Subscriber Services | COMPdata Informatics

Health System Name:
City:
State:
ZIP code:
Users First Name:
Users Last Name:
Title:
Phone Number:
Users E-mail address:	Enter your business e-mail address to establish a login ID.
Choose User Type:	Primary - One per account/Main account manager Secondary - One per account, backup to Primary account manager
Replacing User :	Yes No Prior User unkown If yes, please provide the prior Users information below.
Replacing First Name:
Replacing Last Name:
Effective Date:	Today
Required Upload Authorization Memo:	Readmission Report Access: Requires written authorization from the facility CEO or authorized Health System Designate.
Associated Facilites:	Please list all facilities within the Health System you are authorized to be associated with for Readmissions Reports.
	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 Health System, 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

User Application-Specialty Reports-Health System Readmissions