axiUm Claims Processing Survey Question Title * 1. First name Question Title * 2. Last name Question Title * 3. Organization Question Title * 4. Role/Title Question Title * 5. Email address Question Title * 6. In priority order, what are the top 3 challenges your organization faces due to Change Healthcare’s services being unavailable? Question Title * 7. How likely is your organization to resume using Change Healthcare once it reinstates its services? Very likely Likely Undecided Unlikely Very unlikely Question Title * 8. If you decide to resume using Change Healthcare, would you re-instate all previous services used or consider retaining DentalXChange or ImageNet-DFS? (select all that apply) Re-instate all previous CHC services Consider retaining DentalXChange for dental claims Consider retaining ImageNet-DFS for patient statements Not sure yet Question Title * 9. How is your organization handling medical claims during the Change Healthcare outage? Printing and sending claims to each payor Uploading claim files to my payor’s portal We don’t handle medical claims Other (please specify) Question Title * 10. How would you like to receive upcoming communications regarding CHC updates? Email Website Both Question Title * 11. Would you be comfortable with us reaching out to you to ask more specific questions following this survey? Yes no Done