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:  Address:

                             City:    State:  WI

Payment address:  Address:

                             City:    State:  WI

Specialty: 

Instructions:

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

 Strongly Disagree  Disagree  Agree  Strongly Agree 

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

 Strongly Disagree  Disagree  Agree  Strongly Agree 

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

 Strongly Disagree  Disagree  Agree  Strongly Agree 

Payor service

1. It is easy to contact payors for benefit information, precertification 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 Explanation of Benefits (EOB) is clearly explained

 Strongly Disagree  Disagree  Agree  Strongly Agree 

4. My average claim correction usually takes?

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

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?