Inclusion Criteria:  Managed care patient, 51-75 years old Active primary care provider at UCLA seen within last 3 years  Exclusion Criteria:  Inactive MyChart status or mailing address at time of enrollment Died within follow up period Any high-risk features including first degree family members with CRC, personal history of adenomas, history of inflammatory bowel disease, and any genetic GI cancer syndromes. Exclusion from March 2020 cohort if received FIT mailer within past 6 months