1997 DIRECTORY OF MANAGED CARE PROVIDERS

Delaware
Beech Street Corp.
173 Technology, Irvine, Calif. 92618; 800-233-2478 or 714-727-1353; fax: 714-727-1319
Staff/Facilities
Primary practitioners1
Specialists5
Hospitals2
Users: Group Health
Single coverage1,692
Family coverage5,951
Employees & dependents15,379
Total Users15,379
Operational date: 1991.
Service area: Delaware: statewide.
See Beech Street Corp. consolidated listing under California.
ChiroSource Inc.
P.O. Box 130, Clayton, Calif. 94517; 510-672-5333; fax: 510-672-6657
Specialty: chiropractic
Staff/Facilities
Primary practitioners2
Service area: Delaware: statewide.
See ChiroSource Inc. consolidated listing under California.
CIGNA HealthCare
of Delaware Inc.
1 Beaver Valley Road, Suite CHP, Wilmington, Del. 19803; 302-477-3700; fax: 302-477-3708
Staff/Facilities
Primary practitioners183
Board-certified67%
Patients/practitioner38.9
Specialists458
Hospitals9
Pharmacies151
Users
Employer/payer groups312
Total7,136Operational date: May 1985.
Federally qualified.
Licensed in: Delaware.
NCQA fully accredited.
Model type: IPA.
Service area: Delaware: statewide.
Point-of-service contracts: 69.7% of members are enrolled.
Non-federally qualified programs.
Enrollment options: Individual enrollment is allowed.
Officers: Vince Sobocinski, executive director/general manager/market manager; Dr. Robert Mogel, medical director; Lou Marrifino, provider relations manager; Sheryl O'Neill, quality assurance manager; Nancy McWilliams, UM health services manager.
Contact: Vicki Williamson.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA PPO-Delaware
1 Beaver Valley Road, Suite CHP, Wilmington, Del. 19803; 302-477-3700; fax: 302-477-3708
Staff/Facilities
Primary practitioners178
Board-certified73.7%
Patients/practitioner30.9
Specialists503
Hospitals17
Users: Group Health
Employer/payer groups185
Total Users5,513
Operational date: January 1993.
Service area: Delaware: statewide.
Officers: Vince Sobocinski, executive director/general manager/sales director/market manager; Dr. Robert Mogel, medical director; Lou Marrifino, provider relations manager; Laura Bowman, planning/analysis-medical economics.
Contact: Andrew Green, 860-726-3586.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CorVel Corp.
1920 Main St., Suite 1090, Irvine, Calif. 92714; 714-851-1473; fax: 714-851-1469
Staff/Facilities
Primary practitioners1
Board-certified90%
Specialists178*
Hospitals1
Service area: Delaware.
**Includes ancillary providers.
See CorVel Corp. consolidated listing under California.
Devon Health
Services Inc.
900 E. Eighth Ave., Suite 200, King of Prussia, Pa. 19406; 800-431-2273;
fax: 610-768-4526
Staff/Facilities
Primary practitioners76
Specialists345
Hospitals8
Service area: Delaware: statewide.
See Devon Health Services Inc. consolidated listing under Pennsylvania.
FOCUS Healthcare Management Inc.
7101 Executive Center Drive, Suite 375, Brentwood, Tenn. 37207; 800-873-0055 or 615-377-9936; fax: 615-661-4042
Specialty: workers compensation
Staff/Facilities*
Primary practitioners17
Specialists376
Hospitals5
Total Users22,543
Operational date: Delaware: statewide.
Service area: January 1991.
**Includes leased providers/facilities.
See FOCUS Healthcare Management Inc. consolidated listing under Tennessee.
HealthCare COMPARE Corp.
3200 Highland Ave., Downers Grove, Ill. 60515; 630-241-7900; fax: 630-241-7856
Staff/Facilities
Primary practitioners*128
Specialists236
Hospitals**1
Service area: Delaware: statewide.
**Includes some specialists. ***Includes specialty hospitals.
See HealthCare COMPARE Corp./The AFFORDABLE Medical Networks consolidated listing under Illinois.
MultiPlan Inc.
115 Fifth Ave., New York, N.Y. 10003; 212-780-2000; fax: 212-843-3517
Staff/Facilities
Primary practitioners64
Board-certified91.1%
Specialists145
Hospitals2
Users: Group Health
Employer/payer groups4
Employees & dependents85,794
Service area: Delaware: statewide.
See MultiPlan Inc. consolidated listing under New York.
National Ear Care Plan
6825 E. Tennessee Ave., Suite 415, Denver, Colo. 80224-1632; 303-399-1212; fax: 303-399-7719
Specialty: hearing
Staff/Facilities
Primary practitioners3
Service area: Delaware: cities of Newark, Seaford and Wilmington.
See National Ear Care Plan consolidated listing under Colorado.
National Preferred Provider Network Inc.
419 E. Main St., Middletown, N.Y. 10940; 914-343-1600; fax: 914-343-6113
Staff/Facilities
Primary practitioners34
Specialists319
Hospitals5
Users: Group Health
Employer/payer groups11
Employees & dependents4,111
Total Users4,111
Service area: Delaware.
See National Preferred Provider Network Inc. consolidated listing under New York.
Preferred Health Network
301 E. Ocean Blvd., Suite 900, Long Beach, Calif. 90802; 562-983-1616; fax: 562-436-4389
Staff/Facilities
Primary practitioners10
Specialists26
Hospitals1
Users: Group Health
Employer/payer groups527
Employees & dependents24,616
Total Users24,616
Operational date: March 1996.
Service area: Delaware: Kent and New Castle counties.
Services: General medical, vision, mental health.
See Preferred Health Network consolidated listing under California.
Principal Health Care Inc.-PPO, Delaware Division
2751 Centerville Road, Suite 400, Wilmington, Del. 19808; 302-995-6100; fax: 302-633-4044
Staff/Facilities
Primary practitioners666
Board-certified46%
Specialists1,718
Hospitals27
Users: Group Health
Employer/payer groups7
Employees & dependents5,975
Total Users5,975
Operational date: July 1990.
Service area: Delaware: statewide; Maryland: Cecil County; New Jersey: Atlantic, Camden, Cumberland, Gloucester and Salem counties; Pennsylvania: Chester, Delaware, Montgomery and Philadelphia counties.
UR: Preadmission review, precertification, concurrent review, length of stay determination. UR provided by outside contractors.
Officers: Kenneth J. Linde, president/CEO; Robert Mrizek, vp/counsel; Sharon Taylor, David Weiss, vps.
Contact: Robin Talkington, 301-581-0600.
See Principal Health Care Inc.-PPO consolidated listing under Maryland.
United HealthCare Insurance Co.
6300 Security Blvd., Baltimore, Md. 21207-5102; 410-277-6000;
fax: 410-277-6662
Staff/Facilities
Primary practitioners210
Board-certified41%
Specialists388
Hospitals5
Pharmacies14
Users:
Employer/payer groups142
Total Users3,310
Operational date: January 1986.
Service area: Delaware: statewide.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Katie Kelly, vp-sales/marketing.
See United HealthCare Corp. PPO consolidated listing under Minnesota.