We value your service to MetraComp and care about your opinion. We ask that you please take some time to fill out this survey.

Please provide the following information.

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* 1. Specialty

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* 2. City

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* 3. County

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* 4. Estimate the percentage of your practice that involves treating workers' compensation patients (WCP).

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* 5. What is the average waiting time for a WCP to be seen at your facility for an urgent care need?

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* 6. What is the average waiting time for a WCP to be seen at your facility for for a routine appointment?

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* 7. Approximately what percentage of WCPs seen by you or your facility return to work after the initial diagnostic visit?

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* 8. Approximately what percentage of WCPs do you refer to light duty?

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* 9. Approximately what percentage of WCPs seen by you or your facility are referred to a specialist for further care?

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* 10. When you refer to a specialist, are you referring the WCP to a specialist within the network?

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* 11. From what method do you select an in-network specialist?

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* 12. After the WCP is referred to a specialist, do you or your facility continue to act as the primary provider responsible for case coordination?

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* 13. Are you familiar with the New York State Recommendation of Care and Certified PPO rules?

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* 14. If not, would you be interested in learning more about both programs?

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* 15. Are you interested in participating as a community provider during the MetraComp Quality Assurance Committee Meetings?

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* 16. If yes please provide your contact information below.

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* 17. Are there any ways in which MetraComp can assist you as a provider in our network, or are there any areas in which you feel we could improve?

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* 18. Are you familiar with NY Medical Treatment Guidelines (MTGs) effective 12/1/10?

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* 19. Are you current on all NY Medical Treatment Guidelines?

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