Documentation for Health FSA Reimbursements

When submitting a Health Flexible Spending Account (FSA) reimbursement request, it’s important to understand that a credit card receipt alone is not sufficient documentation for approval. While a receipt may show the date, merchant name, and amount paid, it does not provide the necessary details to verify that the purchase was for an eligible medical expense. The IRS requires itemized documentation, such as an Explanation of Benefits (EOB) or a detailed provider invoice, that specifies the type of service or product, the patient’s name, and proof that the expense was medically necessary. Without this information, a credit card receipt does not meet compliance requirements, and the reimbursement request may be denied.

What Documentation Is Required Instead?* *

You must submit one of the following types of documentation that meet IRS requirements:

1. For Medical Services: An itemized statement or an Explanation of Benefits (EOB) that includes:

2. Patient name

3. Provider name

4. Date of service

5. Description of service (or procedure code)

6. Amount paid

7. For Prescriptions: A receipt or pharmacy statement showing:

8. Patient name

9. Pharmacy name

10. Fill date

11. Prescription number

12. Amount paid

13. For Medical Items or Over-the-Counter (OTC) Purchases: A receipt with:

14. Merchant name

15. Date of purchase

16. Description of the item (specific product name)

17. Amount paid

If you offer an FSA administered by BAS and a participant is unsure whether documentation is sufficient, have them contact Customer Service at

1. Email: service@myenroll.com
2. Phone: 1-800-945-5513