Required Proof Proper original receipts must support all amounts submitted as eligible benefits. A receipt should include: Date of service/supply/treatment Description of service/supply/treatment Amount of each service/supply/treatment Name of patient (please add full first name if initial is only recorded on receipt) Birth date of patient (please add birth date if receipt does not include this information) Name of the issuer of the receipt (e.g. dentist, pharmacy, medical equipment company, etc.) If appropriate, proof that the service/supply/treatment was medically necessary (note many benefits such as most prescriptions and dental services are presumed to be medically necessary) In addition, you should provide details of any reimbursements received or expected from another benefit plan of government program. If the original receipt has been retained by the other plan then submit their explanation of benefit (sometimes printed on the stub of their cheque). Naturally you need to identify yourself, so also include a covering note with: Your employer's name and Employer ID Number Your name and Employee ID Number Total of all receipts submitted with this note (to ensure a receipt has not been left out) You may want to confirm your address (to ensure the reimbursement cheque is sent to the correct address) How To Submit Proof Of Benefit Site developed by Susan Chen Associates