Public Reporting Provider Exclusion Policy and Request Form
Policy, process and form for provider organizations who want to request exclusion from the public reporting of clinic quality and utilization results on Compare Your Care.
Public Reporting Patient Explanation and Opt-Out Request Form
Describes the purpose of Compare Your Care and the steps Comagine Health takes to protect the privacy and security of patient information. Includes opt-out instructions for patients who do not want their information to be included in the Compare Your Care process.
Public Reporting Clinic Opt-In Request Form
Clinics or medical groups with fewer than three primary care providers are excluded from public reporting through Compare Your Care. However, you may opt in to reporting by submitting this form.