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Provider Network Survey

 

 

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 Indicate the Following:

 

*Specialty: 

*City/State:

Office Information:

1. Estimate the percentage of your practice that involves treating injured workers.

Less than 25% 51 – 75%
25 – 50% More than 75%

           

 

2. What is the average waiting time for an injured worker to be seen at your facility?

Less than 15 minute 31 – 60 minutes
15 – 30 minutes More than 60 minutes

 

Practice Information:

3. Approximately what percentage of injured workers seen by you or your facility is returned to work after the initial diagnostic visit?

Less than 25% 51 – 75%
25 – 50% More than 75%

 

4. Do you request information about the injured workers’ job demands to assist in determining your release to work?

Yes No

5. Approximately what percentage of worker’s compensation patients seen by you or your facility are referred to a specialist for further care?

Less than 25% 51 – 75%
25 – 50% More than 75%

6. After an injured worker is referred to a specialist, do you or your facility continue to act as the primary provider responsible for case coordination?

Yes No Not Applicable

 

 

General Information:

 

7.Are you familiar with the New York State Recommendation of Care rules?

Yes No

 

8. Do you find the information in the Provider Newsletter helpful?

Yes No

 

9. Would you be willing to participate in any MetraComp quality committees?

Yes No

If yes, please provide your name: 

Workers' Comp

Coventry Health Care

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