Appeal letter sample: Infliximab dose escalation
Template letter for professionals to complete so patients may receive authorization for increased dosing of infliximab. Healthcare provider completes letter and patient submits to their insurance company.
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 Dose Escalation Letter (.doc)
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