Nonprofit ยท Crohn's & Colitis Foundation
Crohn's & Colitis Foundation appeal letter library
Customizable appeal letters for Crohn's disease and ulcerative colitis treatments, tests and dose changes, including a request to use a biologic without first failing other drugs. Written for the doctor's office to edit.
Know before you go
These are Microsoft Word templates addressed to health care providers, grouped by medication testing, dose escalation, prior authorization and tests such as calprotectin. They are for inflammatory bowel disease (Crohn's disease and ulcerative colitis) only. The Foundation's patient page says that most of the time your doctor's office submits the appeal, though you can send a letter yourself, and that deadlines depend on your plan. The letters do not give your deadline or review route.
- Cost
- Not stated
- Where
- Nationwide
- How to start
- Ask your gastroenterology office to use the letter that matches your denial, or read the patient page on what to do if denied coverage and bring the template to your doctor.
- Have ready
- The denial letter with its reason; Your policy and claim numbers; Your doctor's notes on past treatments and why the drug or test is needed
Where this comes from
- Provider
- Crohn's & Colitis Foundation
- Source we read
- https://www.crohnscolitisfoundation.org/science-and-professionals/program-materials/appeal-letters
- Date we read it
- . This is not a fresh check.
- Date the provider printed
- Not displayed
- What we checked
- We read the provider's public page. We have not verified availability, eligibility or outcomes for any individual.
Other starting points
- Program or service
AppealArmor
A free web tool that reads a photo or text of your denial letter, shows you what it read, and emails an appeal letter and a Next Steps sheet with where to send it and your deadline. It also has a deadline calculator.
From AppealArmor
- Program or service
California Independent Medical Review decision search
A searchable database of every California Independent Medical Review decision since 1 January 2001. Search by drug, treatment, therapy or condition to read how reviewers decided cases like yours.
From California Department of Managed Health Care
- Program or service
Fight Health Insurance
A free tool that uses artificial intelligence (AI) to draft appeal letters from a photo or text of your denial letter. It also has a denial explainer, glossary and state help pages. Run by a company, not a nonprofit or law firm.
From Fight Health Insurance, Inc.