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FSA Reimbursement Request
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Commuter Cashback Request Form
HRA Reimbursement Request Form
Lifestyle Benefit Reimbursement Request Form
Benefit Card Substantiation Coversheet
Letter of Medical Necessity Template
Orthodontia Treatment Statement
Limited Purpose FSA Conversion Form
Claim Appeal Form
HIPAA Release Form
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Member Services - Spending Account Participants
General Questions
Email:
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Phone:
(800) 633-8818
   [Option #1]
Claim Submission
Online via the Participant Portal at
www.goigoe.com
Igoe Mobile App
Email:
[email protected]
Benefit Card Substantiation
Online via the Participant Portal at
www.goigoe.com
Igoe Mobile App
Email:
[email protected]
HSA Questions
Phone:
(800) 633-8818
[Option #1]
Email:
[email protected]
Mailing Address
P.O. Box 501480
San Diego, CA 92150-1480
Member Services - COBRA Participants
General Questions
Email:
[email protected]
Phone:
(800) 633-8818
   [Option #2]
COBRA Participant Mailing Address
Igoe Administrative Services
P.O. Box 2291
Omaha, NE 68103-2291
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Client Mailing Address
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San Diego, CA 92150-1480
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