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* 1. What is the size of your clinic (total number of physicians/providers)?

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* 2. Please enter your clinic zip code.

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* 3. Please choose the option that best describes your clinic.

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* 4. Which option best describes the majority owner of your medical practice?

Please answer the following questions as they pertain to each payer.

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* 5. Payer 1: America’s PPO

  Strongly Agree Agree Neutral Disagree Strongly Disagree N/A
The payer ensures that I know what products are covered by the contract.
The member identification cards are easy to read and clear about the network being used.
The payer provides sufficient information for provider payment denials. The appeals process is reasonable and decisions are timely and fair.
The payer’s payment rates are adequate and not too heavily discounted.
The payer’s payments are paid in a timely manner. Clean claims are paid within the appropriate 30-day time period specified by state law.
The payer’s Physician Performance Data, ‘Tiered’ Product or Report Card data are accurate, valid, and used fairly and appropriately.
The payer’s Explanation of Benefits provides sufficient detail to identify MNCare tax and when it is exempt.
The payer’s Explanation of Benefits clearly explains member liability versus plan liability.
The payer’s credentialing process is completed in a timely manner for any provider within 30 days.

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* 6. Payer 1: America’s PPO

  Completely Satisfied Satisfied Neutral Dissatisfied Completely Dissatisfied N/A No Experience
How satisfied are you with the amount of time it takes the payer to respond to your questions?
How satisfied are you that the payer conducts two-way, good faith negotiations during the contracting process?
How satisfied are you that the payer fully discloses its payment policies?

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* 7. How much leverage does your practice have during the contract negotiation process?

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* 8. Please rate the payer in Minnesota using the scale below:

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* 9. Over the past 6 to 12 months, how would you describe the change, if any, in your overall satisfaction with the payer?

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* 10. Please share any feedback for Payer 1: America's PPO

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* 11. Payer 2: BCBS of MN

  Strongly Agree Agree Neutral Disagree Strongly Disagree N/A
The payer ensures that I know what products are covered by the contract.
The member identification cards are easy to read and clear about the network being used.
The payer provides sufficient information for provider payment denials. The appeals process is reasonable and decisions are timely and fair.
The payer’s payment rates are adequate and not too heavily discounted.
The payer’s payments are paid in a timely manner. Clean claims are paid within the appropriate 30-day time period specified by state law.
The payer’s Physician Performance Data, ‘Tiered’ Product or Report Card data are accurate, valid, and used fairly and appropriately.
The payer’s Explanation of Benefits provides sufficient detail to identify MNCare tax and when it is exempt.
The payer’s Explanation of Benefits clearly explains member liability versus plan liability.
The payer’s credentialing process is completed in a timely manner for any provider within 30 days.

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* 12. Payer 2: BCBS of MN

  Completely Satisfied Satisfied Neutral Dissatisfied Completely Dissatisfied N/A No Experience
How satisfied are you with the amount of time it takes the payer to respond to your questions?
How satisfied are you that the payer conducts two-way, good faith negotiations during the contracting process?
How satisfied are you that the payer fully discloses its payment policies?

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* 13. How much leverage does your practice have during the contract negotiation process?

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* 14. Please rate the payer in Minnesota using the scale below:

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* 15. Over the past 6 to 12 months, how would you describe the change, if any, in your overall satisfaction with the payer?

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* 16. Please share any feedback for Payer 2: BCBS of MN

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* 17. Payer 3: HealthPartners

  Strongly Agree Agree Neutral Disagree Strongly Disagree N/A
The payer ensures that I know what products are covered by the contract.
The member identification cards are easy to read and clear about the network being used.
The payer provides sufficient information for provider payment denials. The appeals process is reasonable and decisions are timely and fair.
The payer’s payment rates are adequate and not too heavily discounted.
The payer’s payments are paid in a timely manner. Clean claims are paid within the appropriate 30-day time period specified by state law.
The payer’s Physician Performance Data, ‘Tiered’ Product or Report Card data are accurate, valid, and used fairly and appropriately.
The payer’s Explanation of Benefits provides sufficient detail to identify MNCare tax and when it is exempt.
The payer’s Explanation of Benefits clearly explains member liability versus plan liability.
The payer’s credentialing process is completed in a timely manner for any provider within 30 days.

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* 18. Payer 3: HealthPartners

  Completely Satisfied Satisfied Neutral Dissatisfied Completely Dissatisfied N/A No Experience
How satisfied are you with the amount of time it takes the payer to respond to your questions?
How satisfied are you that the payer conducts two-way, good faith negotiations during the contracting process?
How satisfied are you that the payer fully discloses its payment policies?

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* 19. How much leverage does your practice have during the contract negotiation process?

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* 20. Please rate the payer in Minnesota using the scale below:

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* 21. Over the past 6 to 12 months, how would you describe the change, if any, in your overall satisfaction with the payer?

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* 22. Please share any feedback for Payer 3: HealthPartners

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* 23. Payer 4: Humana

  Strongly Agree Agree Neutral Disagree Strongly Disagree N/A
The payer ensures that I know what products are covered by the contract.
The member identification cards are easy to read and clear about the network being used.
The payer provides sufficient information for provider payment denials. The appeals process is reasonable and decisions are timely and fair.
The payer’s payment rates are adequate and not too heavily discounted.
The payer’s payments are paid in a timely manner. Clean claims are paid within the appropriate 30-day time period specified by state law.
The payer’s Physician Performance Data, ‘Tiered’ Product or Report Card data are accurate, valid, and used fairly and appropriately.
The payer’s Explanation of Benefits provides sufficient detail to identify MNCare tax and when it is exempt.
The payer’s Explanation of Benefits clearly explains member liability versus plan liability.
The payer’s credentialing process is completed in a timely manner for any provider within 30 days.

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* 24. Payer 4: Humana

  Completely Satisfied Satisfied Neutral Dissatisfied Completely Dissatisfied N/A No Experience
How satisfied are you with the amount of time it takes the payer to respond to your questions?
How satisfied are you that the payer conducts two-way, good faith negotiations during the contracting process?
How satisfied are you that the payer fully discloses its payment policies?

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* 25. How much leverage does your practice have during the contract negotiation process?

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* 26. Please rate the payer in Minnesota using the scale below:

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* 27. Over the past 6 to 12 months, how would you describe the change, if any, in your overall satisfaction with the payer?

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* 28. Please share any feedback for Payer 4: Humana

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* 29. Payer 5: MA/MNCare

  Strongly Agree Agree Neutral Disagree Strongly Disagree N/A
The payer ensures that I know what products are covered by the contract.
The member identification cards are easy to read and clear about the network being used.
The payer provides sufficient information for provider payment denials. The appeals process is reasonable and decisions are timely and fair.
The payer’s payment rates are adequate and not too heavily discounted.
The payer’s payments are paid in a timely manner. Clean claims are paid within the appropriate 30-day time period specified by state law.
The payer’s Physician Performance Data, ‘Tiered’ Product or Report Card data are accurate, valid, and used fairly and appropriately.
The payer’s Explanation of Benefits provides sufficient detail to identify MNCare tax and when it is exempt.
The payer’s Explanation of Benefits clearly explains member liability versus plan liability.
The payer’s credentialing process is completed in a timely manner for any provider within 30 days.

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* 30. Payer 5: MA/MNCare

  Completely Satisfied Satisfied Neutral Dissatisfied Completely Dissatisfied N/A No Experience
How satisfied are you with the amount of time it takes the payer to respond to your questions?
How satisfied are you that the payer conducts two-way, good faith negotiations during the contracting process?
How satisfied are you that the payer fully discloses its payment policies?

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* 31. How much leverage does your practice have during the contract negotiation process?

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* 32. Please rate the payer in Minnesota using the scale below:

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* 33. Over the past 6 to 12 months, how would you describe the change, if any, in your overall satisfaction with the payer?

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* 34. Please share any feedback for Payer 5: MA/MNCare

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* 35. Payer 6: Medica

  Strongly Agree Agree Neutral Disagree Strongly Disagree N/A
The payer ensures that I know what products are covered by the contract.
The member identification cards are easy to read and clear about the network being used.
The payer provides sufficient information for provider payment denials. The appeals process is reasonable and decisions are timely and fair.
The payer’s payment rates are adequate and not too heavily discounted.
The payer’s payments are paid in a timely manner. Clean claims are paid within the appropriate 30-day time period specified by state law.
The payer’s Physician Performance Data, ‘Tiered’ Product or Report Card data are accurate, valid, and used fairly and appropriately.
The payer’s Explanation of Benefits provides sufficient detail to identify MNCare tax and when it is exempt.
The payer’s Explanation of Benefits clearly explains member liability versus plan liability.
The payer’s credentialing process is completed in a timely manner for any provider within 30 days.

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* 36. Payer 6: Medica

  Completely Satisfied Satisfied Neutral Dissatisfied Completely Dissatisfied N/A No Experience
How satisfied are you with the amount of time it takes the payer to respond to your questions?
How satisfied are you that the payer conducts two-way, good faith negotiations during the contracting process?
How satisfied are you that the payer fully discloses its payment policies?

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* 37. How much leverage does your practice have during the contract negotiation process?

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* 38. Please rate the payer in Minnesota using the scale below:

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* 39. Over the past 6 to 12 months, how would you describe the change, if any, in your overall satisfaction with the payer?

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* 40. Please share any feedback for Payer 6: Medica

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* 41. Payer 7: Medicare

  Strongly Agree Agree Neutral Disagree Strongly Disagree N/A
The payer ensures that I know what products are covered by the contract.
The member identification cards are easy to read and clear about the network being used.
The payer provides sufficient information for provider payment denials. The appeals process is reasonable and decisions are timely and fair.
The payer’s payment rates are adequate and not too heavily discounted.
The payer’s payments are paid in a timely manner. Clean claims are paid within the appropriate 30-day time period specified by state law.
The payer’s Physician Performance Data, ‘Tiered’ Product or Report Card data are accurate, valid, and used fairly and appropriately.
The payer’s Explanation of Benefits provides sufficient detail to identify MNCare tax and when it is exempt.
The payer’s Explanation of Benefits clearly explains member liability versus plan liability.
The payer’s credentialing process is completed in a timely manner for any provider within 30 days.

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* 42. Payer 7: Medicare

  Completely Satisfied Satisfied Neutral Dissatisfied Completely Dissatisfied N/A No Experience
How satisfied are you with the amount of time it takes the payer to respond to your questions?
How satisfied are you that the payer conducts two-way, good faith negotiations during the contracting process?
How satisfied are you that the payer fully discloses its payment policies?

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* 43. How much leverage does your practice have during the contract negotiation process?

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* 44. Please rate the payer in Minnesota using the scale below:

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* 45. Over the past 6 to 12 months, how would you describe the change, if any, in your overall satisfaction with the payer?

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* 46. Please share any feedback for Payer 7: Medicare

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* 47. Payer 8: PreferredOne

  Strongly Agree Agree Neutral Disagree Strongly Disagree N/A
The payer ensures that I know what products are covered by the contract.
The member identification cards are easy to read and clear about the network being used.
The payer provides sufficient information for provider payment denials. The appeals process is reasonable and decisions are timely and fair.
The payer’s payment rates are adequate and not too heavily discounted.
The payer’s payments are paid in a timely manner. Clean claims are paid within the appropriate 30-day time period specified by state law.
The payer’s Physician Performance Data, ‘Tiered’ Product or Report Card data are accurate, valid, and used fairly and appropriately.
The payer’s Explanation of Benefits provides sufficient detail to identify MNCare tax and when it is exempt.
The payer’s Explanation of Benefits clearly explains member liability versus plan liability.
The payer’s credentialing process is completed in a timely manner for any provider within 30 days.

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* 48. Payer 8: PreferredOne

  Completely Satisfied Satisfied Neutral Dissatisfied Completely Dissatisfied N/A No Experience
How satisfied are you with the amount of time it takes the payer to respond to your questions?
How satisfied are you that the payer conducts two-way, good faith negotiations during the contracting process?
How satisfied are you that the payer fully discloses its payment policies?

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* 49. How much leverage does your practice have during the contract negotiation process?

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* 50. Please rate the payer in Minnesota using the scale below:

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* 51. Over the past 6 to 12 months, how would you describe the change, if any, in your overall satisfaction with the payer?

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* 52. Please share any feedback for Payer 8: PreferredOne

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* 53. Payer 9: SelectCare/LaborCare

  Strongly Agree Agree Neutral Disagree Strongly Disagree N/A
The payer ensures that I know what products are covered by the contract.
The member identification cards are easy to read and clear about the network being used.
The payer provides sufficient information for provider payment denials. The appeals process is reasonable and decisions are timely and fair.
The payer’s payment rates are adequate and not too heavily discounted.
The payer’s payments are paid in a timely manner. Clean claims are paid within the appropriate 30-day time period specified by state law.
The payer’s Physician Performance Data, ‘Tiered’ Product or Report Card data are accurate, valid, and used fairly and appropriately.
The payer’s Explanation of Benefits provides sufficient detail to identify MNCare tax and when it is exempt.
The payer’s Explanation of Benefits clearly explains member liability versus plan liability.
The payer’s credentialing process is completed in a timely manner for any provider within 30 days.

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* 54. Payer 9: SelectCare/LaborCare

  Completely Satisfied Satisfied Neutral Dissatisfied Completely Dissatisfied N/A No Experience
How satisfied are you with the amount of time it takes the payer to respond to your questions?
How satisfied are you that the payer conducts two-way, good faith negotiations during the contracting process?
How satisfied are you that the payer fully discloses its payment policies?

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* 55. How much leverage does your practice have during the contract negotiation process?

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* 56. Please rate the payer in Minnesota using the scale below:

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* 57. Over the past 6 to 12 months, how would you describe the change, if any, in your overall satisfaction with the payer?

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* 58. Please share any feedback for Payer 9: SelectCare/LaborCare

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* 59. Payer 10: UCare

  Strongly Agree Agree Neutral Disagree Strongly Disagree N/A
The payer ensures that I know what products are covered by the contract.
The member identification cards are easy to read and clear about the network being used.
The payer provides sufficient information for provider payment denials. The appeals process is reasonable and decisions are timely and fair.
The payer’s payment rates are adequate and not too heavily discounted.
The payer’s payments are paid in a timely manner. Clean claims are paid within the appropriate 30-day time period specified by state law.
The payer’s Physician Performance Data, ‘Tiered’ Product or Report Card data are accurate, valid, and used fairly and appropriately.
The payer’s Explanation of Benefits provides sufficient detail to identify MNCare tax and when it is exempt.
The payer’s Explanation of Benefits clearly explains member liability versus plan liability.
The payer’s credentialing process is completed in a timely manner for any provider within 30 days.

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* 60. Payer 10: UCare

  Completely Satisfied Satisfied Neutral Dissatisfied Completely Dissatisfied N/A No Experience
How satisfied are you with the amount of time it takes the payer to respond to your questions?
How satisfied are you that the payer conducts two-way, good faith negotiations during the contracting process?
How satisfied are you that the payer fully discloses its payment policies?

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* 61. How much leverage does your practice have during the contract negotiation process?

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* 62. Please rate the payer in Minnesota using the scale below:

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* 63. Over the past 6 to 12 months, how would you describe the change, if any, in your overall satisfaction with the payer?

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* 64. Please share any feedback for Payer 10: UCare

Additional Questions

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* 65. What other areas of interest would you like to see in future MMGMA Payer Report Card Surveys? (Example: payers IT, provider representation, contracting)

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* 66. What other issues would you like to see MMGMA Payer Relations Committee address?

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* 67. Contact Information

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