Adjuster Satisfaction Survey

The Network Case Manager (TCM) kept me informed of medical and return-to-work plans at onset and during the network process*

The injured employees are able to get in to see a network treating doctor within a reasonable amount of time*

I was made aware of medical concerns and/or changes in the medical condition timely*

Generally speaking, injured employees have provided positive network feedback*

The network doctor/clinic provides required DWC73 forms in a timely manner*

If the injured worker was unable to return to work full duty, the network doctor worked with the employer to get the injured worker back to work on transitional duty, if available*

Referrals to physical therapists, specialists and diagnostic facilities were handled timely*

General Comments or Suggestions

Name of Employer*

We do not use this information to identify you. This is only used to correctly identify the employer.

Please contact me for further comments

Yes
No

Name

Phone

Email

* This form is for ADJUSTER use only. IMO Med-Select Network^® Claims Only. *

Solutions

Network Resources

IMO Connect

*** This form is for ADJUSTER use only. IMO Med-Select Network® Claims Only. ***

Solutions

Network Resources

IMO Connect

* This form is for ADJUSTER use only. IMO Med-Select Network^® Claims Only. *