HCRA, DCRA Sample Clauses

HCRA, DCRA. Section 132 (Educational and Professional Expenses) and Judges PERS Reimbursement Account Administration – “Spending Account Administration” Create participant accounts. Fund accounts through County payroll feeds (bi-weekly). Provide both Xxxxx Xxxx (real time) and claim forms as methods of reimbursement. Distribute Claims forms upon request; provide on-line access to claim forms. Allow participants to submit claims and backup documentation via fax or mail. Provide online models and calculators. Provide Web-portal access to account history, balance, review of reimbursement status, client specific eligibility guides, and tracking out of pocket healthcare expenses. Xxxxxxxxx eligible participant claims within 15 days of receipt of claim issuing checks or direct deposits on a daily basis. Create and distribute notifications such as explanation of payment, check or direct deposit, account balances, claim denial, partial payments, returned checks, etc. within 15 days. Maintain account balances. Counsel participants on questions about the County’s Section 125 Plan based on information provided by the County. Reconcile elections, payroll deduction registers, OBP allocated amounts to HCRA and Section 132 (Education account) and claim payments. Answer participant questions regarding claims, balances, eligible expenses, etc. via Call Center; hours of operation shall be 5:00 a.m. PT to 5:00 p.m. PT, Monday through Friday. Provide Toll Free Interactive Voice Response System available for account balance and claim payment information, 24 hours a day, seven days a week/ Create forfeiture reports to participants and the County annually. Provide Quarterly participant statements and management reports to the County with the specified data elements and sorts. Provide reminder in January of each year to the participant that the claims filing deadline is March 31st for eligible claims incurred in the prior plan year. Provide quarterly participant statements and reports to the County with the specified data elements and sorts by required deadlines. Provide the County with recorded calls through the system to the County as needed on specific participant issues through the use of an advanced call tracking system. Ensure quality control of customer service responses given for the spending accounts. Provide County with imaged claims on an as needed basis for review of second level appeal and/or escalated claims issues. Consult with IRS on claims received for questionable expenses....

HCRA, DCRA. Section 132 (Educational and Professional Expenses) and Judges PERS Reimbursement Account Administration – “Spending Account Administration”