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Flex One® Claims
To file a Flex One
®
reimbursement, you must complete a
Flex One
®
Request for Reimbursement form. Please be sure to complete all required sections to ensure quick processing of your request. All fields must be filled in completely; do not include "See Attached" in any field.
- Do not submit Dependent Day Care (DDC) or Unreimbursed Medical (URM) claims until after services are rendered.
- Attach a legible receipt (or receipts) from the service provider showing:
- A description of the service or list of supplies furnished
- The charge(s) for each service
- The date(s) of each service
- The name of person(s) receiving service
Note: Drug receipts must show the drug name. Balance due statements and credit card receipts are not valid unless they indicate all of the required information listed above. All receipts should be accompanied by a Request for Reimbursement form.
- The service provider's signature on the Request for Reimbursement can be substituted for a receipt.
- If you carry group insurance, submit expenses to the insurance carrier first. Attach the Explanation of Benefits (EOB) to document reimbursement or credit to your deductible and coinsurance amounts.
- Checks will not be written for less than $15. Requests for less than $15 will be applied to future requests.
You can now submit your Flex One
®
reimbursement requests toll-free by fax. All Requests for Reimbursement can be faxed to 1-877-FLEX-CLM (1-877-353-9256). Please allow 48 hours for the receipt of your faxed form before calling to inquire about your reimbursement. A delay in processing may occur for any correspondence not related to Flex One
®
claims. If you prefer to mail your reimbursement requests, please submit them to:
Administrative Services/Flex One
1932 Wynnton Road
Columbus, GA 31999-9950
For customer service call 1-877-FLEX-IVR (1-877-353-9487).
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Aflac New York Toll-Free:
1-800-366-3436
24-Hour Toll-Free IVR:
1-877-353-9487
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