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  1. To help avoid claim processing delays, you must sign, date and complete this form. You must also include supporting documentation. WAIT! Did you know that you can file a claim online or by using the PayFlex Mobile ® app? Log in to your member website or mobile app to get started. You can also find instructions online for completing this form.

    • ) Claim Form

      request, all you’ll need to do is resend this claim form...

  2. docs.payflex.com › custom_site › pf-48w_HRA_RRA Claim Form) Claim Form - Inspira Financial

    request, all you’ll need to do is resend this claim form monthly to receive your reimbursement. For lost documents, you can contact the Social Security Administration at 1-800-772-1213 (TTY 1-800-325-0778).

  3. Did you know that you can file a claim online or by using the PayFlex Mobile® app? To get started, log in to the mobile app or your member website which may also be accessible via Aetna Navigator®. You can also find instructions online for completing this form. Member Identification Number (Employer/Member assigned number or W ID)

  4. You have 24-hour access to your HealthHub HRA right here at HealthHub.com. You can see your account balance, claim history, employer contributions, card transactions and more. You can even submit claims and have the money directly deposited into your checking or savings account.

  5. WAIT! Did you know that you can file a claim online or by using the PayFlex Mobile ® app? To get started, log in to the PayFlex Mobile app or your PayFlex member website. You can also find instructions online for completing this form. Member Identification Number (Social Security Number) Member Full Name (Last Name, First, MI)

  6. Login to the PayFlex member website and under Quick Links select File a Spending Account Claim. You’ll just need to follow the four steps to quickly file your claim. Paper Claim Filing: If you prefer to file your claim manually, follow these steps. Claim forms are available on your member website.

  7. demo-healthhub.payflex.com › info › what_is_HealthHubHealthHub® - Inspira Financial

    HealthHub® connects you to a growing collection of retailers to make online shopping fast and easy. Powered by PayFlex, HealthHub is a dynamic, new resource created to help you manage your healthcare, educate you on important health issues, and strive for mental, physical and financial wellness.

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