Reimbursement Request Form - 121 Benefits

The Reimbursement Request Form - 121 Benefits is used for requesting reimbursement for eligible expenses such as medical or dependent care costs.

FAQ

Q: What is the reimbursement request form?
A: The reimbursement request form is a document used to request reimbursement for eligible expenses.

Q: What expenses can be reimbursed using the form?
A: The form can be used to request reimbursement for eligible medical, dental, vision, and dependent care expenses.

Q: What information is required on the reimbursement request form?
A: The form typically requires information such as the participant's name, account number, date of service, provider information, and a description of the expense.

Q: Is there a deadline for submitting the reimbursement request form?
A: Yes, there is usually a deadline for submitting the form. It is important to check the plan's guidelines for the specific deadline.

Q: How long does it take to receive reimbursement?
A: The timeframe for receiving reimbursement may vary depending on the plan and processing times. It is best to consult with 121 Benefits or review their guidelines for more information.