Welcome to the 2007 Community Health Group Provider Opinion Survey

Your input will help us identify areas for improving services to you and your patients. The information you provide will be used to help us make improvements and will be held in strict confidence.

Section I: Services provided to you

Please indicate your level of satisfaction with each of the following service.
  Very dissatisfied Somewhat dissatisfied Neither satisfied nor dissatisfied Satisfied Very satisfied not applicable or never use
  1 2 3 4 5 6
On-line eligibility look-up
Procedure for obtaining non-formulary drugs
Specialty referral process
Pre-authorization of surgery and hospital admission
Disease management programs for asthma
Disease management programs for diabetes
Provider Alerts (information faxed to you)
Provider Manual (available on-line)
Claims processing

Comments related to CHG services to you

Section II: Services provided to Community Health Group Members

Please indicate your level of satisfaction with each of the following service.
  Very dissatisfied Somewhat dissatisfied Neither satisfied nor dissatisfied Satisfied Very satisfied not applicable or never use
  1 2 3 4 5 6
Telephone Advice Nurse program (TAN)
Health education programs (e.g. diabetes, asthma, nutrition)
Responsiveness to cultural and linguistic issues of members

Comments related to CHG services to members

Section III: Community Health Group customer service

Please indicate your level of satisfaction with each of the following service.
  Very dissatisfied Somewhat dissatisfied Neither satisfied nor dissatisfied Satisfied Very satisfied not applicable or never use
  1 2 3 4 5 6
Helpfulness
Ability to resolve problems on a timely basis
Ability to resolve problems on a timely basis

Comments related to CHG customer services

Section IV: Other Community Health Group services

Please indicate your level of satisfaction with each of the following service.
  Very dissatisfied Somewhat dissatisfied Neither satisfied nor dissatisfied Satisfied Very satisfied not applicable or never use
  1 2 3 4 5 6
CHG Internet website (www.chgsd.com)
On-line authorization look-up
On-line claims status look-up
Support provided by CHG marketing representatives
Trainings and informational forums provided to your staff
Provider relations' attention to you and your staff's needs
Help you received from CHG staff

Comments related to the above CHG services

Section V: Overall satisfaction with Community Health Group

Please indicate your overall level of satisfaction with Community Health Group.

Your overall satisfaction with Community Health Group
  Very dissatisfied Somewhat dissatisfied Neither satisfied nor dissatisfied Satisfied Very satisfied not applicable or never use
  1 2 3 4 5 6
Your overall satisfaction with Community Health Group

How does Community Health Group rank when compared to other Medi-Cal health plans you currently work with?

Use 1 to indicate the best and 5 to indicate the worst. Please use each number only once.

   Blue Cross
   Care1st Health Plan
   Community Health Group
   Health Net
   Molina Healthcare

How does Community Health Group rank when compared to other Healthy Families program providers you currently work with?

Use 1 to indicate the best and 5 to indicate the worst. Please use each number only once.

   Blue Cross
   Blue Shield
   Community Health Group
   Health Net
   Molina Healthcare

Additional comments

Please tell us who completed the survey.

Which of the following best describes the person completing this survey?
  Physician
  Office manager with input from physician
  Office manager without input from physician
  Other