Provider Satisfaction Survey

At Prevea Health Network, we're always striving to improve.  Making sure that our participating providers enjoy a positive experience with PHN plays an important role in helping us achieve that goal.

Your feedback is important to us.  Please take a moment to answer the following questions.

Name: 

Tax ID: 

Office Address

Street Address: 

City Address: 

State:  WI

Zip: 

Payment Address

Street Address: 

City Address: 

State:  WI

Zip: 

Claim processing

1.  Claims are accurately processed by Payor according to the reimbursement rate withing my contract with PHN.

 Strongly Disagree  Disagree  Agree  Strongly Agree

2.  I resubmit a claim to Payor due to inaccurate pricing 

 Weekly  Monthly  Quarterly  Yearly  Never

3.  I find that sending claims electronically to Payor is easy.

 Strongly Disagree  Disgree  Agree  Strongly Agree

Payor service

1.  It is easy to contact payors for benefit information, precertifcation or claim status.

 Strongly Disagree  Disagree  Agree  Strongly Agree

2.  Patient's identification cards list all information clearly.

 Strongly Disagree  Disagree  Agree  Strongly Agree

3.  The Payor's Explaination of Benefits (EOB) is clearly explained.

 Strongly Disagree  Disagree  Agree  Strongly Agree

4.  My average claim collection usually takes?

 Less than 45 days  45 to 60 days    90 to 120 days  Over 120 days  

Provider relations

1.  I normally contact Providers Relations for assistance every _____ ?

 Less than 45 days  45-60 days  90-120 days  Over 120 days

2.  Getting in touch with a Provider Relations representative is easy.

 Strongly Disagree  Disagree  Agree  Strongly Agree

3.  The representative is always responsive to my concerns.

 Strongly Disagree  Disagree  Agree  Strongly Agree

4.  The representative meets my needs in a timely fashion.

 Strongly Disagree  Disagree  Agree  Strongly Agree

5.  I find it useful to have a visit from my representative.

 Strongly Disagree  Disagree  Agree  Strongly Agree

6.  I find verification form are easy to complete.

 Strongly Disagree  Disagree  Agree  Strongly Agree

Provider resource manual

1.  Having the ability to download the manual is helpful to me.

 Strongly Disagree  Disagree  Agree  Strongly Agree

2.  The information within the manual is well organized and useful.

 Strongly Disagree  Disagree  Agree  Strongly Agree

Web site

1.  The appearance of the web site is pleasing and friendly.

 Strongly Disagree  Disagree  Agree  Strongly Agree

2.  The web site is easy to navigate.

 Strongly Disagree  Disagree  Agree  Strongly Agree

3.  I found everything I was looking for.

 Strongly Disagree  Disagree  Agree  Strongly Agree

4.  The web site has too much information.

 Strongly Disagree  Disagree  Agree  Strongly Agree

5.  The web site does not have enough information.

 Strongly Disagree  Disagree  Agree  Strongly Agree

6.  I had a very positive experience using the web site.

 Strongly Disagree  Disagree  Agree  Strongly Agree

7.  I encountered some problems using the web site.

 Strongly Disagree  Disagree  Agree  Strongly Agree

What category above are you most satisfied with?

What category above do you think needs the most improvement?

Are there any additional comments you would like to share with us about your relationship with PHN?