Frequently Asked Questions - Forms

  1. Why do I need to log into your Web site when I only want to download forms?
  2. I want to submit claims online. How do I do this?
  3. What is needed for reimbursement?
  4. Do I need to send original documentation with my reimbursement request form?
  5. What is the fax number/mailing address for reimbursement requests submission?
  6. Where can I obtain additional forms?

Q Why do I need to log into your Web site when I only want to download forms?
A Many of our forms are customized to meet the requirements and needs of our clients and their employees. You must log in to our Web site to guarantee that you receive the correct form for your account.
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Q I want to submit claims online. How do I do this?
A Online claims submission is currently available to some of our clients. To find out if you can submit claims online, you must first log in to your account at www.myFBMC.com. Once you have logged in, click on the “Claims” tab at the top of the screen. If you see the option: “Online Claims Submission” in the drop-down menu, choose that option and then follow the online instructions.
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Q What is needed for reimbursement?
A The items needed in order to process a Medical Reimbursement request are:
  • A completed and signed reimbursement request form
  • A copy of an explanation of benefits (EOB) form, statement, bill or receipt showing the type of service, date of service and amount of service provided.
The items needed in order to process a Dependent Care Reimbursement request are:
  • A completed and signed reimbursement request form
  • A copy of a receipt, invoice or bill from the provider showing the name and address of the provider , the beginning and ending dates of the provided services, the cost of the services, and the age, grade and name of the IRS-eligible dependent for whom the services were provided.
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Q Do I need to send original documentation with my reimbursement request form?
A No. Copies of statements, bills, or receipts are sufficient.
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Q What is the fax number/mailing address for reimbursement requests submission?
A To ensure that each reimbursement request is handled according to the requirements and needs of our clients and their employees, a specific mailing address and toll-free fax number have been provided on the reimbursement request form for your account. Log on to www.myFBMC.com to obtain the forms or find out how to contact FBMC by visiting the Contact Customer Care section of this website.

When you send a fax, save the confirmation sheet that is printed at your fax machine. This sheet shows whether the fax was sent successfully to FBMC. It also shows the date and time the fax was sent, and the number to which it was faxed. These help us locate your faxed information if you call us regarding a claim. You should also make a copy of the material you plan to fax before you fax it. You can tell by looking at the copy how the material will look to us when we receive it. If you can’t read your copy, we will not be able to read your fax.
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Q Where can I obtain additional forms?
A Download forms by logging in to your account, then click on the Forms and Instructions link under the Claims tab in the menu at the top of the page. Or, find out how to contact FBMC by visiting the Contact Customer Care section of this website..
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