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HRA Hub: How medical expense reimbursement works in the employee portal

This article is for employees using Take Command Health’s HRA Hub to submit medical expense reimbursement claims under an ICHRA or QSEHRA.

Written by Jessica T

Employees submit medical expenses in HRA Hub by uploading eligible receipts and required documentation, and approved claims are reimbursed up to their available HRA allowance after review.

What is a medical expense in HRA Hub?

A medical expense is any cost incurred for the diagnosis, treatment, prevention, or care of a health-related condition. This includes a variety of services and purchases that directly contribute to your well-being and medical needs. To confirm the eligibility of specific medical expenses, consider utilizing external resources such as the FSA Eligibility List once there, filter by HRA and you should be able to see it. This list provides a comprehensive catalog of items that may qualify for reimbursement, helping you verify their eligibility before incurring expenses.

Eligible expenses typically include:

  • Doctor's visits: Fees for consultations, treatments, or procedures by medical professionals.

  • Prescription medications: Costs of prescribed drugs used to treat or manage a health condition.

  • Hospital services: Fees for inpatient or outpatient care, including surgeries, diagnostics, and therapies.

  • Medical equipment and supplies: Purchases of necessary medical devices, such as crutches, insulin pumps, or hearing aids.

  • Vision and dental care: Costs associated with routine dental checkups, cleanings, eyeglasses, or contact lenses, if covered by the company's plan.

Eligible medical expenses typically align with government regulations (such as IRS guidelines in the U.S.), and only expenses that meet the company's reimbursement policy will be approved.

How to submit a medical expense reimbursement

Step-by-step submission process in HRA Hub

  1. Log in to your HRA Hub employee portal

  2. Navigate to “Medical Expenses” or click “Add Expense”

  3. Select the family member the expense applies to

  4. Enter expense details:

    • Date of service

    • Cost

    • Description of the service or item

  5. Upload required documentation (see below)

  6. Attest that:

    • The expense is eligible under IRS rules

    • The expense has not been reimbursed elsewhere

    • Your coverage is active (if required by your plan)

  7. Submit the claim for review

Required documentation for reimbursement

Claims must include clear, verifiable proof

Each submission must include documentation showing:

  • Patient name

  • Provider or pharmacy name

  • Date of service (not billing date)

  • Description of service or item

  • Amount paid or owed

Acceptable documents include:

  • Itemized receipts

  • Invoices marked “paid”

  • Explanation of Benefits (EOB)

  • Pharmacy receipts

  • Medical billing statements

If multiple documents are required, they should be combined into a single upload file when possible.

How reimbursement approval works

All claims go through a structured review process

1. Submission

Your claim is submitted through HRA Hub.

2. Claims review

The claims team verifies:

  • Expense eligibility under IRS and plan rules

  • Completeness of documentation

  • Accuracy of service date and cost

  • Proof of coverage requirements (if applicable)

3. Status updates

You may see one of the following statuses:

  • Pending → Under review

  • Approved → Eligible for reimbursement

  • Rejected → Missing documentation or ineligible expense

4. Reimbursement payment

Once approved:

  • The reimbursement is issued through your employer’s payroll or reimbursement cycle

  • Payment timing depends on your company’s schedule

How reimbursement amounts are determined

You are reimbursed up to your available HRA allowance

Reimbursement depends on:

  • Your monthly or annual HRA allowance

  • Prior reimbursements already paid

  • Whether the expense is eligible under your plan

If your expense exceeds your remaining balance:

  • The unpaid portion may carry forward or remain unpaid depending on employer rules

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