Noticias sobre Providence Health Plan Conozca las medidas que tomamos para cuidar de las comunidades a las que servimos.

Noticias y blog

Provider Satisfaction Survey

What is your role within your institution? Provider who delivers care Office support staff Medical Director Other

Is your institution in or out of network with Providence Health Plan? In Network Out of Network Uncertain

Survey Questions

1. Are PHP/PHA medical policies easily accessible to you and/or your office? Yes No

2. Do you use our monthly provider alert published on the PHP website or ProvLink to know what medical policy changes are upcoming? Yes No

3. Do you feel you are provided with enough advanced notification of restrictive medical policy changes (e.g., prior auth requirements, claim edits, criteria restrictions)? Yes No

4. Do you know how to find and/or search for codes that require PA or are not covered per medical policy? Yes No

Were you aware that Providence Health Plan offers the following

5. The ability to contact the medical policy team or submit an inquiry anytime to our team via our website at https://www.providencehealthplan.com/providers/medical-policy-inquiry? No Yes

If yes, please rate your satisfaction with this feature Excellent Good Fair Bad Not Applicable

6. Provider reconsideration process. This is when a provider requests a reconsideration of a Health Plan decision including a previous denial of a PA or claim. No Yes

If yes, please rate your satisfaction with this feature Excellent Good Fair Bad Not Applicable

7. The health plan’s provider portal (ProvLink: https://phpprovider.providence.org/portal/login). ProvLink is a site for providers to access referrals, prior authorizations, claims, EOP reports, medical policies, forms, and coding info. No Yes

If yes, please rate your satisfaction with this feature Excellent Good Fair Bad Not Applicable

8. The health plans on-line prior authorization submission tool (CareAdvance Provider/CAP) No Yes

If yes, please rate your satisfaction with this feature Excellent Good Fair Bad Not Applicable

Please Rate PHP in the Following Service Areas

9. Procedures for obtaining prior authorization information Excellent Good Fair Bad Not Applicable

10. Timelines of obtaining prior authorization information Excellent Good Fair Bad Not Applicable

11. Timeliness of scheduled physician-to-physician appointments with medical directors Excellent Good Fair Bad Not Applicable

12. Ease of using Teams for physician-to-physician appointments with medical directors Excellent Good Fair Bad Not Applicable

13. Responsiveness of calls to PHP PA team for questions on codes and required elements for PA requests Excellent Good Fair Bad Not Applicable

14. Thinking of things like ease of use, criteria application, readability, clarity, relevant coding information, and evidence-based rationale (if applicable) how would you rate our PHP/PHA medical policies? Excellent Good Fair Bad Not Applicable

Final Thoughts

15. When you think about other plans you have worked with, how does PHP compare? Well above average Somewhat above average Average Somewhat below average Well below average NA

16. Would you recommend Providence Health Plan to other providers? Yes No

¡Hola!

Está saliendo del sitio web de Providence Medicare Advantage Plans. ¿Está segurode que quiere hacer esto?

No, me quedaré Sí, voy a salir

Comprar planes

Recursos para miembros

Para asesores y empleadores

Para proveedores

Acerca de nosotros

Provider Satisfaction Survey

Survey Questions

Were you aware that Providence Health Plan offers the following

Please Rate PHP in the Following Service Areas

Final Thoughts

¡Hola!