Benefits Plans - Flexible Spending Accounts: Submitting Reimbursement Claims

Deadline for filing claims

  • Submit your claims on eligible 2014 FSA expenses by May 31, 2015.
  • File claims for 2015 expenses by May 31, 2016.

Submitting a claim online

To submit a claim online you first need to register.

  1. Go to the PlayFlex/HealthHub website for U-M faculty and staff at:
  2. Click Register on the homepage.
  3. Enter your UMID as your Member ID (not your Social Security Number). Your UMID is the 8-digit number on your MCard.
  4. Enter your Zip code.
  5. Click the Register button.
  6. Follow the instructions to complete your online registration.


Sample MCard showing UMID #

To reimburse yourself:

  1. Login to by entering your username and password, then click Submit.
  2. Click on File a Claim and select Pay Me.
  3. Enter your claim information: type of expense, date of expense and the amount of expense. To add additional claims, select Add Claim.
  4. Once you have entered in all of your claims, click Submit.
  5. Confirm all expense details, then click Submit. If you need to make changes, click Previous.
  6. Select Fax or Upload for your document choice. In order to upload your receipts, they will need to be scanned into a PDF format.
    • If you selected “Fax,” click on Web Claim Coversheet, then print and sign the form. Fax your claim and itemized receipts to (866) 932-2567.
    • If you selected “Upload,” use the Browse button to upload an electronic document from your computer. To add additional documents, click on Add Additional Documents.
  7. After uploading your documents, you must check the Signature box at the bottom of the page to electronically sign your claim. If submitting dependent care claims, please make sure the provider’s signature is legible.
  8. Click Submit. If you enrolled in eNotify, you will receive an email from PayFlex notifying you when your claim has been processed.

To reimburse a provider:

  1. Login to by entering your username and password, then click Submit.
  2. Click on File a Claim and select Pay Them.
  3. Enter a new provider or select a payee from your current list and click Next.
  4. Enter your contact number, statement date, invoice number, patient name and any comments you may have.
  5. Fill in your claim information and click Next.
  6. Verify your claim information is correct and click Next.
  7. Choose to fax or upload your documentation and click Select.
  8. You will receive a confirmation email from

Submitting a claim with your smartphone via PayFlex Mobile

In order to use the PayFlex Mobile app, you first need to register on the PayFlex/HealthHub website, Once you have successfully registered, you can access the mobile app using the same HealthHub username and password. Follow these steps to download the PayFlex Mobile app to your smartphone, sarch for PayFlex Mobile in the app store of your mobile device and select Download.

To submit claims using the PayFlex Mobile app:

  1. Login to your account via the mobile app using the same username and password you use to login on
  2. Select Financial Center
  3. Click File Claim in the upper right corner
  4. Follow the instructions to enter your claim

With PayFlex Mobile, you can:

  • File a claim and attach your receipt by taking a picture with your phone's camera
  • View account balances, claims processed and transaction detail
  • Respond to requests for documentation of your card transactions by using your phone's camera to take a picture of your receipt and upload it right from your device (only available for participants with the PayFlex Card®)
  • Access alert messages to stay up-to-date on your account activity
  • View listings of eligible and ineligible expenses
  • View PayFlex's customer service phone number and hours, claims fax number and mailing address

Submitting a paper claim via mail or fax

  1. Login to your HealthHub account at and select My HealthHub Resources to download a claim form from Administrative Forms.
  2. Complete the fillable Form by entering your claim information.
    • Print and sign the form.
    • Mail the completed form and itemized receipts to:

    PayFlex Systems USA
    P.O. Box 3039
    Omaha, NE 68103-3039

    (Or) FAX the completed form along with the itemized
    receipts to (402) 231-4310

PayFlex Card claims validation
If you pay your eligible health care expenses with your PayFlex Card, request itemized receipts for your expenses and save them. PayFlex/HealthHub will require the itemized receipts to substantiate your claim. If a receipt is not provided, you may be requested to pay back the amount you were reimbursed.

More Information


For more information, call PayFlex/HealthHub at 877-343-1346 or visit the website at

Next: Special Circumstances

The University of Michigan in its sole discretion may modify, amend, or terminate the benefits provided with respect to any individual receiving benefits, including active employees, retirees, and their dependents. Although the university has elected to provide these benefits this year, no individual has a vested right to any of the benefits provided. Nothing in these materials gives any individual the right to continued benefits beyond the time the university modifies, amends, or terminates the benefit. Anyone seeking or accepting any of the benefits provided will be deemed to have accepted the terms of the benefits programs and the university's right to modify, amend or terminate them.