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* 1. Overall, how would you rate your billing/insurance experience with Johnson & Hayes Physical Therapists?

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* 2. Were your J&H PT billing statements accurate?

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* 3. Were your J&H PT billing statements easy to understand?

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* 4. If you needed to contact the J&H PT billing staff, did they answer quickly or return your call in a timely fashion?

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* 5. If you needed to contact the J&H PT billing staff, were they polite and courteous?

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* 6. Do you have any comments, questions, or concerns that will help us improve our billing process?

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* 7. Would it be okay for J&H to contact you regarding your billing experience? If so, please fill out the information below.

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