IncentiCare Health Screening Results Appeal Form
IncentiCare Health Screening Results Appeal Form
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Reason for Appeal
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2
Appeal Submission
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3
Verification of Appeal
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4
Pariticipant Information
I am appealing my health result(s) because:
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I am appealing my health result(s) because:
I believe my test results are inaccurate or false.
I believe my test results are incomplete.
I believe that it is medically inadvisable for me to attempt to achieve my company’s goals or biomarker criteria.
If the reason you are appealing is not listed, please log in to Pulse and submit a support ticket.