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Carolina Complete Health Provider Feedback Survey
Visit us on the web:
network.carolinacompletehealth.com
1.
My interaction was with:
Carolina Complete Health Network Provider Network Support Team
Carolina Complete Health Network Provider Engagement Team
Other (please specify)
2.
My interaction was via
Phone
Email
Virtual meeting
In person meeting
*
3.
Overall, on a scale of 1 to 5 with 5 being the most satisfied, how satisfied are you with your interaction today?
(Required.)
1 - Very dissatisfied
2 - Dissatisfied
3 - Neutral - neither satisfied nor dissatisfied
4 - Satisfied
5 - Very satisfied
4.
I feel supported but my problems are still not being resolved
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
*
5.
Overall, on a scale of 1 to 5 with 5 being the most satisfied, how satisfied are you with Carolina Complete Health's ability to pay claims accurately and timely?
(Required.)
1 - Very dissatisfied
2 - Dissatisfied
3 - Neutral - neither satisfied nor dissatisfied
4 - Satisfied
5 - Very satisfied
Please feel free to offer additional feedback about your experience with claims.
*
6.
Overall, on a scale of 1 to 5 with 5 being most satisfied, how satisfied are you with Carolina Complete Health's prior authorization/service authorization process?
(Required.)
1 - Very dissatisfied
2 - Dissatisfied
3 - Neutral - neither satisfied nor dissatisfied
4 - Satisfied
5 - Very satisfied
Please feel free to provide additional feedback on your experience with our prior authorization process.
*
7.
Do you feel supported by Carolina Complete Health Network's Provider Support and Provider Engagement teams?
(Required.)
Yes, I have the support I need
No, I do not feel I am getting the support I need
I have not been in contact with the Provider Support or Provider Engagement teams
Please feel free to provide additional feedback on your experience with our provider support teams.
8.
If you would like someone to reach out to you or if you would like to offer additional feedback, please complete the form below.
Name/Title
Practice/Organization
Email Address
Phone Number
9.
Please indicate your practice-type
Primary Care
Specialist
Ancillary
Hospital
Health Department
10.
I know who my Provider Support Specialists/ Provider Engagement Administrators are?
Yes
No
11.
My Provider Support Specialist is:
12.
My Provider Engagement Administrator is:
