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Feedback Survey for the Medical Reference Guide for Claims Adjusters (Cervical Spine Treatment Guidelines)
1.
The index at the back of the guide helped me to find what I was looking for.
Strongly Agree
Agree
Neither Agree Nor Disagree
Disagree
Strongly Disagree
Additional Comments
2.
The Reference Guide for Claims Adjusters helped me to determine which diagnostic and treatment interventions require prior authorization.
Strongly Agree
Agree
Neither Agree Nor Disagree
Disagree
Strongly Disagree
Additional Comments
3.
The Reference Guide for Claims Adjusters helped me to determine which diagnostic and treatment interventions were not recommended.
Strongly Agree
Agree
Neither Agree Nor Disagree
Disagree
Strongly Disagree
Additional Comments
4.
I plan to use this guide on a regular basis when reviewing treatment requests.
Strongly Agree
Agree
Neither Agree Nor Disagree
Disagree
Strongly Disagree
Additional Comments
5.
Please use the space below to make other comments
6.
Please select the type of organization for which you work.
Insurance Carrier
Third Party Administrator
Self-Insured Organization
Other
7.
I am a:
Claims Adjuster
Case Manager
Attorney
Physician's Assistant
Other (please specify)
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