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New Data Submission Coordinator Information
User Application- Data Submission/Vendor
Vendor's Company Name:
City:
State:
ZIP code:
Users First Name:
Users Last Name:
Title:
Phone Number:
Users E-mail :
Enter your business e-mail address to establish a login ID.
Replacing current User:
Yes
No
Prior User unkown
If yes, please provide the prior Users information below.
Replacing First Name:
Replacing Last Name:
Effective Date:
Calendar
Today
Associated Facilities:
Please list all facilities this vendor is authorized to be associated with for Data Submission Services.
Required Upload Authorization Memo:
Provide an email from the facilities Primary Contact for COMPdata authorizing your access.
I have read and agree
User Account and HIPAA Compliance: Users must maintain a current password to continue system access and/or system generated reports and other notifications. Passwords expire every 90 days. E-mail notifications are sent 10 days prior to an accounts deactivation. A Primary User is designated for each facility in order to manage User accounts. Primary users must contact us immediately of a User’s status change e.g. separation of employment, or duties and ensure inactive accounts are removed from our system. The COMPdata Data Submission System contains PHI. Sharing of IDs and password of your personal account are strictly prohibited. Submission of PHI to COMPdata via e-mail must be done through a secure email system with encryption. Failure to do so will result in legal action taken against you to the full extent of the HIPAA compliance act and IHA's legal department.