01. Edit your aon attending physician statement online
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02. Sign it in a few clicks
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Send aon travel claim attending physician statement via email, link, or fax. You can also download it, export it or print it out.
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Click ‘Get Form’ to open the aon attending physician form in the editor.
Begin by entering the patient's name and date of birth in the designated fields at the top of the form.
In the 'Patient’s Diagnosis' section, provide a clear diagnosis along with the corresponding ICD code.
Record the date of the first examination and latest treatment for this diagnosis in their respective fields.
List all dates of examination and treatment from initial consultation to present in the provided space.
Indicate whether the patient was hospitalized due to sickness or injury by selecting 'Yes' or 'No'. If yes, fill in the hospitalization dates and name of the hospital.
If applicable, specify any other medical professionals involved in treatment by providing their names.
Complete your details as the physician, including your printed name, signature, address, telephone, and fax number.
Ensure that the patient signs the 'Authorization for Release of Medical Information' section to allow information sharing as needed.
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Who completes an attending physicians statement (APS)?
An attending physician statement (APS) is a report by a physician, hospital, or medical facility that has treated, or is currently treating, a person seeking insurance. In traditional underwriting, an APS is one of the most frequently ordered additional sources of medical background information.
Who completes an attending physician statement?
This statement, filled out by your attending physician, provides the disability insurance company with vital data to assess the validity of your disability claim. The APS can influence the decision-making process significantly, making it crucial to ensure it is accurately and thoroughly completed.
Who can fill out an attending physician statement?
It is important that the doctor treating your disabling condition is the one completing the APS. For example, if you suffer from Multiple Sclerosis, it is likely your neurologist would be the most appropriate doctor to complete the form.
Who might be asked to fill out a physicians statement?
In order to be effective, an Attending Physician Statement must be completed by a doctor who knows you in person your insurer or agency will reach out to get information from a physician who has either treated you in the past or is currently providing treatment.
Who completes an attending physicians statement?
If you experience a loss or damage involving your store, call the Aon PROtect hotline to begin the claims process so you can return to managing your store as quickly as possible. Call 1.877. 766.9069 to begin!
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What is an attending physician statement for life insurance?
When you file your claim for short-term disability or long-term disability benefits, the insurance carrier will likely send you an Attending Physician Statement (APS) form for your treating medical provider to complete.
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All supporting documentation and information on which the physicians statement is based. Your human resource partner will be able to assist with the completion
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