Should you encounter any issues during your upload process, you're always welcome to fax your documentation to BASIC FSA (269.327.0716) or BASIC HRA (269.488.6255)
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What are you submitting?
Have you already filed this claim online through the participant portal?  ( This website is Not the participant portal. )
You must include a copy of the online claim confirmation or documentation request with your upload. Failure to provide this required information will result in your submission/documentation NOT being processed.
If you have any technical issues please visit Here
Before You Begin...
  • Do you have all the necessary documentation scanned in an image format ready for upload (TIFF, TIF, JPG, JPEG, PDF, BMP, PNG, GIF)? Please make sure you have the necessary documentation for all claims you are entering
  • Your receipt, service bill, explanation of benefits (EOB), or other documentation must include the following
    • Date of Service
    • Description of Service
    • Service Provider Name
    • $ Charge Amount
  • Please note that the best form of documentation is your EOB as it will always contain the above information