Indiana Health Care Program - Provider Web Survey

Provider Web Survey

We will continue to improve the Indiana Health Coverage Web Site and are very interested in your comments, questions and suggestions. Please submit your comments by completing the survey.

Organization Name
Provider Name
Medicaid Provider Number
Your Name
Email Address
Type of Organization

1. For what general purposes do you use the Indiana Medicaid Web site?
	Accessing Bulletins and/or Banner Pages
	Accessing Frequently Ask Questions (FAQs)
	Checking Benefit Information
	Downloading Software
	Downloading Forms
	Obtaining Claim Filing Information
	Other; please specify

2. What would you like to see improved on the Indiana Medicaid Web site?
	Content - if so, please list the type of content needed
	Improved Navigation
	List of e-mail addresses for key contacts
	More Features

3. Please indicate the features your organization would use if they existed on the Indiana Medicaid Web site. (Interactive means that the request would be processed immediately and a response would be available through the World Wide Web).
	Interactive Claim Submission
	Interactive Eligibility Inquiry
	Interactive Remittance Advices (RAs)
	Interactive Adjustments
	Interactive Provider Enrollment
	Interactive Claim Inquiry
	Interactive Prior Authorization Inquiry

4. Please choose one score for each question to respond as to how strongly your agree or disagree with the following statements about this site: (5=Agree 4=Agree Somewhat 3=Neutral 2=Somewhat disagree 1=Disagree)
1. I found the site to be informative and helpful.
2. It was easy to find the information I needed.
3. I would visit this site again.
4. I would recommend this site to others.

5. Additional comments:

Banner List

Bulletin List

Fee Schedule

Forms

IHCP Email Notifications

LTC DME Per Diem

Manuals

Newsletters

Preferred Drug Listing

Provider Code Sets

State Plan

Take the
Provider Survey