Provider Satisfaction Survey 2015
Answers marked with a * are required.
 
1. AHC IPA staff returns calls promptly *




      

 
 
 
2. The AHC IPA staff is courteous and helpful. *




      

 
 
 
3. Your questions are answered to your satisfaction *




      

 
 
 
4. AHC IPA referral / authorization forms are easy to use. *




      

 
 
 
5. Referral/authorizations are returned to you in a timely fashion. *




      

 
 
 
6. UM information are updated and informed to you in a timely manner. *




      

 
 
 
7. AHC IPA ensure adequate coordination of care among provider for your member. *




      

 
 
 
8. Coordination of Care provided in a timely manner. *




      

 
 
 
9. Members are satisfied with the AHC IPA UM process. *




      

 
 
 
10. Specialist network is sufficient enough to address your need. *




      

 
 
 
11. Questions on claims are handled quickly and appropriately. *




      

 
 
 
12. Claims are processed in a timely fashion. *




      

 
 
 
13. Capitation checks sent in a timely manner. *




      

 
 
 
14. C & L issues related to member and their ability to access services are addressed. *




      

 
 
 
15. Health Education services provided by AHC IPA and Health Plans are satisfactory. *




      

 
 
 
16. Provider Name / Office & Date:
 
 
 
 
 

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