The Texas Department of Insurance requires licensed health plans to conduct satisfaction and appointment accessibility surveys with its network of participating physicians on an annual basis.
Fields outlined in orange are required.
Physician or Group Name
Email Address
Always
Usually
Sometimes
Never
N/A
1. When contacting Provider Relations (PR) staff, your question(s) are answered in an accurate, timely and satisfactory manner.
2. Seton Health Plan information is disseminated timely
3. Annual Provider in-services are beneficial, professional and efficient.
4. Mediview.net is easily accessible
5. When contacting Member Services staff your question(s) concerning (eligibility, benefits, authorizations and claims processing) are answered in a accurate/courteous timely manner.
6. Claims are processed within the 45 day timeframe and accurately
7. EOBs are easy to interpret and use
8. Claim reconsiderations are handled promptly
9. When calling in for an authorization or to speak with the medical staff are your issues dealt with timely, accurately and professionally?
For a member calling today how many hours, days, or weeks until the requested appointment is available? Please respond to the following questions (if applicable) to the services provided in your office.
Appointment Type
Yes
No
1. Do you have a triage for urgent care with 24 hours
2. Is your first routine care appointment available within 2 weeks
3. Is your Child Preventive Health Services appointment available within 2 months
4. Is your Adult Preventive Health Services appointment available within 3 months
5. Is your First prenatal visit (if applicable) available within 2 weeks
6. Is your Newborn care visit (if applicable) available within 2 weeks
Please indicate average wait time until patient is seen by the provider. Less than 15 minutes 15-20 minutes 20-30 minutes
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