Loudoun County Public Schools Flexible Benefits Account
CompuSys/Erisa Group Inc. Founded in 1968 Licensed Third Party Administrator Administer Flexible Benefits Compensation
Introduction Continuity Great Service – Over 99% claims turn-around within 5 days with 100% financial accuracy New Options – FSA debit card – Direct Deposit of reimbursement accounts – Weekly check runs – Dedicated internal website for 24/7 online access to account balance, claim history, claim submission, and additional FSA Information
The Flexible Benefits Debit Card is a special purpose MasterCard® that gives you an automatic way to pay for qualified healthcare expenses from your Flexible Benefit Plan. It works like a MasterCard® Card, with the value of your yearly target amount stored on it.
What happens when I receive my Benefits Card? You will receive one card, though you may request another. Your card will be activated with the first swipe of the card. There will be no fees associated with the card.
How Do I use my card? It works like a MasterCard® Card, with the value of your yearly target amount stored on it. It's from that total target dollar amount that eligible expenses will be deducted as you use your card. When you have eligible expenses at a business that accepts MasterCard®, simply use your Card. The amount of your eligible purchases will be deducted automatically from your account and the pre-tax dollars will be electronically transferred to the provider/merchant for immediate payment.
Where can I use my Benefits Card? For prescriptions at a chain pharmacy or grocery store. At a hospital or doctors office (After you use your card you will receive a documentation request for anything other than a co-pay). At a dentist office (After you use your card you will receive a documentation request). At your vision care provider (After you use your card you will receive a documentation request).
Documentation Requests In order to verify that you have used your card for items that are eligible under your flex plan you will receive a letter from us asking for supporting documentation. After you receive a request for documentation please mail, fax or email back the requested information along with the letter. The following slides outline acceptable forms of documentation.
Medical/Dental For doctor or dentist visits, an EOB is the preferred form of documentation. If you do not have a copy of the EOB, please obtain an itemized bill from the provider that clearly shows the date of service, patient, provider name, insurance payments/write offs, and the service provided. For co-pays the bill must indicate the date of service, patient, provider name and co- pay amount.
Vision Care For Vision care, please provide an itemized bill that has the patient name, description of the service provided, the cost of the service provided, the date of service and the provider name.
Prescriptions For prescriptions, please provide a copy of the prescription tag that indicates the patient name, when the prescription was filled, the name of the prescription, the pharmacy name and the cost of the prescription.
Over the Counter Items For non-medicinal over the counter items, please provide a cash register receipt that shows the date of purchase, name of item purchased and the store name. You will not be able to use your Debit Card to purchase medicinal over the counter items.
What happens if I am unable to submit the requested documentation? You can pay back your account by sending a check to CompuSys/Erisa. You can submit offsetting documentation. You will have 45 days to submit the requested documentation, pay back your account, or submit offsetting documentation.
Are there places the Prepaid Benefits Card wont be accepted? Your card will not be accepted at locations that do not offer eligible goods and services, such as hardware stores, restaurants, bookstores, gas stations and home improvement stores.
If asked, should I select Debit or Credit The Card is actually a prepaid Card. But, since there is no "prepaid" selection available, youll select "Credit." You do not need a PIN and you cannot get cash with the Prepaid Benefits Card.
Account Balance How do I know how much is in my account? – You will receive quarterly statements from CompuSys/Erisa. – You can log on to your account at lcpsflex.com. – You can call CompuSys/Erisa to obtain your current balance. What if I go over my account balance? – If you try to make a purchase that is over your account balance the transaction will be denied for insufficient funds. Your purchase cannot exceed the amount of money currently in your Flexible Benefit Plan.
I received an old medical bill can I use my card to pay for it? You can only use your card for expenses in the current plan year. If you receive a bill in 2011 for an expense that incurred in 2010 you cant use your card to pay the bill. If you are new to the plan and use your card to pay for a bill before you enrolled in the plan, you cant use your card to pay the bill. If you do use your card to pay for a bill for a previous plan year, or prior to your enrollment in the plan, you will be require to pay back your account.
What can I do on lcpsflex.com? The lcpsflex.com website allows you to : – Under the heading Forms, print out claim forms and print out direct deposit authorization forms. – Under the heading Eligible Expenses, you can verify whether something will be reimbursable under your Flex Benefit Plan. – Have basic questions answered about your Flexible Benefit Plan under the Q&A. – Have basic questions answered about your debit card, under the heading Flexible Benefits Card. – File a claim online.
How to file a Claim To obtain a claim form: – Log on to lcpsflex.com and look under the heading Forms – Call 1-800-933- 7472 to request claim forms
When filing your claim, please make sure that: You have included your PID issued to you by Loudoun County Public Schools. You have made copies of all of your receipts for your own personal records. You have verified that each line item on the claim form corresponds with a receipt/ Explanation of Benefits/itemized bill that you are submitting. Each bill states the patient name, the date of the visit, the provider of the service, cost of the service, and insurance payment. The bill shows actual insurance payments, not pre-estimates. You include a letter of medical necessity from a doctor for medicinal over the counter items.
Each dependent care bill states the dates of service, service provider, service provider tax id, and amount charged. If you do not have an itemized bill from your Dependent Care Provider, have your Dependent Care Provider complete the Dependent Care portion of the claim form. You include the date of birth of your child when filing for dependent care. You, the employee, have signed and dated the claim form.
Claim filing options You may mail a claim to: CompuSys/Erisa at : 12325 Hymeadow Dr., Bldg 4-100 Austin Texas 78750 You may fax a claim to CompuSys/Erisa at 1-512-250-9487. You may send an email with your claim as an attachment to CompuSys/Erisa at firstname.lastname@example.org. email@example.com You may file a claim online at lcpsflex.com
To File an Online Claim Log on to the lcpsflex.com website. Click on My Account, and then enter your Employee PID issued by Loudoun County, and the PIN issued to you by CompuSys/Erisa
You will come to the Balances page, click on Personal Information and enter in all of your dependents.
Look at the top and click on Claims, then look to the top left and click the File a Claim Button. The top section of the page is for healthcare reimbursement requests. Fill in the dates of service, patient name, service provider, and amount of reimbursement for each itemized bill that you are attaching.
The bottom section of the page is for Dependent Care claims. Make sure to fill in all of the fields for each dependent.
After youve read the Employee Certification message click the I Agree Button. Use the Browse button to upload your itemized bills. Make sure the attachment you upload is no bigger then 10 Megabytes. Once youve uploaded all of your attachments, click the Submit button.