CVPG Provider Satisfaction Survey Citrus Valley Physicians Group is striving to improve the service we provide our physicians. Your input is very important to us. Please check the appropriate response below:5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree Question Title * 1. Provider Name: Question Title * 2. What is the provider you are surveying? PCP SPC Question Title * 3. CVPG responds to your calls promptly. 1 2 3 4 5 1 2 3 4 5 Question Title * 4. CVPG staff answers your questions to your satisfaction. 1 2 3 4 5 1 2 3 4 5 Question Title * 5. CVPG staff is courteous and helpful when you call. 1 2 3 4 5 1 2 3 4 5 Question Title * 6. Your CVPG claims are processed in a timely fashion (within 30-60 days depending on the plan). 1 2 3 4 5 1 2 3 4 5 Question Title * 7. Questions regarding claims are handled quickly (within 30-60 days depending on the plan). 1 2 3 4 5 1 2 3 4 5 Question Title * 8. CVPG referral forms are user friendly. 1 2 3 4 5 1 2 3 4 5 Question Title * 9. Referrals are returned to you timely (within 30-60 days depending on the plan). 1 2 3 4 5 1 2 3 4 5 Question Title * 10. Questions regarding referrals are handled appropriately. 1 2 3 4 5 1 2 3 4 5 Question Title * 11. Contracted ancillary providers render acceptable services:a. Lab - LabCORPB. Physical Therapy – United Therapy Networkc. Radiology facilitiesd. Mammography 1 2 3 4 5 1 2 3 4 5 Question Title * 12. Subcapitated specialties render acceptable services:a. Ophthalmology- California Eye Instituteb. Hemo/Oncology- SCOAc. Radiation Oncology- Oncology Physicians Network 1 2 3 4 5 1 2 3 4 5 Done