Feedback Form


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NCPPO Feedback Form


At NCPPO, we are constantly looking for ways in which we can improve communication and satisfaction among our physicians, hospitals and other health care professionals in our network. Please take a moment to fill out this on-line survey. We value your input and look forward to continuing our relationship.

Name:
Phone Number:	- - x
E-mail Address:

How long have you participated with NCPPO:
What percentage of your practice is NCPPO:
Have you had an occasion to telephone NCPPO's Provider Relations Department regarding any issues as a result of your participation in our network:	Yes No
If you answered yes to the above question, did you feel you were treated courteously and professionally:	Yes No
Have you had occasion to telephone NCPPO's Customer Service Department regarding claims issues:	Yes No
If you answered yes to the above question, did you feel you were treated courteously and professionally:	Yes No
Did you receive a response to your inquiry within:
Please rate your overall communication experience with NCPPO's Customer Service Department:
Have you had the opportunity to interact with any of NCPPO's Payors' customer service/claims departments or UM departments on any occasion:	Yes No
If you answered yes to the above question, please rate your overall experience: (Entering the name of the Payor is optional.)
Payor 1:
Payor 2:
Payor 3:
Payor 4:
Payor 5:
If you rated any Payor "poor" and would like to make additional comments, please use the fields below:
Payor 1:
Payor 2:
Have you received a NCPPO Provider newsletter:	Yes No
If yes, have you found the Provider Newsletter informative:	Yes No
On a scale of 1-10, with 10 being the highest, please rate your overall satisfaction with NCPPO:
Do you use the NCPPO web site (www.ncppo.com):	Yes No
How can we improve our service to you:

Friday, November 21, 2008

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