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Health savings account / Itemized deduction / Business / Income tax in the United States / Reimbursement / Explanation of benefits / Financial economics / Health / FSA debit card / Taxation in the United States / Employment compensation / Flexible spending account


Microsoft Word - AD1113 HCA Claim Form.doc
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Document Date: 2014-07-23 20:56:31

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File Size: 39,97 KB

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City

Wausau / /

Company

OTC SUPPLIES / Counter Supplies / /

/

Facility

PHARMACY NAME TYPE OF SERVICE / /

IndustryTerm

food items / bank statements / insurance plan / insurance claim / insurance carrier / estimated insurance statements / /

OperatingSystem

DOs / /

Organization

Internal Revenue Service / FSA / /

/

Position

plan administrator / /

ProvinceOrState

Wisconsin / /

Technology

Interactive Voice Response / /

URL

www.umr.com / /

SocialTag