CBA Blue

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Reimbursement Accounts - Electronic Submission

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Important Submission Information



HEALTHCARE CLAIMS


New Claims must be submitted with a fully completed and signed Reimbursement Claim Form. help NEED A HEALTHCARE FORM


If you have received a Substantiation Letter or Denial Letter, please submit your receipt(s) and/or documentation with the letter you received from CBA Blue.


DEPENDENT CARE CLAIMS


New Claims must be submitted with a fully completed and signed Dependent Care Reimbursement Claim Form. help NEED A DEPENDENT CARE FORM



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