COMPdata Informatics
Login
Search for:
Menu
Late Load 2021
Home
Products and Services
Data Submission Services
New Data Submission Coordinator Information
Training-Data Submission
Late Load Information and forms
Late Load Form
IL Data Submission Login
Illinois Nurse Staffing Login
MT Data Submission Login
COMPdata Analytic Services
About Us
Contact Us
Home
Data Submission Services
Late Load Information and forms
Late Load 2021
Facility Name:
Facility NPI:
Billing Information
Billing Comments:
Billing Mailing Address:
Purchase Order:
Attention of:
Title:
Phone number:
(
)
-
Second three digits
Last four digits
Email :
Yes, receive a copy of the invoice by email
Full Name :
Title:
Phone number:
(
)
-
Second three digits
Last four digits
Email:
Late Load Details: Choose the appropriate quarter and patient level data type
2021:
Inpatient Quarter 1 Fee $2,400.00
Inpatient Quarter 2 Fee $2,400.00
Inpatient Quarter 3 Fee $2,400.00
Inpatient Quarter 4 Fee $2,400.00
Outpatient Quarter 1 Fee $2,400.00
Outpatient Quarter 2 Fee $2,400.00
Outpatient Quarter 3 Fee $2,400.00
Outpatient Quarter 4 Fee $2,400.00
A submission start date will be provided by a COMPdata customer service representative.
Agree:
I have read the information below and agree to the terms and conditions of this late load request
I understand and agree to the removal of the existing data for the chosen timeframe and agree to reload complete and accurate data for publication on the COMPdata Analytic Report Tool. I understand late load data will not be provided to IDPH. Montana hospitals require prior written consent by MHA and may include additional fees. Late Loads are considered complete for release to the COMPdata Analytic Report Tool based upon the timeframe of the receipt of the late load payment and facilities confirmation of final counts on the DSVR-DQSR Report. Complete instructions are provided on the Late Load information webpage