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REIMBURSEMENT ACCOUNTS

How to File a Dependent Care Claim

• Dependent Care Pay Me Back
  (Paper claim form)
• Dependent Care Pay My Provider
  (Online payment)
• Proof of Expense
• Grace Period

Dependent Care Pay Me Back (Paper claim form)

WageWorks claim filing service is called Dependent Care Pay Me Back. Through the Dependent Care Pay Me Back service, you can get reimbursed from your Dependent Care Reimbursement Account for eligible products and services you pay for out of pocket.

How to Use Pay Me Back

• Pay your dependent care provider as you usually do and save your detailed receipt (or have your dependent care provider sign your claim form).

• Complete a Dependent Care Pay Me Back form
   
• Fax your form and appropriate proof of expense to 1 (877) 353-9236.
   
• Or, mail your form and photocopies of your proof of expense to:

Claims Administrator
PO Box 14053
Lexington, KY 40512

• Check your claims status online anytime by logging on to your personal account (NetID and password required)
   
• All claims (including resubmissions) must be received no later than April 15, 2008, your Claim It by date (displayed on your monthly statement), to be eligible for reimbursement.

Dependent Care Pay My Provider (Online payment)

Pay your providers directly from your Dependent Care Reimbursement Account using Dependent Care Pay My Provider, an optional way of getting reimbursement.

How to Use Pay My Provider

1. Log on to Your Personal Account and enter your Duke NetID and password*
    
2. Click on the "Dependent Care" tab
    
3. Click "Request Pay My Provider"
    
4. Confirm or enter your contact information
    
5. Enter your provider information
    
6. Enter dependent information
    
7. Enter your payment amount
    
8. WageWorks will make the requested payment from your available account balance and mail it directly to your provider.**
    
9. WageWorks will send you an email each time a requested payment is made
    

Proof of Expense

You must provide proof for each dependent care service listed on your Pay Me Back claim form. You must also always include your provider's Tax Identification Number (TIN) or SSN. Your proof should be appropriate for the type of expense:

• Recommended proof is to complete Dependent Care claim form and have the provider sign the form
   
• If no provider signature is provided on the claim form, attach a formal or informal statement or bill from the provider that indicates the dates of service, care provided and claim amount

Grace Period

You have a grace period -- ending on April 15 -- to submit paperwork for expenses incurred during the previous calendar year. For example, if you incurred eligible expenses one year, you would have until April 15 of the following year to submit your claim. After April 15, you forfeit any money that was contributed the previous year and was left in your reimbursement accounts. Although you have until April 15 to submit your claims, only expenses from the previous calendar year -- Jan. 1 through Dec. 31 -- are eligible for reimbursement. As an additional reminder, you must be a participant in the plan during the time period when the expenses are incurred in order to claim them for reimbursement.

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