First Name
Last Name
Email
Company
Title
Phone
Product & Services Cost Containment Services Injury Management Network Management Pharmacy Benefit Management Specialty Services Social Security Disability
If you selected Cost Containment Services, please tell us a bit more Bill Review Outsource Services Bill Review Software Implementation & Professional Services Clinical Software Injury & Liability Software Regulatory & Reporting
If you selected Injury Management, please tell us a bit more Field Case Management CAT/Crisis Response Ergonomics and Physical Demands MSA Nurse Triage Telephonic Case Management Utilization Management
If you selected Network Management, please tell us a bit more Broad-Based Networks Outcomes-Based Networks State-Certified Managed Care Plans
Which of the following best describes your organization type? Carrier Employer Public Entity State Fund TPA Other
Company Size Less than 7500 7,501-15,000 15,001-50,000 50,001-100,000 100,001 or greater
Which area of the business do you primarily operate in? Claims Management Executive Leadership Finance & Compliance Operations & IT Risk Management
What is your role in the decision-making process? Decision Maker Influencer Sponsor Key Stakeholder
Purchasing Timeframe None 1 - 6 months 7 - 12 months 13 - 24 months 25+ months Not changing
What would you like to discuss with us?
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