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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:   *County:

Office Information:

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

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

           

 

2a. What is the average waiting time for a WCP to be seen at your facility for an urgent care need?

Less than 15 minutes 15 – 30 minutes

           

 

2b. What is the average waiting time for a WCP to be seen at your facility for a routine appointment?

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

 

Practice Information:

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

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

 

3a. Approximately what percentage of WCPs do you refer to light duty?

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

 

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

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

 

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

Yes No Unsure

 

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

Provider Directory Software On-line referral
MetraComp Provider 800# Other  


7.  After the WCP 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:

 

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

Yes No

 

8a. If not, would you be interested in learning more about both programs?

Yes Not at this time

 

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

Yes No

If yes please provide your:

Name: 

Telephone: (  )  - 

Email address: 

 

10. 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?

 

© Copyright 2011 Coventry Health Care Workers Compensation, Inc.