Privacy Requests

California residents can use the form below or one of the alternate methods listed below to submit requests under the California Consumer Privacy Act (CCPA) regarding personal information collected by MedeAnalytics. MedeAnalytics reserves the right to refuse requests, in part or in whole, to the extent permitted by law, if we are unable to verify your identity, or if we cannot verify your authority to act on behalf of another person.

For certain requests, we may ask for additional information or documents to verify the identity of the consumer who is the subject of the request. The information provided through this form will be used to respond to your request, including verifying identity, identifying personal information responsive to your request, and keeping records of your request.

Please review our Privacy Policy for more information about our privacy practices and how you may limit certain types of sharing under CCPA.

Alternate contact methods

By email:

ChiefPrivacyOfficer@medeanalytics.com

 

By phone:

(469) 916-3300

Toll-free:

(866) 470-6333 then select option #4

By USPS at:

MedeAnalytics, Inc.
501 W. President George Bush Highway, Suite 250
Richardson, TX 75080

Privacy request form

  • 1. Requestor information

    Your name and city and state of residence are required fields.

  • 2. Are you the consumer?

  • A link to the PDF fillable form can be found here.

  • 3. Consumer information (Complete this section ONLY if you are acting as an authorized agent on behalf of the requestor)

  • Upload your form (PDF files only)
    Drop files here or
    Accepted file types: pdf, Max. file size: 50 MB, Max. files: 5.

    • 4. Specify the request(s) - Check all that apply

    • Or, describe your request below.

    • 5. Preferred way for us to contact/respond to your request(s) -- You must make at least one choice

      In order for us to respond to your request, you must provide at least one method of contact.

    • DECLARATION: BY SIGNING BELOW, I HEREBY CERTIFY THAT THE INFORMATION ENTERED INTO THIS FORM IS COMPLETE, ACCURATE AND UP-TO-DATE, AND THAT I AM THE CONSUMER WHO IS THE SUBJECT OF THE REQUEST OR HAVE BEEN AUTHORIZED BY THAT CONSUMER TO ACT ON HIS/HER BEHALF, AS INDICATED ABOVE. I UNDERSTAND THAT IT MAY BE NECESSARY FOR MEDEANALYTICS TO VERIFY THE IDENTITY OF THE CONSUMER AND/OR AUTHORIZED AGENT FOR THIS REQUEST, AND ADDITIONAL INFORMATION MAY BE REQUESTED FOR THIS PURPOSE.

    • This field is for validation purposes and should be left unchanged.

    NOTICE OF CONFIRMATION: Our system will provide you with an on-screen confirmation which you may want to print a copy for your records before exiting the page.