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* 1. What type of organization are you affiliated with?

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* 2. What payer-provider payment challenges (pain points) are you currently experiencing? (Select all that apply)

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* 3. What is the single most motivating reason to change payer-provider payment system capabilities?

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* 4. Rank the following in order of their importance to your organization (Drag & Drop Rows or Enter Ranking # for each item)

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* 5. Which functional areas are MOST impacted by enhancing your payer-provider payments solution?

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* 6. What are the gaps in current payer-provider payment system(s)? (Select all that apply)

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* 7. Any other thoughts, ideas, and comments on payer-provider payment solutions?

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* 8. Optional: Please indicate your interest in...(Must supply Contact Info below)

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* 9. Contact Info (Required if any portion of Q8 is selected)

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