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- To claim benefits from Diversified Benefit Services, follow these steps:
- Download a claim form from their website under “Participant Resources > Forms”.
- Complete the form and attach copies of your documentation.
- Mail the form to Diversified Benefit Services at P.O. Box 260, Hartland, WI 53029, or fax it to 262-367-59381.Alternatively, you can file a claim online by logging into your account at www.dbsbenefits.com, or complete the FSA claim form and mail or fax it to Diversified Benefit Services2.
Learn more:✕This summary was generated using AI based on multiple online sources. To view the original source information, use the "Learn more" links.Download a claim form by going to “Participant Resources > Forms” Complete the form and attach copies of your documentation Mail to Diversified Benefit Services, P.O. Box 260, Hartland, WI 53029 Or fax to 262-367-5938www.dbsbenefits.com/participant-resources/mail-fax/Flexible Spending Account (FSA) Claim Form Online: File a claim online by logging into your account at www.dbsbenefits.com Fax/Mail: Complete form below and mail or fax to: Diversified Benefit Services, Inc. PO Box 260, Hartland, WI 53029 Fax (262)367-5938 For assistance please call (800) 234-1229.www.dbsbenefits.com/wp-content/uploads/2016/10/… - People also ask
Diversified Benefit Services Forms | FSA HRA Benefits Form
WEBHIPAA Authorization Form. Easily download benefit plans resources you need from the Diversified Benefit Services online forms. Explore participant resources like FSA claim …
Flexible Spending Accoun…
Claim Filing Options Online: File a claim online by logging into your account at …
Health Reimbursement Ar…
Claim Filing Options Online: File a claim online by logging into your account at …
How to File a Claim | Dive…
DBS believes filing claims should be easy and secure. Simply select your preferred …
Claims Filing - Diversified …
quick way to see claim information and get reimbursed from your Health Care FSA …
Flexible Spending Accoun…
Learn the answers to your questions about DBS flexible spending accounts (FSA). …
Mail Fax Claim Form | Div…
Download a claim form by going to “Participant Resources > Forms”. …
See results only from dbsbenefits.comWEBClaim Filing Options Online: File a claim online by logging into your account at www.dbsbenefits.com Fax/Mail: Complete form below and mail or fax to: Diversified …
- File Size: 133KB
- Page Count: 1
WEBClaim Filing Options Online: File a claim online by logging into your account at www.dbsbenefits.com Fax/Mail: Complete form below and mail or fax to: Diversified …
How to File a Claim | Diversified Benefit Services Resources
WEBDBS believes filing claims should be easy and secure. Simply select your preferred filing method and follow the instructions: Learn how to claim a health benefits claim with …
WEBquick way to see claim information and get reimbursed from your Health Care FSA (HCFSA), Dependent Care FSA (DCFSA), Limited Purpose FSA (LPFSA), or Health …
- File Size: 379KB
- Page Count: 1
Flexible Spending Accounts (FSA)| Diversified Benefit Services
WEBLearn the answers to your questions about DBS flexible spending accounts (FSA). Our experts explain what an FSA is, how to enroll, how to file a claim and more.
Mail Fax Claim Form | Diversified Benefit Services
WEBDownload a claim form by going to “Participant Resources > Forms”. Complete the form and attach copies of your documentation. Mail to Diversified Benefit Services, P.O. Box …
WEBFlexible Spending Account (FSA) Claim Form. Online: File a claim online by logging into your account at www.dbsbenefits.com. Fax/Mail: Complete form below and mail or fax …
WEB• File claim online: Join the growing majority of participants who submit their claim online for faster service. Log in to your account at www.FSAFEDS.com to file your claim …
WEBbenefit plan. I will also provide documenta-tion necessary to support the amounts being requested for reimbursement. Mail or fax this form with documentation to: Diversified …
WEBA Flexible Spending Account (FSA) is an excellent benefit program that can save you money! FSAs allow you to pay for medical, dental, vision and dependent care type …
Plan Members | Diversified Group TPA | Employee Benefit Plans
WEBWhen you login to the Member Portal, you’ll find 24-hour secure access to all your benefits information. View paid claims and eligibility status, find claim forms, locate a …
Login - Diversified Benefit Services
WEBEnter your employer PIN below. PIN numbers are available through your employer or by contacting Diversified Benefit Services, Inc.
My Benefits Portal & App | Employee Health Plans | Diversified …
WEBUse the menu or a Quick Link to download forms, view claims, EOBs, plan documents and more – all in one place. And, rest assured, without signing in with your Username and …
WEBDependent Care Reimbursement Account Claim Form. (Do not fax or mail this instruction page.) In general, and subject to the rules of your employer’s plan, the following rules …
www.diversifiedbenefitservices.com
WEBwww.diversifiedbenefitservices.com
‎Diversified Benefit Services on the App Store
WEBSubmit your claims online 24/7 using DBS’s exclusive A.S.A.P.® (Advanced Strategic Administration Program), a safe and quick way to file claims for reimbursement from your Health Care FSA (HCFSA), …
- [PDF]
Claim Form
WEBTo view a short video showing this claim form's many high-tech features, click here. Please select the correct benefit for your reimbursement. If you have any questions not …
www.diversifiedbenefits.com
WEBwww.diversifiedbenefits.com
Provider Portal
WEBYou and your administrative staff can quickly and easily access member eligibility and claims status information anytime, on demand. You can easily: Verify Member Eligibility …
Tips For Submitting Claims – Diversified Administration, Inc.
WEBThe following tips will ensure the fastest processing of your claims, and quickest turn-around times for getting your reimbursement. Always put your e-mail address on the …
Customer Payment and Claim Center - Diversified Insurance …
WEBCustomer Payment and Claim Center. Below are links that you can use to make payments, access your policy, retrieve claim information and we have added additional forms for …
WEBImportant: Please number each receipt with the corresponding line number as on the claim form and send the (1) completed claim form, (2) all ORIGINAL receipts and (3) a …
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