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Bella Vista Medical Group IPA
2021 Provider Satisfaction Survey

The provider completing this form is a:(Required.)
Please respond to the following statements:(Required.)
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
N/A
Overall, I am satisfied with Bella Vista.
I would recommend participation in Bella Vista to other providers.
Referrals are easily made through the MedPOINT Provider Portal.
Authorization requests are processed by MedPOINT in a timely manner.
My claims are processed timely.
MedPOINT customer service staff is courteous and helpful.
I am satisfied with the customer service provided by my Field Representative.
I receive quality performance information on a regular basis.
Comments:
Date of Completion:
Name of staff member completing this survey:
Title/Department:
E-mail:
Phone Number: