Appeal letter sample: Infliximab & HACA
Template letter for professionals to complete so patients may undergo laboratory studies for serum infliximab and human anti-chimeric antibody (HACA) levels. Healthcare provider completes letter and patient submits to their insurance company prior to testing.
For further information, call Crohn's & Colitis Foundation's IBD Help Center: 888.MY.GUT.PAIN (888.694.8872).
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About this resource
Published: May 1, 2012
Infliximab HACA (.doc)
File: 47 KB