CUSTOMER FEEDBACK Question Title * 1. Some information about you Name * Your organization's name (if you are an retail policy holder please write 'RETAIL') * Your Claim Control Number (CCN No.) Your Good Health Insurance TPA ID Your E-mail address * Your 10 digit mobile contact number * OK Question Title * 2. Accessibility to Good Health Insurance TPA Accessibility Information 24x7 Help line (Call Center) Excellent Good Satisfactory Average Below Average 24x7 Help line (Call Center) Accessibility menu Excellent Good Satisfactory Average Below Average 24x7 Help line (Call Center) Information menu Help Desk & Escalation Matrix (for corporate policies) Excellent Good Satisfactory Average Below Average Help Desk & Escalation Matrix (for corporate policies) Accessibility menu Excellent Good Satisfactory Average Below Average Help Desk & Escalation Matrix (for corporate policies) Information menu Good Health Insurance TPAs local branch office Excellent Good Satisfactory Average Below Average Good Health Insurance TPAs local branch office Accessibility menu Excellent Good Satisfactory Average Below Average Good Health Insurance TPAs local branch office Information menu Web login / Mobile App Excellent Good Satisfactory Average Below Average Web login / Mobile App Accessibility menu Excellent Good Satisfactory Average Below Average Web login / Mobile App Information menu OK Question Title * 3. Feedback on your Cashless Claim Time taken by Good Health Insurance TPA Information update to you via sms/e-mail/web-login or mobile app update Initial authorization to Hospital (taken from time of ticket ID generation to Hospital) Less than 3 hours 3 to 6 hours 6 to 12 hours 12 to 24 hours Beyond 24 hours Initial authorization to Hospital (taken from time of ticket ID generation to Hospital) Time taken by Good Health Insurance TPA menu Excellent Good Satisfactory Average Below Average Initial authorization to Hospital (taken from time of ticket ID generation to Hospital) Information update to you via sms/e-mail/web-login or mobile app update menu Enhancement of initial authorization to Hospital (taken from time of fresh ticket ID generation to Hospital) Less than 3 hours 3 to 6 hours 6 to 12 hours 12 to 24 hours Beyond 24 hours Enhancement of initial authorization to Hospital (taken from time of fresh ticket ID generation to Hospital) Time taken by Good Health Insurance TPA menu Excellent Good Satisfactory Average Below Average Enhancement of initial authorization to Hospital (taken from time of fresh ticket ID generation to Hospital) Information update to you via sms/e-mail/web-login or mobile app update menu Final authorization on discharge (taken from time of fresh ticket ID generation to Hospital) Less than 3 hours 3 to 6 hours 6 to 12 hours 12 to 24 hours Beyond 24 hours Final authorization on discharge (taken from time of fresh ticket ID generation to Hospital) Time taken by Good Health Insurance TPA menu Excellent Good Satisfactory Average Below Average Final authorization on discharge (taken from time of fresh ticket ID generation to Hospital) Information update to you via sms/e-mail/web-login or mobile app update menu In-person support to you by a Good Health Insurance TPA employee Less than 3 hours 3 to 6 hours 6 to 12 hours 12 to 24 hours Beyond 24 hours In-person support to you by a Good Health Insurance TPA employee Time taken by Good Health Insurance TPA menu Excellent Good Satisfactory Average Below Average In-person support to you by a Good Health Insurance TPA employee Information update to you via sms/e-mail/web-login or mobile app update menu OK Question Title * 4. Please rate your cashless claim experience with Good Health Insurance TPA OK Question Title * 5. Feedback on your Reimbursement Claim Time taken by Good Health Insurance TPA Information update to you via sms/e-mail/web-login or mobile app update Generation of a Claim Control Number (CCN) after document submission Not Applicable Less than 24 hours 1 to 3 days 4 to 7 days 8 to 15 days 15 to 30 days Beyond 30 days Generation of a Claim Control Number (CCN) after document submission Time taken by Good Health Insurance TPA menu Excellent Good Satisfactory Average Below Average Generation of a Claim Control Number (CCN) after document submission Information update to you via sms/e-mail/web-login or mobile app update menu Raising an query on claim Not Applicable Less than 24 hours 1 to 3 days 4 to 7 days 8 to 15 days 15 to 30 days Beyond 30 days Raising an query on claim Time taken by Good Health Insurance TPA menu Excellent Good Satisfactory Average Below Average Raising an query on claim Information update to you via sms/e-mail/web-login or mobile app update menu Processing the claim post CCN generation or submission of all query documents Not Applicable Less than 24 hours 1 to 3 days 4 to 7 days 8 to 15 days 15 to 30 days Beyond 30 days Processing the claim post CCN generation or submission of all query documents Time taken by Good Health Insurance TPA menu Excellent Good Satisfactory Average Below Average Processing the claim post CCN generation or submission of all query documents Information update to you via sms/e-mail/web-login or mobile app update menu Receipt of amount in your account after processing is over Not Applicable Less than 24 hours 1 to 3 days 4 to 7 days 8 to 15 days 15 to 30 days Beyond 30 days Receipt of amount in your account after processing is over Time taken by Good Health Insurance TPA menu Excellent Good Satisfactory Average Below Average Receipt of amount in your account after processing is over Information update to you via sms/e-mail/web-login or mobile app update menu Total time from CCN generation to Payment Not Applicable Less than 24 hours 1 to 3 days 4 to 7 days 8 to 15 days 15 to 30 days Beyond 30 days Total time from CCN generation to Payment Time taken by Good Health Insurance TPA menu Excellent Good Satisfactory Average Below Average Total time from CCN generation to Payment Information update to you via sms/e-mail/web-login or mobile app update menu In-person support to you by a Good Health Insurance TPA employee Not Applicable Less than 24 hours 1 to 3 days 4 to 7 days 8 to 15 days 15 to 30 days Beyond 30 days In-person support to you by a Good Health Insurance TPA employee Time taken by Good Health Insurance TPA menu Excellent Good Satisfactory Average Below Average In-person support to you by a Good Health Insurance TPA employee Information update to you via sms/e-mail/web-login or mobile app update menu OK Question Title * 6. Please rate your reimbursement claim experience with Good Health Insurance TPA OK Question Title * 7. Were reasons of Deductions in your claim (if any) or Denial explained in writing to you Yes No OK Question Title * 8. Please rate your overall experience with Good Health Insurance TPA 0 100 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 9. Please share any comments / suggestions OK DONE