We understand that patients assigned to primary care physicians (PCPs) through insurance plans can suddenly change, often causing issues in patient care and practice billing/payments. Please complete this survey to report your feedback on PCP changes. The information will help advocate for appropriate process enhancements. Thank you!

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* 1. Which of the following best describes you?

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* 2. What is the name and location (zip code) of your practice/organization? (List all that apply)

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* 3. Which insurance plans do you currently accept? (Check all that apply)

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* 4. Has your practice encountered issues with changes in PCP assignments on file (where the patient’s PCP on file does not match the requested PCP)?

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* 5. As per your knowledge, what are common reasons behind incorrect PCP assignments or changes? (Check all that apply)

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* 6. Which plans deny claims even after the patient or practice request the PCP change, attain a reference number for that change, and are assured the claims will be paid? (Check all that apply)

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* 7. What strategies have you used to ensure the claims are paid? (Check all that apply)

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* 8. How often do PCP assignment denials result in write-offs for your practice?

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* 9. How does your office deal with the patient/family in the office when PCP assignment issues arise? (Select all that apply)

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* 10. If you have turned away patients at the time of the visit due to these issues, how often does this happen?

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* 11. Please provide any specific examples where PCP assignments have caused issues for your practice:

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* 12. What changes would you recommend to the insurance plans to make this process easier?

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* 13. Please provide your name and contact information if you're open to follow-up discussions regarding this topic:

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