Provider Satisfaction Survey for 504 Networks

I have been satisfied with the quality of customer service offered by the IMO Med-Select 504 Network team.*

I found the IMO Med-Select 504 Network Website helpful and user friendly.*

I was satisfied with both the processing of my billing and payments for services rendered.*

I was contacted and given an opportunity for a Peer-to-Peer discussion prior to a decision of non- authorization for all utilization reviews.*

I was provided appropriate and timely feedback from all Specialists in the IMO Med-Select 504 Network.*

Out of Network referrals were promptly addressed & responded to within 7 days if found to be necessary based on availability and/or accessibility.*

I have a clear understanding of the requirements associated with a 504 Workers’ Compensation Health Care Network.*

General Comments or Suggestions

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Name of 504 Network*

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