Provider Name (Optional):
How long have you been a provider with the CHN PPO?
2 years
3 years
over 3 years
Did you request an inservice when initially joining the Network?
Yes
No
If yes, did your CHN PPO representative present a comprehensive inservice?
Yes
No
Do you avail yourself of our Customer Service Representative 800 line?
Yes
No
If yes, have our Customer Service Representatives been courteous and helpful when calling for information?
Yes
No
What, if any, other information or services would you like to see on this website?
When referring to a network specialty service, are there an adequate number of providers to refer to?
Yes
No
Not Applicable
If you answered no, what specific specialties/services are more difficult to refer?
What other specialties/service would you like to have available for referral?
Have you needed to contact your CHN PPO provider relations representative?
Yes
No
If yes, were your calls returned promptly?
Yes
No
Have you had any claims processing issues? If so, please elaborate.
When CHN PPO patients present themselves at your facility, is it easy to identify them as CHN PPO participants?
Yes
No
Does our provider handbook adequately explain CHN PPO' policies and procedures?
Yes
No
Please rate your overall experience with the CHN PPO' Client, Customer and Provider Relations Departments.
Excellent
Good
Fair
Poor
On a 1-5 scale, 1 being poor and 5 being excellent, how does the CHN PPO compare to other PPO's/HMO's you work with.
1
2
3
4
5
Do you have any providers you would like the CHN PPO to contact to join the network? If so, please list their names and addresses below.