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DIRECTORY OF UR PROVIDERS AND CASE MANGERS ( B )

Reprints

B

Behavioral Healthcare

Options Inc.

2801 S. Valleyview Blvd., Suite 10,

Las Vegas, Nev. 89102; 702-364-1484; fax: 702-364-0843

Utilization Review/Case Management

1996 revenues

Total gross revenue$5,617,649

UR/case mgmt. direct to employers11%

Svcs. to managed care/insurance providers89%

Staff

Total UR/case management employees17

Professionals12

UR/case mgmt. employees on retainer5

Clients

Total9

Corporate/institutional employer clients5

Covered lives/reviewed admissions

Employee benefit plan lives served319,000

Acute care inpatient admissions reviewed766

Diverted for outpatient treatment26%

UR/case mgmt. services since: 1991.

Parent: Sierra Health Services Inc.

URAC certified.

Frequent services: Preadmission certification, concurrent hospital treatment review, length of stay determination, telephone case management, free prescreening, retrospective review, outpatient service predetermination, outpatient psychiatric and substance abuse services, referrals to alternative settings, written reports.

Occasional services: Discharge planning, onsite case management, review of lab work, patient education, hospital bill audits.

Medical services reviewed/managed: Group health, rehabilitation, psychiatric/substance abuse.

Branch offices: San Juan, Puerto Rico.

Compensation: $1 to $1.50 per employee per month.

Officers: Michael R. Adams, president/COO; J. Alexander McCosh, director-clinical services; Kathy Boehning, manager-utilization management.

Contact: Daniel J. Slichko, manager-business development.

Benefit Administrators

of America Inc.

207 Crocker St., Des Moines, Iowa 50309; 515-243-3210; fax: 515-282-0719

Utilization Review/Case Management

1996 revenues

Total gross revenue*$10,800,000

UR/case mgmt. direct to employers15%

Svcs. to managed care/insurance providers2%

Other services83%

Staff

Total UR/case management employees67

UR/case mgmt. employees on retainer121

Clients

Total88

Covered lives/reviewed admissions

Employee benefit plan lives served114,000

UR/case mgmt. services since: 1982.

Parent: IASD Health Services Corp.

URAC certified.

Frequent services: Preadmission certification, concurrent hospital treatment review, length of stay determination, discharge planning, telephone case management, second surgical opinion, hospital bill audits, outpatient service predetermination, referrals to alternative settings.

Occasional services: Onsite case management, retrospective review, outpatient psychiatric and substance abuse services, written reports, prenatal screening.

Medical services reviewed/managed: Group health, chiropractic, rehabilitation, psychiatric/substance abuse, pediatric.

Branch offices: Sioux City, Iowa.

Compensation: Per employee per month; per case; per hour.

Officers: George P. Wilson, chief marketing officer; Paula Ryan, director-marketing; Sally Wood, vp-government/private administration; Carla Bates, financial services.

Contact: Sandra McNeal, 515-246-4874.

**Estimate.

Bradman/Unipsych Cos.

7777 Davie Road Extension, Suite 302, Hollywood, Fla. 33024; 954-704-8686; fax: 954-704-8677

Utilization Review/Case Management

1996 revenues

UR/case mgmt. revenue$600,000

UR/case mgmt. direct to employers30%

Svcs. to managed care/insurance providers20%

Other services50%

Staff

Total UR/case management employees10

UR/case mgmt. employees on retainer192

Clients

Total50

Covered lives/reviewed admissions

Employee benefit plan lives served250,000

UR/case mgmt. services since: 1986.

Frequent services: Preadmission certification, concurrent hospital treatment review, length of stay determination, discharge planning, onsite and telephone case management, patient education, retrospective review, hospital bill audits, outpatient service predetermination, outpatient psychiatric and substance abuse services, referrals to alternative settings, written reports.

Medical services reviewed/managed: Psychiatric/substance abuse, workers comp/disability.

Branch offices: Florida, Georgia.

Compensation: Per employee per month; per hour.

Officers: Leo Bradman, chairman/CEO; Ernest Cohen, psychiatric director; Denise Scott, director-administration.

Contact: Leo Bradman.