2019 EviCore Survey Question Title * 1. Are your initial logins to EviCore for authorization: Easy Moderately involved Difficult Question Title * 2. Has the EviCore system glitched or timed out during your session? Yes No Question Title * 3. If yes, how often do the glitches occur? Almost every login More than half of my logins Less than half of my logins Rarely Not applicable Question Title * 4. Has the EviCore system given you accurate enrollee eligibility and benefits information? All of the time 75% of the time or more 50% of the time or more 25% of the time or more Less than 25% of the time Question Title * 5. Do you still check the Health Plan's website or portal for eligibility and benefits to ensure accuracy? Yes No Question Title * 6. Has the EviCore system given you reasonable authorizations give the patient's condition? Almost always Yes, more than half of the time No, less than half of the time Rarely Question Title * 7. How long did your initial authorization take? 5 minutes 10 minutes 15 minutes 20 minutes or longer Question Title * 8. Has the EviCore system required the help of a therapist in gaining initial authorization for an enrollee? Yes No Question Title * 9. With respect to subsequent authorization requests, how long did your extension for authorization take? 5 minutes 10 minutes 15 minutes 20 minutes or longer Question Title * 10. Do your requests for extended authorization require the assistance of a therapist? Never Some of the time All of the time Question Title * 11. With respect to subsequent authorization requests for additional treatments, has the EviCore system provided you a reasonable number of additional visits given the patients condition? Almost always Yes, more than half the time No, less than half the time Rarely Question Title * 12. If you have had to engage in a peer review, please respond to the following: Did the peer review occur at it's appointed time? Yes No Did the peer review occur at it's appointed time? menu Was peer qualified to assist you? Yes No Was peer qualified to assist you? menu Was peer helpful in guiding your course of care? Yes No Was peer helpful in guiding your course of care? menu Did peer to peer result in better care for the patient? Yes No Did peer to peer result in better care for the patient? menu Question Title * 13. How many peer to peer reviews do your therapists participate in per month? Question Title * 14. Has your clinic been required to engage in a peer review with an EviCore representative? Yes No Question Title * 15. Comments about EviCore? Question Title * 16. Completed by: Practice Owner Clinic Director Office Manager Front Office Staff Billing Staff Other Done