Preauthorization survey General Question Title * 1. Please identify which type of practitioner you are. RN NP CNM CNS PA Other Question Title * 2. Please identify which area is your practice's primary focus. Pediatric Primary Care Adult Primary Care Pediatric Behavioral Health Adult Behavioral Health Pediatric Specialty Care Adult Specialty Care Question Title * 3. Indicate the number of practitioners in your practice across all offices. 1-5 6-10 11-15 More than 15. Question Title * 4. Identify the number of staff in your practice that work on prior authorization requests exclusively. 0 1 2 3 4 5 6 7 8 9 10 Question Title * 5. Identify the number of staff in your practice that work on prior authorization as part of overall job responsibility (meaning performs other tasks). 1 2 3 4 5 6 7 8 9 10+ Question Title * 6. Mark all the payors your office has contracted with over the past year. Medicaid ASO (Optum) Medicaid Fee for Service Medicaid MCOs Private Insurers (Carefirst, United, Aetna, Cigna, Kaiser, other) Medicare Tricare Question Title * 7. Does your practice utilize carrier’s electronic prior authorization systems? Yes No Sometimes Question Title * 8. If your practice does not utilize a carrier's electronic prior authorization system, what is your typical request process? Phone Fax Email Through the electronic health record Question Title * 9. Why do you not use a carrier's electronic preauthorization system? Next