An Assignment of Benefits (AOB) is an arrangement by which a patient requests that their health benefit payments be made directly to a designated person or facility, such as a physician, hospital or wound care provider. Wound Care Concepts supplies Gentell products.
Collect AOBs Electronically
As of January 2018, Fastcare collects AOBs online by enabling residents or their representatives to sign on a tablet computer.
When providing paper AOBs
Nursing home residents who receive Part B wound care benefits should sign an AOB form and receive a copy of certain information. Both the AOB and the required information for residents are contained in the document attached to this FAQ.
If a resident is unable to sign the document, a nurse or other authorized representative can sign the AOB for them.
Send the AOB to:
There are three ways to send AOB forms to Gentell:
- Fax to the main number 800-840-9054
- Scan and email the attachments to Vicky at firstname.lastname@example.org .
- Give the AOBs back to the your visiting Gentell clinician.
AOB Form ATTACHED BELOW