Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by FSAFEDS Program. Before sending anything sensitive, confirm the number and receiving department directly with FSAFEDS Program, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
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FSAFEDS Program fax number
(866) 643-2245
Wrong or outdated? Report this number
Claims
Used for: Submit Health Care FSA (HCFSA), Limited Expense Health Care FSA (LEX HCFSA), and Dependent Care FSA (DCFSA) claims to FSAFEDS via online/app or toll-free fax. Fax submissions go to 1-866-643-2245.
Fax destination details
- Department
- Claims
- Purpose
- Submit Health Care FSA (HCFSA), Limited Expense Health Care FSA (LEX HCFSA), and Dependent Care FSA (DCFSA) claims to FSAFEDS via online/app or toll-free fax. Fax submissions go to 1-866-643-2245.
- Form
- Health Care FSA Claim Form; Dependent Care FSA Claim Form — Health Care FSA Claim Form; Dependent Care FSA Claim Form
- Address
- FSAFEDS Program – Claims, PO Box 36880, Louisville, KY 40232
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Include legible itemized receipts and explanations of benefits; have the dependent care provider sign the completed claim form (PDF) where required; do not submit credit card receipts or balance-forward statements; ensure provider information is included on receipts.
Review official form instructionsSources and verification
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