2024 PROVIDER SATISFACTION SURVEY

Please assist us by taking a few minutes to fill out this Provider Survey about Jai Medical Systems Managed
Care Organization, Inc. (JMSMCO)

Please return this survey by: December 15, 2024
By completing this survey, you will be entered to win a $100 gift card (answers will not affect your
entry).

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* 1. I have been a participating provider with Jai Medical Systems for:

Less than one year

1-3 years

3-5 years

5+ years

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* 2. Provider Last Name:

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* 3. Provider First Name:

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* 4. NPI:

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* 5. Organization Name:

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* 6. Phone:

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* 7. I am a:

PCP

Specialty Care Provider

Other

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* 8. If you are a Specialty Care Provider, which Specialty? (N/A otherwise)

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* 9. OVERALL SATISFACTION

	Strongly Agree	Agree	Neutral	Disagree	N/A
I am satisfied with Jai Medical Systems.	I am satisfied with Jai Medical Systems. Strongly Agree	I am satisfied with Jai Medical Systems. Agree	I am satisfied with Jai Medical Systems. Neutral	I am satisfied with Jai Medical Systems. Disagree	I am satisfied with Jai Medical Systems. N/A
I would recommend other providers to join the Jai Medical Systems’ network.	I would recommend other providers to join the Jai Medical Systems’ network. Strongly Agree	I would recommend other providers to join the Jai Medical Systems’ network. Agree	I would recommend other providers to join the Jai Medical Systems’ network. Neutral	I would recommend other providers to join the Jai Medical Systems’ network. Disagree	I would recommend other providers to join the Jai Medical Systems’ network. N/A
The Jai Medical Systems’ provider network is adequate.	The Jai Medical Systems’ provider network is adequate. Strongly Agree	The Jai Medical Systems’ provider network is adequate. Agree	The Jai Medical Systems’ provider network is adequate. Neutral	The Jai Medical Systems’ provider network is adequate. Disagree	The Jai Medical Systems’ provider network is adequate. N/A

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* 10. THE JAI MEDICAL SYSTEMS’ CUSTOMER SERVICE DEPARTMENT…

	Strongly Agree	Agree	Neutral	Disagree	N/A
Is friendly, knowledgeable, and helpful.	Is friendly, knowledgeable, and helpful. Strongly Agree	Is friendly, knowledgeable, and helpful. Agree	Is friendly, knowledgeable, and helpful. Neutral	Is friendly, knowledgeable, and helpful. Disagree	Is friendly, knowledgeable, and helpful. N/A
Is able to assist with verifying member eligibility & PCP change requests.	Is able to assist with verifying member eligibility & PCP change requests. Strongly Agree	Is able to assist with verifying member eligibility & PCP change requests. Agree	Is able to assist with verifying member eligibility & PCP change requests. Neutral	Is able to assist with verifying member eligibility & PCP change requests. Disagree	Is able to assist with verifying member eligibility & PCP change requests. N/A
Is able to assist with scheduling appointments and transportation.	Is able to assist with scheduling appointments and transportation. Strongly Agree	Is able to assist with scheduling appointments and transportation. Agree	Is able to assist with scheduling appointments and transportation. Neutral	Is able to assist with scheduling appointments and transportation. Disagree	Is able to assist with scheduling appointments and transportation. N/A
Provides excellent service overall	Provides excellent service overall Strongly Agree	Provides excellent service overall Agree	Provides excellent service overall Neutral	Provides excellent service overall Disagree	Provides excellent service overall N/A

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* 11. PROVIDER RELATIONS AND CREDENTIALING

	Strongly Agree	Agree	Neutral	Disagree	N/A
Jai Medical Systems’ Provider Relations Department is friendly, knowledgeable, and helpful.	Jai Medical Systems’ Provider Relations Department is friendly, knowledgeable, and helpful. Strongly Agree	Jai Medical Systems’ Provider Relations Department is friendly, knowledgeable, and helpful. Agree	Jai Medical Systems’ Provider Relations Department is friendly, knowledgeable, and helpful. Neutral	Jai Medical Systems’ Provider Relations Department is friendly, knowledgeable, and helpful. Disagree	Jai Medical Systems’ Provider Relations Department is friendly, knowledgeable, and helpful. N/A
The credentialing and/or recredentialing process occurred in a timely manner.	The credentialing and/or recredentialing process occurred in a timely manner. Strongly Agree	The credentialing and/or recredentialing process occurred in a timely manner. Agree	The credentialing and/or recredentialing process occurred in a timely manner. Neutral	The credentialing and/or recredentialing process occurred in a timely manner. Disagree	The credentialing and/or recredentialing process occurred in a timely manner. N/A
I receive appropriate notification on the need to be credentialed or recredentialed.	I receive appropriate notification on the need to be credentialed or recredentialed. Strongly Agree	I receive appropriate notification on the need to be credentialed or recredentialed. Agree	I receive appropriate notification on the need to be credentialed or recredentialed. Neutral	I receive appropriate notification on the need to be credentialed or recredentialed. Disagree	I receive appropriate notification on the need to be credentialed or recredentialed. N/A
I receive excellent service from Jai Medical Systems’ Provider Relations Department.	I receive excellent service from Jai Medical Systems’ Provider Relations Department. Strongly Agree	I receive excellent service from Jai Medical Systems’ Provider Relations Department. Agree	I receive excellent service from Jai Medical Systems’ Provider Relations Department. Neutral	I receive excellent service from Jai Medical Systems’ Provider Relations Department. Disagree	I receive excellent service from Jai Medical Systems’ Provider Relations Department. N/A

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* 12. UTILIZATION/CASE MANAGEMENT & AUTHORIZATION PROCESS

	Strongly Agree	Agree	Neutral	Disagree	N/A
Jai Medical Systems’ Utilization/Case Management Department is friendly, knowledgeable, and helpful.	Jai Medical Systems’ Utilization/Case Management Department is friendly, knowledgeable, and helpful. Strongly Agree	Jai Medical Systems’ Utilization/Case Management Department is friendly, knowledgeable, and helpful. Agree	Jai Medical Systems’ Utilization/Case Management Department is friendly, knowledgeable, and helpful. Neutral	Jai Medical Systems’ Utilization/Case Management Department is friendly, knowledgeable, and helpful. Disagree	Jai Medical Systems’ Utilization/Case Management Department is friendly, knowledgeable, and helpful. N/A
Jai Medical Systems effectively communicates and assists with coordination of medical care, when necessary.	Jai Medical Systems effectively communicates and assists with coordination of medical care, when necessary. Strongly Agree	Jai Medical Systems effectively communicates and assists with coordination of medical care, when necessary. Agree	Jai Medical Systems effectively communicates and assists with coordination of medical care, when necessary. Neutral	Jai Medical Systems effectively communicates and assists with coordination of medical care, when necessary. Disagree	Jai Medical Systems effectively communicates and assists with coordination of medical care, when necessary. N/A
I find Case Management and Disease Management programs to be helpful for enrolled patients.	I find Case Management and Disease Management programs to be helpful for enrolled patients. Strongly Agree	I find Case Management and Disease Management programs to be helpful for enrolled patients. Agree	I find Case Management and Disease Management programs to be helpful for enrolled patients. Neutral	I find Case Management and Disease Management programs to be helpful for enrolled patients. Disagree	I find Case Management and Disease Management programs to be helpful for enrolled patients. N/A
I understand the referral and/or authorization process.	I understand the referral and/or authorization process. Strongly Agree	I understand the referral and/or authorization process. Agree	I understand the referral and/or authorization process. Neutral	I understand the referral and/or authorization process. Disagree	I understand the referral and/or authorization process. N/A
Referrals and/or authorizations are processed in a timely manner.	Referrals and/or authorizations are processed in a timely manner. Strongly Agree	Referrals and/or authorizations are processed in a timely manner. Agree	Referrals and/or authorizations are processed in a timely manner. Neutral	Referrals and/or authorizations are processed in a timely manner. Disagree	Referrals and/or authorizations are processed in a timely manner. N/A

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* 13. QUALITY ASSURANCE

	Strongly Agree	Agree	Neutral	Disagree	N/A
Jai Medical Systems keeps me informed about its Quality Assurance initiatives and programs.	Jai Medical Systems keeps me informed about its Quality Assurance initiatives and programs. Strongly Agree	Jai Medical Systems keeps me informed about its Quality Assurance initiatives and programs. Agree	Jai Medical Systems keeps me informed about its Quality Assurance initiatives and programs. Neutral	Jai Medical Systems keeps me informed about its Quality Assurance initiatives and programs. Disagree	Jai Medical Systems keeps me informed about its Quality Assurance initiatives and programs. N/A

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* 14. PHARMACY

	Strongly Agree	Agree	Neutral	Disagree	N/A
The medications included on Jai Medical Systems’ formulary adequately meet the needs of my patients and practice.	The medications included on Jai Medical Systems’ formulary adequately meet the needs of my patients and practice. Strongly Agree	The medications included on Jai Medical Systems’ formulary adequately meet the needs of my patients and practice. Agree	The medications included on Jai Medical Systems’ formulary adequately meet the needs of my patients and practice. Neutral	The medications included on Jai Medical Systems’ formulary adequately meet the needs of my patients and practice. Disagree	The medications included on Jai Medical Systems’ formulary adequately meet the needs of my patients and practice. N/A

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* 15. CLAIMS/APPEALS

	Strongly Agree	Agree	Neutral	Disagree	N/A
My claims are processed in a timely manner.	My claims are processed in a timely manner. Strongly Agree	My claims are processed in a timely manner. Agree	My claims are processed in a timely manner. Neutral	My claims are processed in a timely manner. Disagree	My claims are processed in a timely manner. N/A
Jai Medical Systems’ reimbursement rates are competitive.	Jai Medical Systems’ reimbursement rates are competitive. Strongly Agree	Jai Medical Systems’ reimbursement rates are competitive. Agree	Jai Medical Systems’ reimbursement rates are competitive. Neutral	Jai Medical Systems’ reimbursement rates are competitive. Disagree	Jai Medical Systems’ reimbursement rates are competitive. N/A
My claims inquiries are answered promptly.	My claims inquiries are answered promptly. Strongly Agree	My claims inquiries are answered promptly. Agree	My claims inquiries are answered promptly. Neutral	My claims inquiries are answered promptly. Disagree	My claims inquiries are answered promptly. N/A
I understand the claim appellate process and feel my claims are reviewed appropriately.	I understand the claim appellate process and feel my claims are reviewed appropriately. Strongly Agree	I understand the claim appellate process and feel my claims are reviewed appropriately. Agree	I understand the claim appellate process and feel my claims are reviewed appropriately. Neutral	I understand the claim appellate process and feel my claims are reviewed appropriately. Disagree	I understand the claim appellate process and feel my claims are reviewed appropriately. N/A

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* 16. How do you submit your claims to Jai Medical Systems?

Paper

Electronic

Both