Provider Survey

Simpra Advantage would like to know how you feel about the services provided to you. Your responses are kept confidential and are important for continued improvement. Thank you for taking the time to provide valuable feedback.

Please select the option that best fits your experience for each of the following aspects below:

Poor
Fair
Good
Great

Grievances and Appeals

Satisfaction with the appeal submission process
Satisfaction with the timeliness of appeal processing
Satisfaction with communication during the process

Utilization Management (UM)

Ease of reaching a UM Nurse
Ease of reaching a UM director
Timeliness of staff to answer the phone
Professionalism of UM administrative staff
Professionalism of UM nursing staff
Convenience of the referral and prior auth process
Turnaround time of prior auth process
Peer-to-peer Process

Claims

Satisfaction with claim processing turnaround time
Satisfaction that claims processed correctly
Satisfaction with pay/timeliness of payment
If incorrect, satisfaction with claim reprocessing time
Satisfaction of communication with PNM
PNM response timeliness
Satisfaction with monthly roster load timeliness
Confirmation of completion of roster loads
Satisfaction with the credentialing process
Timeliness of credentialing process
Communication upon completion of credentialing

Overall Experience

Satisfaction/ease of communicating with plan
Ease to speak to a representative
Satisfaction with representative regarding issue
Satisfaction with scope of benefits
Satisfaction with referral procedures
Satisfaction with access to health care services
Satisfaction with the adequacy of and access to the specialty network
Satisfaction with health education and wellness services

For this section, please reply yes or no.

Do you know what services Align Senior Care requires prior authorization for?
Do you know where to find the prior authorization requirements?
Would you recommend the plan?