Code identifying the specific type of item maintenance

Code indicating selection of a type of Flexible Spending Account

Code identifying the reason for the maintenance change

Account number assigned

FSA04 is the flexible spending account (FSA) policy number.

Code indicating frequency or type of activities or actions being reported

FSA05 specifies the frequency of contribution.

A description or number that identifies the plan or coverage

Code indicating an option chosen for the product

Code indicating an option chosen for the product

Code indicating an option chosen for the product