
There is not an independent party that approves claims and releases funds from the account. Individuals typically receive a check book and a debit card, and are responsible for paying providers as they are billed. In order for these amounts to be applied towards your deductible and take advantage of any discounts your plan has, you want to make sure the claim gets processed through your insurance carrier. In the event of an IRS audit, it is the individual account holders responsibility to prove that deductions for the account were for qualified medical expenses. Keep good records.