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Accounts Account Summary

01/01/2019 - 12/31/2019 Summary
	DATE OF SERVICE	ACCOUNT	MERCHANT/PROVIDER	CLAIM STATUS	AMOUNT
Show details for Dependent Care FSA of 01/01/2019 - 12/31/2019 plan year	06/01/20YY	Dependent Care FSA	ABC Child Care	Scheduled Reimbursement	$2,500.00
Claim Details Claim Number: BFDG230106C0000405 Recipient: Scott Sample Payee: Sally Sample Source: Administrator Receipt Status: Received Date(s) of Service: 06/01/20YY - 12/31/20YY Pending: $2,500.00 View Confirmation
Show details for Dependent Care FSA of 01/01/2019 - 12/31/2019 plan year	10/01/20YY	Dependent Care FSA	-	Paid	$2,500.00
Claim Details Claim Number: BFDG230106C0000404 Recipient: Sam Sample Payee: Sally Sample Source: Administrator Receipt Status: Received Date(s) of Service: 10/01/20YY Paid: $2,500.00 View Confirmation