Provider Satisfaction Survey

Provider Satisfaction SurveyMedingenuityAdmin2020-04-27T21:14:00+00:00

I have been satisfied with the quality of customer service offered by the IMO Med-Select Network® team.*
- Strongly Agree
- Agree
- Neutral
- Disagree
- Strongly Disagree
I found the IMO Med-Select Network® Website helpful & user friendly.*
- Strongly Agree
- Agree
- Neutral
- Disagree
- Strongly Disagree
I was satisfied with both the processing of my billing and payments for services rendered.*
- Strongly Agree
- Agree
- Neutral
- Disagree
- Strongly Disagree
I was contacted and given an opportunity for a Peer-to-Peer discussion prior to a decision of non- authorization for all utilization reviews.*
- Strongly Agree
- Agree
- Neutral
- Disagree
- Strongly Disagree
I was provided appropriate and timely feedback from all Specialists in the IMO Med-Select Network.*
- Strongly Agree
- Agree
- Neutral
- Disagree
- Strongly Disagree
Out of Network referrals were promptly addressed & responded to within 7 days if found to be necessary based on availability and/or accessibility.*
- Strongly Agree
- Agree
- Neutral
- Disagree
- Strongly Disagree
I have a clear understanding of the requirements associated with a 1305 Workers’ Compensation Health Care Network.*
- Strongly Agree
- Agree
- Neutral
- Disagree
- Strongly Disagree
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