Provider-Satisfaction-Survey

Your input is very important to us! Please complete the following survey along with your comments and return it to us. Please check (√) the appropriate response below.

Physicians please list all other PMG/IPA’s affiliations:



5=strongly agree 4=agree 3=neutral 2=disagree 1=strongly disagree

Questions regarding claims are handled appropriately.
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Your claims are processed in a timely fashion.
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The IPA staff returns your phone call promptly and answers your questions to your satisfaction
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There is an ongoing Education and communication with the IPA and providers regarding DMHC & NCQA regulation and compliance
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Are you using the IPA Authorization Request Portal: EZ-NET
YesNo

IPA providers shall participate, cooperate and comply with the IPA’s Utilization Management and Quality Assurance programs TrueFalse

Providers Dispute Resolutions are handled efficiently and in a timely manner
YesNoN/A

You are aware of Health Education and Ambulatory Case Management Programs available to the members
YesNo

Do you receive education and updates related to Member’s Access to the Language Assistance Program (LAP) offered by the Health Plan, LA CARE and CMS
YesNo

Does the organization handle the members PHI to comply with the HIPAA standards and regulation
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Do the Ancillaries Providers turned around time for services and test results are in compliance with your expectation and quality of services
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Laboratory-Foundation Lab Inc, Lab All, Inc
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Radiology Departments
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Durable Medical Equipment
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Physical Therapy and Rehabilitation Centers
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Do you and the clinic staff understand the members right to appoint a representative to facilitate care and treatment decisions when the member is incapable of doing so because of mental or physical limitation
YesNo

Do you advocate yours Peer to join the Hispanic Physicians IPA
YesNo

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