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GENEX Services Inc.
440 E. Swedesford Road, Suite 3050, Wayne, Pa. 19087; 610-964-5100;
fax: 610-964-1919
Utilization Review/Case Management
1996 revenues
Total gross revenue$89,700,000
UR revenue$6,200,000
Case mgmt. revenue$64,500,000
UR/case mgmt. direct to employers7%
Svcs. to managed care/insurance providers72%
Other services21%
Staff
Total UR/case management employees1,040
Professionals831
UR/case mgmt. employees on retainer107
Clients
Total850
Corporate/institutional employer clients150
Covered lives/reviewed admissions
Employee benefit plan lives served19,300
Workers compensation lives served35,548
Acute care inpatient admissions reviewed7,310
Diverted for outpatient treatment4%
Parent: First Data Corp.
URAC certified.
Frequent services: Preadmission certification, concurrent hospital treatment review, length of stay determination, discharge planning, onsite and telephone case management, patient education, outpatient service predetermination, referrals to alternative settings, written reports, workers compensation vocational case mangement services, disability management.
Occasional services: Review of lab work, free prescreening, retrospective review, second surgical opinion, hospital bill audits, outpatient psychiatric and substance abuse services.
Medical services reviewed/managed: Group health, dental, chiropractic, rehabilitation, psychiatric/substance abuse, workers comp/disability, pediatric, peer review, IME, short- and long-term disability, social security, high risk maternity.
Branch offices: 130 locations nationwide.
Officers: Peter Madeja, president/CEO; Edward McBurnie, senior vp-sales/marketing; Delphia Frisch, senior vp-operations; Marie Beppel, vp-human resources; Jeff Pierce, vp-information systems; Lawrence Palmer, CFO.
Contact: Betsy Robinson, director-integrated services.
Green Spring Health
Services Inc.
5565 Sterrett Place, Suite 500, Columbia, Md. 21044; 800-458-2740;
fax: 410-740-8573
Utilization Review/Case Management
1996 revenues
Total gross revenue$301,000,000
UR revenue$65,800,000
Case mgmt. revenue$225,000,000
UR/case mgmt. direct to employers7.2%
Svcs. to managed care/insurance providers89.4%
Other services3.4%
Staff
Total UR/case management employees99
Professionals63
UR/case mgmt. employees on retainer160
Clients
Total52
Corporate/institutional employer clients30
Covered lives/reviewed admissions
Employee benefit plan lives served13,721,000
Acute care inpatient admissions reviewed44,908
UR/case mgmt. services since: 1989.
Parent: Magellan Health Services Inc.
URAC certified.
Frequent services: Preadmission certification, concurrent hospital treatment review, length of stay determination, discharge planning, telephone case management, review of lab work, patient education, outpatient service predetermination, outpatient psychiatric and substance abuse services, referrals to alternative settings.
Occasional services: Onsite case management, free prescreening, retrospective review, hospital bill audits, written reports.
Medical services reviewed/managed: Psychiatric/substance abuse.
Branch offices: Atlanta; Chicago; Portland, Maine; Lansing, Mich.; Parsippany, N.J.; Cincinnati; Philadelphia; Pittsburgh; Providence, R.I.; Chattanooga and Nashville, Tenn.; Salt Lake City; Richmond, Va.; Tacoma, Wash.
Officers: Dr. Henry T. Harbin, president/CEO; Charles S. Kanach, executive vp; Dr. Jonathan Book, senior vp/chief medical officer; Joyce Fitch, senior vp/general counsel; Clarissa Marques, senior vp/chief clinical officer.
Contact: Catherine B. Campbell, vp-marketing, 800-458-2740 ext. 1298.