The Payer Info Pool -powered by- UpDoc

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This is a 100% ANONYMOUS, public contribution. No user data is shared, ever. The purpose of this form is to help create an open source data pool for clinical entities to be able to better understand & navigate the healthcare marketplace of payers.

Welcome to the Payer Info Pool Survey!

UPDATED CONSIDERATIONS: For this edition of the Payer Info Pool, we are encouraging contributors to submit for this survey data for a Primary Professions and Clinical Setting.

IF YOU OPERATE IN MULTIPLE PROFESSIONS AND/OR SETTINGS: Please consider contributing separate data sets for each profession and setting you represent. THANK YOU!

Created by Ben Fung, DPT, MBA, COO/CoFounder

Please identify the PRIMARY Profession you wish to add to the info pool. *

Physical Therapy

Occupational Therapy

Speech Therapy

Primary Care | Physician, Nurse Practitioner, CMS Provider

Recreational Therapy

Pharmacy

Massage Therapy

Complimentary and Alternative Medicine

Other:

Please select the PRIMARY clinical setting. *

Outpatient

Home Health

SNF / LTAC

Acute Care

Acute Rehab / Neuro Rehab / Inpatient Rehab

Pediatric

Family Practice

Outpatient Surgery and Procedures

Inpatient Surgery and Procedures

Other:

Please describe your market mix. *

Please check ALL APPLICABLE boxes below to help identify the context of your info pool data point.

In Network

Out of Network

Direct Pay / Prompt Pay / Cash

Membership Model

Other:

Required

IF MORE DETAIL IS REQUIRED: Please expand on your operations, offerings, clientele, etc.

As a whole, the business entity is: *

Outpatient: Less than 20 Locations

Outpatient: Greater than or equal to 20 Locations

Hospital/Health System Based Practice

Medical Group

Work Sharing or Micro Practice

Staffing, Subcontracting, Registry, or Clinician Dispatch

Inpatient: Less than 20 Locations

Inpatient: Greater than or equal to 20 Locations

Other:

Which state is this company/entity located? *

Washington DC

Other:

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