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. 


Collect AOBs Electronically

Fastcare collects AOBs online by enabling residents or their representatives to sign on a tablet computer.


Tap here for electronic AOB instructions


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:

  1. Fax to your company's AOB fax number.
  2. Scan and email the attachments to an AOB administrator.
  3. Give the AOBs back to the your visiting wound care provider clinician.


Add your AOB form to this FAQ