STOP HCC: Mailed HCV Treatment Outreach Program for HCC Prevention for Elevated LFTs

Inclusion Criteria: * ages 18 or older * elevated liver functioning tests (AST or ALT \>35 that are separated by at least one month) * ≥ 1 outpatient visit during 12 months prior to randomization at Parkland * no prior HCV screening (prior HCV antibody, viral load, or genotype). * any active medical coverage * speaks Spanish or English Exclusion Criteria: * a life expectancy less than one year including any history of metastatic cancer, and those who received a palliative care or hospice referral in the past year * history of HCC. * non-English or Spanish speakers * no address or phone number on file