1997 DIRECTORY OF MANAGED CARE PROVIDERS (CALIFORNIA)
Posted On: Dec. 28, 1997 12:00 AM CSTSuperior California PPO
P.O. Box 2267, 3760 Morrow Lane, Chico, Calif. 95927; 916-896-2100;
fax: 916-896-2130
Staff/Facilities
Primary practitioners314
Board-certified90%
Specialists432
Hospitals32
Total Users36,000
Ownership: Mutual Fund Corp.
Operational date: April 1984.
Not for profit.
Service area: California: Butte, Colusa, Glenn, Lassen, Modoc, Plumas, Shasta, Sierra, Siskiyou, Sutter, Tehama, Trinity and Yuba counties.
Services: General medical, mental health, workers compensation. Services available unbundled. May be customized to meet employer specifications. Individual enrollment is allowed.
Compensation: Negotiates hospital charges by per diem, discount off customary rates; is compensated by insurers, TPAs; charges flat fee per employee.
UR: Standard procedures, excluding discharge planning, second surgical opinion, hospital bill audits and outpatient service predetermination. UR provided by the PPO and by outside contractors.
Officers: Shirley J. Craft, president/CEO.
Contact: Shirley Craft.
USA H&W Network
7301 N. 16th St., Suite 201, Phoenix, Ariz. 85020; 602-371-3860; fax: 602-371-3889
Staff/Facilities
Primary practitioners12,902
Specialists23,394
Hospitals265
Users: Group Health
Single/family coverage200,584
Employees & dependents461,343
Total Users461,343
Operational date: April 1987.
Service Area: California: 53 counties.
See USA H&W Network consolidated listing under Arizona.
USA Workers' Injury Network
916 S. Capital of Texas Highway, Austin, Texas 78746; 512-306-0201; fax: 512-328-6785
Specialty: workers compensation
Staff/Facilities
Primary practitioners6,058
Specialists17,150
Hospitals210
Users: Workers Compensation
Single coverage301,129
Total Users301,129
Operational date: April 1987.
Service area: California: 53 counties.
See USA Workers' Injury Network consolidated listing under Texas.
United HealthCare
of California Inc.Kern County
4500 E. Pacific Coast Highway, Suite 120, Long Beach, Calif. 90804; 310-597-9932; fax: 310-597-0952
Staff/Facilities
Primary practitioners81
Board-certified75%
Specialists156
Hospitals8
Pharmacies33
Users
Employer/payer groups31
Total Users223
Operational date: July 1986.
Licensed in: California.
NCQA one year accredited.
Model type: Mixed.
Service area: California: Kern, Los Angeles, Orange, Riverside, San Bernardino and Ventura counties.
Services: General medical, prescription drug, mental health/substance abuse, workers compensation.
Rating options: Adjusted community rating, experience rating.
Contact: Robb Patton, vp-sales.
See United HealthCare Corp. HMO consolidated listing under Minnesota.
United HealthCare
of California Inc.Los Angeles
4500 E. Pacific Coast Highway, Suite 120, Long Beach, Calif. 90804; 310-597-9932; fax: 310-597-0952
Staff/Facilities
Primary practitioners5,441
Board-certified71%
Specialists9,904
Hospitals78
Pharmacies484
Users
Employer/payer groups1,084
Total Users77,610
Licensed in: California.
NCQA one year accredited.
Model type: Mixed.
Service area: California: Kern, Los Angeles, Orange, Riverside, San Bernardino and Ventura counties.
Services: General medical, prescription drug, mental health/substance abuse.
Rating options: Adjusted community rating, experience rating.
Contact: Robb Patton, vp-sales.
See United HealthCare Corp. HMO consolidated listing under Minnesota.
United HealthCare
of California Inc.Riverside/San Bernardino
4500 E. Pacific Coast Highway, Suite 120, Long Beach, Calif. 90804; 310-597-9932; fax: 310-597-0952
Staff/Facilities
Primary practitioners810
Board-certified72%
Specialists2,181
Hospitals23
Pharmacies132
Users
Employer/payer groups396
Total Users7,745
Operational date: July 1986.
Licensed in: California.
NCQA one year accredited.
Model type: Mixed.
Service area: California: Kern, Los Angeles, Orange, Riverside, San Bernardino and Ventura counties.
Services: General medical, prescription drug, mental health/substance abuse, workers compensation.
Rating options: Adjusted community rating, experience rating.
Contact: Robb Patton, vp-sales.
See United HealthCare Corp. HMO consolidated listing under Minnesota.
United HealthCare
of California Inc.San Francisco
425 Market St., San Francisco, Calif. 94105-2406; 415-546-3666; fax: 415-546-3248
Staff/Facilities
Primary practitioners1,812
Board-certified78%
Specialists3,946
Hospitals33
Users
Employer/payer groups361
Total Users20,369
Operational date: January 1987.
Licensed in: California.
Model type: Mixed.
Service area: California: Almeda, Contra Costa, Marin, San Francisco, San Mateo and Santa Clara counties.
Services: General medical, prescription drug, mental health/substance abuse.
Rating options: Adjusted community rating.
Contact: Tom Taylor, vp-sales/marketing.
See United HealthCare Corp. HMO consolidated listing under Minnesota.
United HealthCare Insurance Co.-Fresno
425 Market St., San Francisco,
Calif. 94105-2406; 415-546-3666;
fax: 415-546-3248
Staff/Facilities
Primary practitioners381
Board-certified65%
Specialists542
Hospitals16
Users:
Employer/payer groups130
Total Users10,441
Operational date: January 1986.
Service area: California: Fresno, Kings, Madera, Mariposa, Merced and Tulare counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Tom Taylor, vp-sales/marketing.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare Insurance Co.Kern County
4500 E. Pacific Coast Highway, Suite 120, Long Beach, Calif. 90804; 310-597-9932; fax: 310-597-0953
Staff/Facilities
Primary practitioners132
Board-certified76%
Specialists228
Hospitals6
Users:
Employer/payer groups88
Total Users2,853
Service area: California: Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Luis Obispo, Santa Barbara and Ventura counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Robb Patton, vp-sales.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare Insurance Co.Los Angeles
4500 E. Pacific Coast Highway, Suite 120, Long Beach, Calif. 90804; 310-597-9932; fax: 310-597-0952
Staff/Facilities
Primary practitioners3,307
Board-certified73%
Specialists8,494
Hospitals80
Pharmacies1,203
Users:
Employer/payer groups815
Total Users103,991
Service area: California: Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Luis Obispo, Santa Barbara and Ventura counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Robb Patton, vp-sales.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare Insurance Co.Riverside/San Bernardino
4500 E. Pacific Coast Highway, Suite 120, Long Beach, Calif. 90804; 562-597-9932; fax: 562-597-0952
Staff/Facilities
Primary practitioners585
Board-certified72%
Specialists1,183
Hospitals23
Users:
Employer/payer groups318
Total Users13,612
Service area: California: Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Luis Obispo, Santa Barbara and Ventura counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Robb Patton, vp-sales.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare Insurance Co.Sacramento
425 Market St., San Francisco, Calif. 94105-2406; 415-546-3666;
fax: 415-546-3248
Staff/Facilities
Primary practitioners715
Board-certified68%
Specialists1,359
Hospitals21
Users:
Employer/payer groups296
Total Users11,961
Operational date: January 1985.
Service area: California: El Dorado, Nevada, Placer, Sacramento, San Joaquin, Stanislaus, Sutter and Yolo counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Tom Taylor, vp-sales/marketing.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare Insurance Co.San Diego
4500 E. Pacific Coast Highway, Suite 120, Long Beach, Calif. 90804; 562-597-9932; fax: 562-597-0953
Staff/Facilities
Primary practitioners648
Board-certified78%
Specialists2,153
Hospitals19
Users:
Employer/payer groups351
Total Users12,190
Operational date: January 1986.
Service area: California: Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Luis Obispo, Santa Barbara and Ventura counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Robb Patton, vp-sales.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare Insurance Co.San Francisco
425 Market St., San Francisco,
Calif. 94105-2406; 415-546-3666;
fax: 415-546-3410
Staff/Facilities
Primary practitioners2,161
Board-certified78%
Specialists4,800
Hospitals45
Pharmacies629
Users:
Employer/payer groups665
Total Users41,557
Operational date: January 1986.
Service area: California: 29 counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Tom Taylor, vp-sales/marketing.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare Insurance Co.-Santa Barbara/San Luis Obispo
4500 E. Pacific Coast Highway, Suite 120, Long Beach, Calif. 90804; 562-597-9932; fax: 562-597-0952
Staff/Facilities
Primary practitioners132
Board-certified85%
Specialists242
Hospitals12
Users:
Employer/payer groups120
Total Users2,805
Service area: California: Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Luis Obispo, Santa Barbara and Ventura counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Robb Patton, vp-sales.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
Vision Service Plan
3333 Quality Drive, Rancho Cordova, Calif. 95670; 800-852-7600; fax: 916-851-4854
Specialty: vision
Staff/Facilities
Primary practitioners 17,000
Board-certified10%
Users: Group Health
Employer/payer groups12,000
Family coverage12,900,000
Employees & dependents22,300,000
Operational date: October 1955.
Not for profit.
Service area: Nationwide.
Services: Vision. May be customized to meet employer specifications.
Officers: Dr. Kenneth Scwaderer; Dr. Douglas Cooper; Roger Valine, president/CEO; Ric Steere, vp-sales/marketing; Al Schubert, division vp-managed care sales.
Contact: Cinde Breedlove.