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Contact Information
First Name :
Last Name :
Phone :
Email Address :
Company/agency you work for:
Claimant name (if applicable):
Did the MCN representative
Yes
No
N/A
Quickly resolve the issue
Handle the call with courtesy and professionalism
Understand what was being asked
Take ownership of the issue as if it were their own
Appear knowledgeable and competent
How satisfied were you with the way your call was handled?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
If unsatisfied, why?
How many MCN representatives did you have to speak to before having your issue addressed?
1
2
More than 2
Is this the first time calling about this specific issue/case?
Yes
No
Based on the call, how likely are you to continue doing business with MCN?
Very Likely
Likely
Neutral
Unlikely
Very Unlikely
What was the purpose of your call?
-- Select --
Schedule Exam
Claim Report/Status
Web Issue
Monthly Doctor Calendar
Other
Which division do you primarily interact with?
-- Select --
Corporate
National
MCN East
MCN Midwest
MCN Southeast
MCN West
Other
Please include any comments that will help us continue to give great service.
Please contact
Brian Grant
if you have any questions regarding this survey.
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