COPORATE FEEDBACK FORM
Thank you for your continuous cooperation to improve our TPA services. It is our constant endeavor to upgrade our services levels so that our customers get the best. We highly appreciate receiving your feedback and rank us our overall performance out on the terms given below.
Card Detais :
Vipul Card No :
Identify Card and Guide Book :
I/We have received the ID card through SMS / E-mail alert :
I/We have received the SMS/E-mail alert within 7 days of claim submission :
Hospitalization :
I have used the cashless access facility or hospitalization
The Authorization Process took :
Did you find the process of getting a pre - authorization for cashless :
Was your pre authorization request approved/rejected/amount partially declined? If rejected /amount partially declined. Then
Did you seek any clarification about the rejection?
Who did you seek clarification from
Did you understand why the rejection was made?
Any suggestions for improvement, please specify
Claims Reimbursement : (If Not used cashless facility, please answer the following )
The cheque for reimbursement claim was received within
Was the inadequacy in documents informed to you at the helpdesk?
Was your claim rejected?
Claims Reimbursement : (If Rejected )
Did you get the rejection letter on time?
Did you seek any clarification about the rejection?
Did you understand why the rejection was made?
Any suggestions for improvement, please specify
Call centre & Customer care
Did you contact VMC regarding any queries through Phone / E-mail?
Were your query answered/reverted back within 48 hours?
Was solution/resolution provided to your queries within 72 hours?
Accessibility to our telephone line
Was your query answered satisfactory?
If No, In which aspect were you dissatisfied?
Any other, please specify
Help Desk at Corporate
VMC Representative Visits
I/We received feedback/explanation for the claim rejected at the helpdesk?
Were you satisfied with your interaction?
If No, In which aspect were you dissatisfied?
Any other, please specify
Hospital Outlook :
In which hospital was the policy holder / patient hospitalized
Overall experience with the hospital