AOB Form

A signed Assignment of Benefits (AOB) form is required on all patients. Download a patient-specific AOB from LabCheck > Reports > General Reports > Assignment of Benefits. Email the completed form to AscendClinicalAOB@aclab.com or fax to 844.623.5093. Monitor LabCheck Message Center for Assignment of Benefits Missing Alerts.

 
Assignment of Insurance Benefits Form (Spanish) - DOWNLOAD