Privacy notices for consumers & professionals

This page contains notices and website privacy policies for the forms and data collections supporting surprise billing protections and complaints.

Consumer complaints:

• Website privacy policy for the consumer complaints download (PDF)

Consumers initiating patient-provider dispute resolution:

• Website privacy policy for the payment dispute forms for consumers download (PDF)

Providers responding to patient-provider dispute resolution:

• Website privacy policy for the provider forms for patient dispute resolution download (PDF)

Disputing parties to federal independent dispute resolution:

• Website privacy policy for the disputing party forms for federal independent dispute resolution download (PDF)

Provider complaints:

• Website privacy policy for the provider billing complaints download (PDF)