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TPA/Carrier Network Satisfaction Survey

IMO MED-SELECT NETWORK® TPA/CARRIER SATISFACTION SURVEY

Thank you for your time!

Name (optional)

First
Last
Today's Date
Company / Employer
Email Address
Title / Position
- Adjuster
- Supervisor
- Workers’ Compensation Coordinator
- Other
If Other, Please Provide Below
For each question listed below, please select which best represents the most appropriate response based on your experience & involvement with the IMO Certified Network.
1. The Network Case Manager (TCM) kept me informed of medical & return-to-work plans at onset & during the network process.
- Strongly Agree
- Agree
- Not Applicable
- Disagree
- Strongly Disagree
2. The injured employee provided positive feedback regarding his/her process in the Network.
- Strongly Agree
- Agree
- Not Applicable
- Disagree
- Strongly Disagree
3. The Network TCM was helpful in addressing my questions/concerns in regards to Network policies & procedures in a timely manner.
- Strongly Agree
- Agree
- Not Applicable
- Disagree
- Strongly Disagree
4. I was made aware of medical issues and/or changes in medical condition in a timely manner.
- Strongly Agree
- Agree
- Not Applicable
- Disagree
- Strongly Disagree
5. I received notification of Pre-Authorization determinations in a timely manner.
- Strongly Agree
- Agree
- Not Applicable
- Disagree
- Strongly Disagree
6. I would agree that PLNs, Peer, RME, disputes/decisions have been appropriately administered in the Bill Review workflow.
- Strongly Agree
- Agree
- Not Applicable
- Disagree
- Strongly Disagree
7. As the Adjuster or Workers' Compensation Coordinator, I felt engaged in the Network process in regards to a partnership with the Network Medical Management team.
- Strongly Agree
- Agree
- Not Applicable
- Disagree
- Strongly Disagree
8. I feel the Network has sufficient county coverage for my service area.
- Strongly Agree
- Agree
- Not Applicable
- Disagree
- Strongly Disagree
9. I found the IMO Med-Select Network® Website helpful & user friendly.
- Strongly Agree
- Agree
- Not Applicable
- Disagree
- Strongly Disagree
10. Overall, I feel satisfied with the Certified Network implementation, access & believe that a positive impact is reflected in the results.
- Strongly Agree
- Agree
- Not Applicable
- Disagree
- Strongly Disagree
Please provide any additional feedback which may be utilized to improve our services in the space provided below. We appreciate your efforts & participation in the IMO Med-Select Network®:

Network Satisfaction Surveys

Injured Employee Network Satisfaction Survey
Provider Network Satisfaction Survey
TPA/Carrier Network Satisfaction Survey

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