Mco Employer Survey 09

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MCO Employer Survey Vantage Occupational Health Plan  

1) What is the name of your organization? (Optional) ________________________________      

2) What is your BWC Policy Number?(Optional) ____________________________________       

3) Has your company experienced a workers’ compensation claim in the past 12 months?    _____ Yes       _____No  4) Please rate your level of satisfaction with VOHP’s ability to respond to your needs in a  prompt, accurate, and effective manner.  (5 being the best) 

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  5) Are you able to reach VOHP staff with a minimal amount of time on hold or being  transferred? _____Yes    _____No   If no, please explain: __________________________    6) Please rate VOHP’s ability to follow through on promised actions. (5 being best)    1  2  3  4  5       

7) Are the individuals you interact with at VOHP knowledgeable and professional?  _____Yes    _____No   If no, please explain: ____________________________________  8) Please rate the ability of the VOHP staff to provide high quality medical management  services which promote early return to work and successful rehabilitation strategies. (5  being best)  1  2  3  4  5 

  9) Please tell us how we can improve the level of service that we provide you.          Please fax completed form to: 614‐717‐4710

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