Submitting a Reimbursement Request on the Mobile App

Jul 2

This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement)*.

To submit a reimbursement request on the Via Benefits Accounts mobile app, complete these steps:

1. Sign into the mobile app.

2. Select Get Reimbursed.

3. Select Premium Reimbursement (for insurance premiums) or Out-of-Pocket Reimbursement (for copays, coinsurance).
Note: Your former employer or benefits provider may provide premium reimbursement only.

4. Enter the following information:

Category (e,g., Medicare Part A/B, Medical, Dental)
Occurrence (Recurring Premium or One-Time Premium) for premium reimbursements only
Type (e.g., Treatment, Equipment) for out-of-pocket reimbursements.
Date(s) of Service
- Provide the coverage dates for recurring and one-time premium requests (e.g., January 2023 through December 2023).
  Note: Premiums don't require a specific date of service because they're based on a full month.
- Provide the dates for out-of-pocket requests. This can be a single date or a date span.
  Note: Out-of-pocket expenses that cross calendar years must be submitted as two separate expenses.
Amount of your request (for premiums, enter the total premium amount paid to your insurance carrier for the selected date of service).
Provider/Carrier (e.g., Aetna, Dr. Smith, CVS).
Name of insured/Individual Serviced.
Supporting Documents

1. Select Camera to take a picture of your document and upload it directly from your mobile device or select Photos to choose an image from your phone’s photo library.

2. Select Done when you've chosen the desired photo.

3. Select Add to upload more photos.

5. Select Review after you upload your documents.

6. Select Submit after you verify the information on your request, or select Edit to make changes.