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IRS rules require that all FSA and HRA claims be substantiated. If the claim cannot be auto-substantiated, the employee is required to submit documentation to support the claim. You should save itemized receipts and documentation for all health care services?even when you paid using your payment card.
Remember, to be accepted for a claim, you'll need one of the two accepted forms of paperwork: an itemized receipt, or an Explanation of Benefits (EOB) form (which is typically used for eligible medical services).
Using an FSA debit card will often mean you don't have to submit receipts to your administrator, but it's always a good idea to hold onto your receipts just in case they're needed for any reason.
Please save your receipts and other supporting documentation related to your HC FSA expenses and claims. The IRS may request itemized receipts to verify the eligibility of your expenses. Credit card receipts, canceled checks, and balance forward statements do not meet the requirements for acceptable documentation.
If you miss the deadline, or the claim is denied, your employer must follow the IRS' rules. They may put a temporary hold on your debit card or request repayment until you can locate and produce appropriate documentation. Or your employer may report unsubstantiated amounts as taxable income on your form W-2.