Dental Provider Satisfaction Survey

Introduction/Demographics

AmeriHealth Caritas Pennsylvania and AmeriHealth Caritas Northeast are conducting a Dental Provider Satisfaction Survey to aid us in evaluating our processes, systems and customer service. When answering the questions please provide your candid responses so that we may improve our service.

If you have any questions about the survey, please contact Christine Brehm-Stroman at

cbrehm-stroman@amerihealthcaritaspa.com or 717-651-3599.

Thank you in advance for your participation.

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* 1. Please mark who is completing this survey:

Dentist

Office Manager

Receptionist

Other (please specify)

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* 2. Please provide us with your office information:

Your name:

Your office's name:

Street address:

City/State/Zip:

Phone number

Email address

You may omit your office information if you prefer to fill out your survey anonymously; however, providing your office information enables us to follow up with any requests for information, visits or educations.If you wish to remain anonymous please at a minimum fill out your city so we maybetter assess answers to questions about our network adequacy.

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* 3. Please indicate your dental specialty (check all that apply):

General Dentist

Orthodontist

Oral Surgeon

Pediatric Dentist

Other (please specify)

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* 4. Do you care for patients 0-2 years of age?

Yes

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* 5. If you don't see patients 0-2 years of age, why not?

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* 6. Are you interested in receiving training to better care for this age group?

Yes

Age One Dental Visit
The American Academy of Pediatric Dentistry (AAPD) and the American Dental Association recommend that all children be seen by a dentist when the first tooth appears or by age one. The PA Age One Connect the Dots program was established to educate and train general dentists to perform a knee-to-knee exam for the youngest patients. For more information, email Amy Requa at amy.cpnp@gmail.com.

COMMUNICATION

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* 7. What is the best way the plan may communicate with your office?

Fax

US Postal Service

Other (please specify)

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* 8. Do you know how to update your email, fax number or correspondence address with the plan?

Yes

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* 9. Are you currently enrolled to receive e-Lert email messages from the plan?

Yes

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* 10. Would you like more information about registering for e-Lert email electronic communication?

Yes

Click here to register to receive AmeriHealth Caritas Pennsylvania's e-Lert email communications

Click here to register to receive AmeriHealth Caritas Northeast's Network News email communications

DENTAL ACCOUNT EXECUTIVE

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* 11. Do you know who your Dental Account Executive is?

Yes

Click here to obtain AmeriHealth Caritas Pennsylvania Dental Account Executive information

Click here to obtain AmeriHealth Caritas Northeast Dental Account Executive Information

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* 12. Would you like a visit from them?

Yes

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* 13. If you answered 'yes' to question #9, how often would you like your Dental Account Executive to visit your office?

Annually

Bi-annually

Quarterly

Other (please specify)

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* 14. Please rate the quality and service provided by your Dental Account Executive:

	Excellent	Very Good	Good	Fair	Poor	N/A
Responsiveness	Responsiveness Excellent	Responsiveness Very Good	Responsiveness Good	Responsiveness Fair	Responsiveness Poor	Responsiveness N/A
Timeliness answering questions or resolving issues	Timeliness answering questions or resolving issues Excellent	Timeliness answering questions or resolving issues Very Good	Timeliness answering questions or resolving issues Good	Timeliness answering questions or resolving issues Fair	Timeliness answering questions or resolving issues Poor	Timeliness answering questions or resolving issues N/A
Relevance of education	Relevance of education Excellent	Relevance of education Very Good	Relevance of education Good	Relevance of education Fair	Relevance of education Poor	Relevance of education N/A
Timeliness of written communications	Timeliness of written communications Excellent	Timeliness of written communications Very Good	Timeliness of written communications Good	Timeliness of written communications Fair	Timeliness of written communications Poor	Timeliness of written communications N/A

NETWORK ADEQUACY

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* 15. The network has an adequate number of dental specialists to whom I may refer my patients:

Yes

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* 16. If you answered No to question #15, what specialties are lacking:

Orthodontist

Oral Surgeon

Pediatric Dentist

Other (please specify)

SCION PROVIDER WEB PORTAL

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* 17. My office is aware of the services available through the web-based provider portal at www.dentists.amerihealthcaritas.com:

True

False

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* 18. In the past 12 months, which of the following available services has your office utilized through the provider web portal? Please check all that apply.

Member Eligibility

Member Treatment History

Claims Submission

Claims Status

Prior Authorization Submission/s

None

DENTAL PROVIDER SERVICES TELEPHONE UNIT

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* 19. Please rate the following quality and service provided by the Dental Provider Services Telephone Unit at 1-855-434-9241:

	Poor	Fair	Good	Very Good	Excellent	N/A
Timeliness of claim resolution	Timeliness of claim resolution Poor	Timeliness of claim resolution Fair	Timeliness of claim resolution Good	Timeliness of claim resolution Very Good	Timeliness of claim resolution Excellent	Timeliness of claim resolution N/A
Knowledge, accuracy, and helpfulness of responses	Knowledge, accuracy, and helpfulness of responses Poor	Knowledge, accuracy, and helpfulness of responses Fair	Knowledge, accuracy, and helpfulness of responses Good	Knowledge, accuracy, and helpfulness of responses Very Good	Knowledge, accuracy, and helpfulness of responses Excellent	Knowledge, accuracy, and helpfulness of responses N/A

CLAIMS PROCESSING

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* 20. Please rate the reimbursement process:

	Poor	Fair	Good	Very Good	Excellent
Timeliness of claims processing	Timeliness of claims processing Poor	Timeliness of claims processing Fair	Timeliness of claims processing Good	Timeliness of claims processing Very Good	Timeliness of claims processing Excellent
Accuracy of claims processing	Accuracy of claims processing Poor	Accuracy of claims processing Fair	Accuracy of claims processing Good	Accuracy of claims processing Very Good	Accuracy of claims processing Excellent
Overall satisfaction with claims processing	Overall satisfaction with claims processing Poor	Overall satisfaction with claims processing Fair	Overall satisfaction with claims processing Good	Overall satisfaction with claims processing Very Good	Overall satisfaction with claims processing Excellent

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* 21. What clearinghouse do you use for electronic claims submission?

Scion

I am not using a clearinghouse presently.

Other (please specify)

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* 22. What billing/practice management software does your office use?

Dentrix

Eaglesoft

ACE

Don't know

Other (please specify)

UTILIZATION AND QUALITY MANAGEMENT

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* 23. Please rate Utilization and Quality Management on the following:

	Poor	Fair	Good	Very Good	Excellent
Prior authorization process	Prior authorization process Poor	Prior authorization process Fair	Prior authorization process Good	Prior authorization process Very Good	Prior authorization process Excellent
Consistency in applying authorization criteria	Consistency in applying authorization criteria Poor	Consistency in applying authorization criteria Fair	Consistency in applying authorization criteria Good	Consistency in applying authorization criteria Very Good	Consistency in applying authorization criteria Excellent

CREDENTIALING/RECREDENTIALING PROCESS

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* 24. My credentialing/recredentialing process occurred in a timely manner:

True

False

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* 25. Did you receive appropriate notification on the need to recredential with the plan?

Yes

CULTURAL COMPETENCY

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* 26. Check any of the following types of interpreter services you use for your non-English speaking patients:

In person

Telephonic

Other (please specify)

FINAL COMMENTS

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* 27. What do you like about working with AmeriHealth Caritas Pennsylvania/AmeriHealth Caritas Northeast?

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* 28. What do you dis-like about working with AmeriHealth Caritas Pennsylvania/AmeriHealth Caritas Northeast?

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* 29. How can we improve our dental program?

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* 30. Please rate your over-all satisfaction with the following:

	Poor	Fair	Good	Very Good	Excellent
Our Dental Plan	Our Dental Plan Poor	Our Dental Plan Fair	Our Dental Plan Good	Our Dental Plan Very Good	Our Dental Plan Excellent
Other Mediciad Dental Plans	Other Mediciad Dental Plans Poor	Other Mediciad Dental Plans Fair	Other Mediciad Dental Plans Good	Other Mediciad Dental Plans Very Good	Other Mediciad Dental Plans Excellent

Thank you for providing your feedback. Click DONE below to exit survey.