Medical Bill Issues

Have you submitted a claim for payment?  Yes  No 
Did the claim involve treatment associated with an injury or motor vehicle accident?   Yes  No 
Was the claim paid within 30 days or less?  Yes   No  
Were there service issues?  Yes   No    If yes, please explain and answer the additional questions in this section

What date were you treated?   What date was your medical claim submitted? 

Did you submit your claim to Hewitt Coleman?  Yes   No
Did your doctor or hospital submit your claim to Hewitt Coleman?  Yes   No

How was the claim submitted?        By fax   Fax Number
                                                    By mail    Address claim was sent to:
                                                    By Electronic Data Interchange (EDI)

How may we improve our services?

 

Benefit Questions

Have you phoned our Customer Service Department?  Yes  No      
If so, what number did you dial?  

Was your call answered by a CSR?  Yes  No          
If not, did you leave a message requesting a call back?   Yes  No
Was your phone called returned within 24 hours?  Yes  No
Was the CSR helpful in answering your questions? Yes  No

Did you submit your question via email?    Yes  No
If so, please list email address to whom the inquiry was sent.

Were there service issues?  Yes  No  If so, please explain: 

How may we improve our services?

 

Pre-certification

Have you had a service or procedure requiring pre-certification?    Yes  No
If so, who phoned Hewitt Coleman? 
What number was dialed to initiate the pre-certification?   Indicate the phone option chosen: 

Describe your experience with Utilization Review/Pre-Cert Intake Coordinator

Describe your experience with Utilization Review Nurse:

How may we improve our services?

 
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