www.fhpl.net Open in urlscan Pro
2606:4700:10::ac43:1b02  Public Scan

URL: https://www.fhpl.net/ClaimFeedBack/ReimbursementFeedBack.aspx?ID=NDM2MzU0MA==Q
Submission: On January 19 via manual from FR — Scanned from FR

Form analysis 1 forms found in the DOM

POST ./ReimbursementFeedBack.aspx?ID=NDM2MzU0MA%3d%3dQ

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            <a class="nav-link" href="#">

          </a>
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          <li class="nav-item" data-placement="right" title="Home">
          </li>
          <li class="nav-item" data-placement="right" title="Logout">
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        <div class="row">
          <div class="col-12">
            <div class="well" style="background-image: url(Images/fb.png)">
              <div class="table-responsive">
                <table class="table" border="1" style="width: 100%">
                  <tbody>
                    <tr>
                      <td colspan="2" style="background-color: #9378b1; color: white; align: center;">
                        <h4>Please rate your level of satisfaction for the overall process on a scale of 5 to 1(5 - Satisfied &amp; 1 - Not Satisfied)</h4>
                      </td>
                    </tr>
                    <tr>
                      <td>
                        <h5>1) Please rate the level of transparency shown by us in processing your claim</h5>
                      </td>
                      <td>
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                          <tbody>
                            <tr>
                              <td><input id="ContentPlaceHolder1_rblClearTransparent_0" type="radio" name="ctl00$ContentPlaceHolder1$rblClearTransparent" value="5"><label for="ContentPlaceHolder1_rblClearTransparent_0">5</label></td>
                              <td><input id="ContentPlaceHolder1_rblClearTransparent_1" type="radio" name="ctl00$ContentPlaceHolder1$rblClearTransparent" value="4"><label for="ContentPlaceHolder1_rblClearTransparent_1">4</label></td>
                              <td><input id="ContentPlaceHolder1_rblClearTransparent_2" type="radio" name="ctl00$ContentPlaceHolder1$rblClearTransparent" value="3"><label for="ContentPlaceHolder1_rblClearTransparent_2">3</label></td>
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                    <tr>
                      <td>
                        <h5>2) Please rate the level of clarity for the information required / query raised for your claim.</h5>
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                      <td>
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                              <td><input id="ContentPlaceHolder1_rblLevelofClarity_0" type="radio" name="ctl00$ContentPlaceHolder1$rblLevelofClarity" value="5"><label for="ContentPlaceHolder1_rblLevelofClarity_0">5</label></td>
                              <td><input id="ContentPlaceHolder1_rblLevelofClarity_1" type="radio" name="ctl00$ContentPlaceHolder1$rblLevelofClarity" value="4"><label for="ContentPlaceHolder1_rblLevelofClarity_1">4</label></td>
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                      </td>
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                    <tr>
                      <td>
                        <h5>3) Did you receive timely status updates on your claim.</h5>
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                      <td>
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                              <td><input id="ContentPlaceHolder1_rbltimeStatus_0" type="radio" name="ctl00$ContentPlaceHolder1$rbltimeStatus" value="Yes"><label for="ContentPlaceHolder1_rbltimeStatus_0">Yes</label></td>
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                    <tr>
                      <td>
                        <h5>4) How do you rate us on the time taken to process your claim.</h5>
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                              <td><input id="ContentPlaceHolder1_rblRateForTime_0" type="radio" name="ctl00$ContentPlaceHolder1$rblRateForTime" value="5"><label for="ContentPlaceHolder1_rblRateForTime_0">5</label></td>
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              <div class="table-responsive">
                <table class="table" border="1" style="width: 100%">
                  <tbody>
                    <tr>
                      <td colspan="2" style="background-color: #9378b1; color: white; align: center;">
                        <h4>Please rate your level of satisfaction for the interaction you had with FHPL Call Center on a scale of 5 to 1(5 - Satisfied &amp; 1 - Not Satisfied)</h4>
                      </td>
                    </tr>
                    <tr>
                      <td>
                        <h5>1) Have you interacted with FHPL Call Center?</h5>
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                              <td><input id="ContentPlaceHolder1_rblInteractCC_0" type="radio" name="ctl00$ContentPlaceHolder1$rblInteractCC" value="1"><label for="ContentPlaceHolder1_rblInteractCC_0">Yes</label></td>
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                      <td>
                        <h5>2) Accuracy of information provided during your interaction with call center/officer</h5>
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                              <td><input id="ContentPlaceHolder1_rblAccuracyInfo_0" type="radio" name="ctl00$ContentPlaceHolder1$rblAccuracyInfo" value="5" disabled="disabled"><label for="ContentPlaceHolder1_rblAccuracyInfo_0">5</label></td>
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                      <td>
                        <h5>3) Politeness/ Behavior while talking to you</h5>
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                              <td><input id="ContentPlaceHolder1_rblBehavior_0" type="radio" name="ctl00$ContentPlaceHolder1$rblBehavior" value="5" disabled="disabled"><label for="ContentPlaceHolder1_rblBehavior_0">5</label></td>
                              <td><input id="ContentPlaceHolder1_rblBehavior_1" type="radio" name="ctl00$ContentPlaceHolder1$rblBehavior" value="4" disabled="disabled"><label for="ContentPlaceHolder1_rblBehavior_1">4</label></td>
                              <td><input id="ContentPlaceHolder1_rblBehavior_2" type="radio" name="ctl00$ContentPlaceHolder1$rblBehavior" value="3" disabled="disabled"><label for="ContentPlaceHolder1_rblBehavior_2">3</label></td>
                              <td><input id="ContentPlaceHolder1_rblBehavior_3" type="radio" name="ctl00$ContentPlaceHolder1$rblBehavior" value="2" disabled="disabled"><label for="ContentPlaceHolder1_rblBehavior_3">2</label></td>
                              <td><input id="ContentPlaceHolder1_rblBehavior_4" type="radio" name="ctl00$ContentPlaceHolder1$rblBehavior" value="1" disabled="disabled"><label for="ContentPlaceHolder1_rblBehavior_4">1</label></td>
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                      <td>
                        <h5>4) Time taken to provide the required information</h5>
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                      <td>
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                              <td><input id="ContentPlaceHolder1_rblTimeforInfo_0" type="radio" name="ctl00$ContentPlaceHolder1$rblTimeforInfo" value="5" disabled="disabled"><label for="ContentPlaceHolder1_rblTimeforInfo_0">5</label></td>
                              <td><input id="ContentPlaceHolder1_rblTimeforInfo_1" type="radio" name="ctl00$ContentPlaceHolder1$rblTimeforInfo" value="4" disabled="disabled"><label for="ContentPlaceHolder1_rblTimeforInfo_1">4</label></td>
                              <td><input id="ContentPlaceHolder1_rblTimeforInfo_2" type="radio" name="ctl00$ContentPlaceHolder1$rblTimeforInfo" value="3" disabled="disabled"><label for="ContentPlaceHolder1_rblTimeforInfo_2">3</label></td>
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                  <tbody>
                    <tr>
                      <td colspan="2" style="background-color: #9378b1; color: white; align: center;">
                        <h4>Please rate your level of satisfaction for Hospital service availed by you on a scale of 5 to 1(5 - Satisfied &amp; 1 - Not Satisfied)</h4>
                      </td>
                    </tr>
                    <tr>
                      <td>
                        <h5>1) The Care/Treatment you received from hospital staff.</h5>
                      </td>
                      <td>
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                      </td>
                    </tr>
                    <tr>
                      <td>
                        <h5>2) The information given by the hospital about your bills and non-payable expenses</h5>
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                    <tr>
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                        <h5>3) How do you rate the overall experience with FHPL </h5>
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              <div class="panel panel-info" style="border-color: black;">
                <div class="panel-heading">
                  <h4 align="center">General Feedback is important to us as it enables us to examine key aspects in processing your case. All feedback is used to inform our on-going quality improvement processes.</h4>
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Text Content

   
 * 
 * 
 * 

PLEASE RATE YOUR LEVEL OF SATISFACTION FOR THE OVERALL PROCESS ON A SCALE OF 5
TO 1(5 - SATISFIED & 1 - NOT SATISFIED)

1) PLEASE RATE THE LEVEL OF TRANSPARENCY SHOWN BY US IN PROCESSING YOUR CLAIM

54321

2) PLEASE RATE THE LEVEL OF CLARITY FOR THE INFORMATION REQUIRED / QUERY RAISED
FOR YOUR CLAIM.

54321

3) DID YOU RECEIVE TIMELY STATUS UPDATES ON YOUR CLAIM.

YesNo

4) HOW DO YOU RATE US ON THE TIME TAKEN TO PROCESS YOUR CLAIM.

54321

PLEASE RATE YOUR LEVEL OF SATISFACTION FOR THE INTERACTION YOU HAD WITH FHPL
CALL CENTER ON A SCALE OF 5 TO 1(5 - SATISFIED & 1 - NOT SATISFIED)

1) HAVE YOU INTERACTED WITH FHPL CALL CENTER?

YesNo

2) ACCURACY OF INFORMATION PROVIDED DURING YOUR INTERACTION WITH CALL
CENTER/OFFICER

54321

3) POLITENESS/ BEHAVIOR WHILE TALKING TO YOU

54321

4) TIME TAKEN TO PROVIDE THE REQUIRED INFORMATION

54321

PLEASE RATE YOUR LEVEL OF SATISFACTION FOR HOSPITAL SERVICE AVAILED BY YOU ON A
SCALE OF 5 TO 1(5 - SATISFIED & 1 - NOT SATISFIED)

1) THE CARE/TREATMENT YOU RECEIVED FROM HOSPITAL STAFF.

54321

2) THE INFORMATION GIVEN BY THE HOSPITAL ABOUT YOUR BILLS AND NON-PAYABLE
EXPENSES

54321

3) HOW DO YOU RATE THE OVERALL EXPERIENCE WITH FHPL

54321

GENERAL FEEDBACK IS IMPORTANT TO US AS IT ENABLES US TO EXAMINE KEY ASPECTS IN
PROCESSING YOUR CASE. ALL FEEDBACK IS USED TO INFORM OUR ON-GOING QUALITY
IMPROVEMENT PROCESSES.








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