@lindyrig - you are posting to a very old thread, so not sure of your question,
Most HSA's give you a debit card to pay your medical bills. if you use that card, the money will be deducted directly from the HSA and pay the provider.
Alternatively, you can pay the provider yourself and then get reimbursed from the HSA. Personally, I do it this way, so I can get the 1.5% my credit card company gives me!
