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 the 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