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Provider Survey

NAMCI is interested in how well our providers feel we accomplish our duties.
The survey results will help NAMCI examine our current system for improvements.

  • The results are confidential
  • Complete and submit the survey online
  • Rate your scores on the past year of service
Indicate your job role by selecting the appropriate title. Select the ONE most appropriate.
Director
Nurse
Receptionist
Manager
Physician
Insurance Clerk
Other


Indicate your type of organization by selecting the ONE most appropriate.
Ancillary Provider
Primary Care Site
Specialty Site
Hospital
Other


Use the following scale to indicate the extent to which you agree with each statement by selecting the appropriate answer. Comments are welcome please use the text fields below.
1=Strongly Agree 2=Agree 3=Uncertain 4=Disagree 5=Strongly Disagree 0=Not Applicable

1. The NAMCI office staff answers the phone promptly. 1 2 3 4 5 0

2. The NAMCI office staff is courteous on the phone. 1 2 3 4 5 0

3. The NAMCI office staff returns calls promptly. 1 2 3 4 5 0

4. The NAMCI office staff assists in resolving billing issues. 1 2 3 4 5 0

5. The NAMCI provider network sufficiently covers the needs of our patients. 1 2 3 4 5 0

6. The NAMCI office staff is responsive to your needs. 1 2 3 4 5 0

7. The NAMCI process is efficient. 1 2 3 4 5 0

8. Overall, I am satisfied with the services NAMCI offers my facility. 1 2 3 4 5 0


9. What additional services would you like to see NAMCI offer?


10. How could NAMCI improve the services currently provided?


11. What do you like/dislike about NAMCI?


12. Please make any additional comments in the text field below.
Optional: If you wish to be contacted by a NAMCI staff member, please complete the fields below.

Provider Name:

Your Name: - First - Last

Phone Number: ( ) -

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