of person receiving the service • A mount you must pay after insurance has paid their portion • D escription of service or product purchased The following may not be used to verify an expense: • Canceled checks • Handwritten receipts • Your card transaction receipts • Previous balance receipts If you don’t have a receipt, contact the provider or your insurance company and request a copy of the receipt or Explanation of Benefits from their files.

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