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Aetna short term disability attending physician statement 2025

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The document is an Attending Physician Statement from Aetna Life Insurance Company, requesting detailed medical information about a patient to process a disability benefits claim. It includes sections for patient information, dates of disability, restrictions and limitations, diagnosis, treatment summary, and legal disclaimers regarding fraudulent claims.

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Click ‘Get Form’ to open the Aetna Short Term Disability Attending Physician Statement in our editor.
Begin with the 'Patient Information' section. Fill in the patient's name, year of birth, claim number, employer name, and job title. Ensure all fields are completed accurately.
Proceed to 'Dates of Disability'. Indicate the start and end dates of the disability, and specify if the condition is work-related. If applicable, provide the date of injury or illness.
In the 'Restrictions and Limitations' section, detail any accommodations that can be made for modified duty assignments based on your assessment of the patient’s capabilities.
Complete the 'Diagnosis/Symptoms' section by listing all relevant medical conditions along with their ICD-9 codes.
Fill out the 'Surgery and Treatment' section if applicable, including hospitalization details and treatment summaries.
Finally, sign and date the form at the bottom before submitting it via fax to ensure timely processing.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is an example of a disability statement?

E.g. I attended my GP with symptoms of suspected [disability] on [date]. I was referred to a specialist consultant on [date] and after further tests was diagnosed with [disability] on [date].

What is a proof of disability letter from a doctor?

This letter can be the key to your disability case. It tells your medical history, limits, and how your condition affects your work. Unfortunately, not all letters are the same. Some rules need to be followed to make it effective.

What is an attending physician statement for short-term disability?

It is a detailed questionnaire to be completed by the doctor or healthcare provider who takes care of a patient. It includes information about the insureds medical history, current medical issues, treatment plan, and future prognosis.

How does Aetna short-term disability work?

Aetna short-term disability If you suddenly find yourself unable to work for a short period of time, Aetna offers short-term disability insurance through your employer to help cover a portion of your income while youre recovering. With Aetna, only certain injuries and illnesses qualify as a disability.

What is a physicians statement of disability?

The attending physicians statement (APS) is one of many methods insurance companies use to determine whether you are disabled or not. On the surface, it seems fair: The APS is prepared by the doctor who is treating you.

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What do I tell my doctor for short term disability?

Explain why you want to go on disability. Describe in detail how the condition affects your life. You might say, Because of my medications, I can no longer drive. Emphasize how this claim could help you recover. If you are filing for benefits, explain how they will help you pay for treatment.

What is a physicians statement for disability?

An Attending Physician Statement (APS) is a form questionnaire from the insurance company that your treating doctor must complete. The purpose of the APS is for your doctor to certify your inability to work.

What is a statement from a medical provider to confirm disability?

A medical source statement allows your treating providers to describe the disabling nature of your medical condition and explain how your condition adversely affects your working capacity, such as your ability to sit, stand, walk, lift, remember, or follow directions.

Aetna short term disability attending physician statement 2025

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How to use or fill out Aetna Short Term Disability Attending Physician Statement

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What is an example of a disability statement?

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What is a physicians statement of disability?

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What do I tell my doctor for short term disability?

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