Provider Satisfaction Survey

Dear Service Provider,

In our endeavors to improve our services to our Network Providers we would appreciate it if you could take the time to complete this survey. Thank you for your time.

1 Start 2 Complete

Details of Practitioner

Practice name *

Name of person you interacted with *

Please give us the name of the Prime Cure representative that you interacted with

Practice number *

This is the practice number under which you submit accounts

Questions *

	Poor	Average	Good	Excellent
How would you rate the service you receive from Prime Cure in general? *	How would you rate the service you receive from Prime Cure in general? - Poor	How would you rate the service you receive from Prime Cure in general? - Average	How would you rate the service you receive from Prime Cure in general? - Good	How would you rate the service you receive from Prime Cure in general? - Excellent
How would you rate the service you receive from the Prime Cure call centre? *	How would you rate the service you receive from the Prime Cure call centre? - Poor	How would you rate the service you receive from the Prime Cure call centre? - Average	How would you rate the service you receive from the Prime Cure call centre? - Good	How would you rate the service you receive from the Prime Cure call centre? - Excellent
How would you rate the service you receive from the Prime Cure Case Managers for purposes of obtaining authorizations? *	How would you rate the service you receive from the Prime Cure Case Managers for purposes of obtaining authorizations? - Poor	How would you rate the service you receive from the Prime Cure Case Managers for purposes of obtaining authorizations? - Average	How would you rate the service you receive from the Prime Cure Case Managers for purposes of obtaining authorizations? - Good	How would you rate the service you receive from the Prime Cure Case Managers for purposes of obtaining authorizations? - Excellent
How would you rate the payment of your claims by Prime Cure? *	How would you rate the payment of your claims by Prime Cure? - Poor	How would you rate the payment of your claims by Prime Cure? - Average	How would you rate the payment of your claims by Prime Cure? - Good	How would you rate the payment of your claims by Prime Cure? - Excellent

Do you think that the communication from Prime Cure is adequate? *

No we need to be communicated to more often

Yes

If you selected other above, please specify: *

Do you make use of the Prime Cure Dashboard Functionality on the website? *

Yes

No – please contact me to register

Email address to contact me on:

Please enter an email address where we can send you details on our dashboard registration.

Would you prefer the manual in CD or hard copy (book format)? *

CD (Electronic)

Book (Hardcopy)

Both

Do you have any suggestion on how Prime Cure can enhance its services to you?

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Provider Satisfaction Survey

Provider Satisfaction Survey

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