Provider Satisfaction Survey
    Complaint, Grievance, Appeal
       

Our aspiration at CSG/CHN PPO is to provide quality service to our customers. To accomplish this goal your input is of foremost importance. Thank you in advance for your cooperation in this matter.
When was the last time you called the CSG/CHN PPO Customer Service Department? within the last week
within the last month
within the last 6 months
What was the purpose of your call? to check the network status of a physician/ancillary/hospital
to inquire about the status of a claim
questions regarding health benefits coverage
other (please describe)
When placed in the customer service queue, did you speak directly to a representative? Yes No
If no, was your call transferred to voice mail? Yes No
If yes, how long before you received a return call from a representative? immediately
1-2 days
within one week
no return call to date
Were you put on hold while the representative attempted to answer your inquiry? Yes No
If yes how long did you have to wait? less than 5 minutes
over 5 minutes
do not recall
How would you rate the courtesy of the Customer Service Representative? Excellent
Good
Fair
Poor
Unsatisfactory
Was the representative able to answer your questions? Yes No
How would you rate the representative's knowledge of the issues? Excellent
Good
Fair
Poor
Unsatisfactory
How would you rate the subsequent actions of the representative to resolve your problem? Excellent
Good
Fair
Poor
Unsatisfactory
Overall, please rate the service of your last call to our Customer Service Department. Excellent
Good
Fair
Poor
Unsatisfactory
Are you a: hospital
physician
client
claimant
Additional Comments: