FSA Flexible Spending Account
To supply flexible spending account information
Position
Element
Name
Type
Requirement
Min
Max
Repeat
Code identifying the specific type of item maintenance.
Code indicating selection of a type of Flexible Spending Account.
Code identifying the reason for the maintenance change.
Account number assigned.
FSA04 is Flexible Spending Account (FSA) Policy Number.
Code indicating frequency or type of payment.
FSA05 specifies the frequency of contribution.
A description or number that identifies the plan or coverage.
Code indicating an option chosen for the product
Code indicating an option chosen for the product
Code indicating an option chosen for the product