Healthcare Spending Account (HCSA) top-up in the Ellement app

Web

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Find the approved claim

1. Go to the History tab and search for the claim by Date of Service, Claim Type or Patient.
2. Click on the approved claim you want to submit the unpaid balance through the Healthcare Spending Account (HCSA).
3. Claim details show the breakdown of the original claim's approval and any remaining unpaid balance.

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Submit an unpaid balance to the Health Spending Account (HCSA)

1. Click Submit unpaid balance to HCSA at the claim's bottom.
2. The claim details will already be populated, and the unpaid balance eligible for reimbursement will be listed.
3. If you or your spouse have additional coverage (secondary insurance), the claim must first be submitted for payment through that insurance for consideration. Check the box to indicate if another insurance has paid and enter the paid amount.
4. Click Next and add the statement from your additional coverage. If no other insurance has paid for this service, no receipts or supporting documents are required.
5. Click Next to complete the submission.

Note: Review your request to make sure all information is correct.

6. Click Submit to submit your claim to the Health Spending Account.
7. Review the acknowledgments and select I agree.
8. Once you submit your claim for review, you can check your claim status on the dashboard under Recent Claims or History.

Mobile

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Find the original approved claim

1. Go to Recent Claims and search for the claim by date of service, claim type and patient.
2. Tap on the claim for which you want to submit the unpaid balance through the Healthcare Spending Account.
3. Claim details show the breakdown of the original claim's approval and any remaining unpaid balance.

‍

Submit unpaid balance

1. Tap Submit Unpaid Balance to HCSA at the bottom of the claim.
2. Claim details will already be populated, and the unpaid balance eligible for reimbursement will be listed.
3. If you or your spouse have additional coverage (secondary insurance), the claim must be submitted for payment through that insurance plan before being eligible for compensation through the HCSA.
4. Check the box to indicate another insurance has made a payment, and enter the paid amount.
5. Tap Next and add the statement from your additional coverage.
6. If no other insurance has paid for this service, no receipts or supporting documents are required.
7. Tap Submit to send your claim to the Healthcare Spending Account.
8. Read the acknowledgements and tap I agree.
9. Once you submit your claim for review, a pop-up will appear at the bottom of your screen. Tap See Details to view the claim details.