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ASSIGNMENT OF BENEFITS / ERICA AUTHORIZATION FORM Paula Carla Physical Therapy, Financial Responsibility I have requested professional services from Paula Carla Physical Therapy, LLC / Paula Carla,
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The Assignment of Benefits (AOB) ERISA allows a patient to assign their insurance benefits to a healthcare provider for direct payment.
Healthcare providers who want to receive direct payment from the patient's insurance company are required to file the Assignment of Benefits (AOB) ERISA.
The Assignment of Benefits (AOB) ERISA form must be filled out by both the patient and the healthcare provider, providing all necessary information and signatures.
The purpose of Assignment of Benefits (AOB) ERISA is to allow healthcare providers to receive direct payment from the patient's insurance company for services provided.
The Assignment of Benefits (AOB) ERISA form must include the patient's information, insurance policy details, healthcare provider's information, and the services provided.
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