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 CCFA at our Information Resource Center: 888.MY.GUT.PAIN (888.694.8872).
The Crohn’s & Colitis Foundation of America provides information for educational purposes only. We encourage you to review this educational material with your health care professional. The Foundation does not provide medical or other health care opinions or services. The inclusion of another organization’s resources or referral to another organization does not represent an endorsement of a particular individual, group, company or product.
About this resource
Published: May 1, 2012
Infliximab HACA (.doc)
File: 33 KB