2026-2027 Benefits Guide

Reimbursement Process for FSA and HRA When you incur an eligible expense for you or your dependents, you may receive an email request to upload the Explanation of Benefits and/or receipts to your Proficient Portal or the Proficient One app. Claims are processed on a weekly basis and reimbursements are issued up to the available balance of your FSA and/or your Health Reimbursement Account. Monies will be reimbursed first from an employee’s FSA account then from the HRA account. To receive reimbursements for a covered expense under your health or dental coverage you must submit an itemized receipt or Explanation of Benefits (EOB) issued from the health and/or dental insurance plan. For all eligible expenses, you must submit documentation showing the following information: • Provider Name and Address

• Patient Name • Date of Service • Description of service or supply • Amount of service or supply NOTE - A “paid receipt” is not proper documentation.

While Proficient attempts to verify expenses automatically, there are times they cannot. The IRS requires proof that the paid amount is for a qualified expense, therefore you will be asked to verify the qualified expense(s) by submitting an explanation of benefits (EOB) or receipt of payment with service details and date of service. A reimbursement claim form can also be submitted. Since Proficient does not process checks, you will be required to submit your direct deposit information when you create your Proficient One account. Claims received by Proficient will be processed and any expenses eligible for reimbursement will be direct deposited into your personal banking account. Proficient MasterCard Employees will receive a MasterCard from Proficient to use when paying for eligible expense sand co-pays at the time of service. Register for Proficient One Through this online system, you can submit claims, add receipts, view your account details, access forms, and get answers to frequently asked questions anytime from anywhere. To create your Proficient Connect account, go to www.proficientbenefits. Select Register. During the registration process, enter your SSN int the Employee ID box. Download the Proficient One App You can also download the Proficient Connect App from the App Store or Google Play. The app makes it convenient to keep track of your reimbursements and makes it easy to submit EOB’s. Simply take a photo or a screenshot and upload it directly to the app!

25

Made with FlippingBook - Online magazine maker