How to File Claims

Get Reimbursed for Health and Wellness Expenses

Before you send in a claim, you will need this info:

• Your SF MRA account number*
• The type of purchase or service(s) you got
• The date that you go the purchase or service(s)
• The amount you paid
• Proof of your payment (such as a receipt)
• Who you paid the amount to (the name of store or the provider)

*Your account number is a special ID starting with 910 that was given to you in your SF MRA Welcome Letter.

Four Ways to Submit a SF MRA Claim

You can use your SF MRA funds by sending in a claim online. Or, you can send in a claim on your smartphone through the HealthEquity/EZ Receipts app. You can also send in a claim by mail or fax.

1. Online:

Visit participant.wageworks.com/sfmra. Fill out the claim form and enter your receipt(s) online.

To learn more about these steps, check out the Online Claims Submission User Guide.

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2. Mobile App:

Download the free HealthEquity/EZ Receipts app from the Google Play Store or Apple App Store.

• Log in to your account through the app.
• Fill out the claim form and upload images of your receipts.
• Click “Submit Claim” to send your claim.

To learn more about these steps, check out Mobile App User Guide Claims Process.

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3. By Mail:

Collect your receipts for the health care cost(s) you paid for. Fill out a  claim form. Don’t forget to sign the form.

Mail the claim form and your receipt(s) to:

Claims Administrator
P.O. Box 14857
Lexington, KY, 40512

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4. By FAX:

• Collect your receipts for the expense(s) you paid for.
• Fill out a claim form. Don’t forget to sign the form.
• Fax your completed claim form and receipt(s) to fax number 1(866) 599-3058.

Call HealthEquity/EZ Receipts Customer Service at  1(866) 697-6078 for help finding your account number and for help with the claims process.

It may take a few business days to first confirm your bank account when using direct deposit.

For answers to frequently asked questions visit our FAQs page.