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1997 DIRECTORY OF MANAGED CARE PROVIDERS

Posted On: Dec. 28, 1997 12:00 AM CST

Arizona
Admar Med Network
1551 N. Tustin Ave., Suite 300, Santa Ana, Calif. 92705; 714-953-9600; fax: 714-953-6309
Staff/Facilities
Primary practitioners1,691
Specialists4,939
Hospitals45
Users
Employees & dependents1,188,654
Operational date: February 1987.
Service area: Arizona: statewide.
See Admar Med Network consolidated listing under California.
AnciCare PPO
3700 Lakeside Drive, Suite 401, Miramar, Fla. 33027-3225; 800-414-4674; fax: 305-826-7482
Specialty: workers compensation/medical diagnostic imaging
Staff/Facilities
Primary practitioners5
Hospitals2
Service area: Arizona: Maricopa County.
See AnciCare PPO consolidated listing under Florida.
Arizona Medical Network/Rural Arizona Network
1600 W. Broadway Road, Suite 385, Tempe, Ariz. 85282; 602-921-8944;
fax: 602-894-5230
Staff/Facilities
Primary practitioners1,347
Board-certified78%
Specialists3,245
Hospitals48
Users: Group Health
Employer/payer groups1,275
Single coverage94,000
Family coverage85,000
Employees & dependents267,000
Users: Workers Compensation
Employer/payer groups11
Single coverage4,700
Total Users271,700
Service area: Arizona.
See Health Management Network consolidated listing under Arizona.
Beech Street Corp.
173 Technology, Irvine, Calif. 92618; 800-233-2478 or 714-727-1353; fax: 714-727-1319
Staff/Facilities
Primary practitioners1,129
Specialists4,220
Hospitals29
Users: Group Health
Single coverage12,554
Family coverage44,163
Employees & dependents114,129
Users: Workers Compensation
Single coverage196,861
Total Users310,990
Operational date: 1986.
Service area: Arizona: statewide.
See Beech Street Corp. consolidated listing under California.
CCN
5251 Viewridge Court, San Diego, Calif. 92123; 800-247-2898; 619-278-1262
Staff/Facilities
Primary practitioners2,026
Board-certified63.9%
Patients/practitioner40.7
Specialists4,373
Hospitals47
Users: Group Health
Employer/payer groups314
Employees & dependents96,210
Users: Workers Compensation
Employer/payer groups60
Total Users*96,210
Service area: Arizona: Apache, Cochise, Coconino, Gila, Graham, La Paz, Maricopa, Mohave, Navajo, Pima, Pinal, Santa Cruz, Yavapai and Yuma counties. New Mexico: Taos County.
Services: General medical, mental health, workers compensation, ancillary services.
**Does not include workers compensation users.
See CCN consolidated listing under California.
CCN Elect
5251 Viewridge Court, San Diego, Calif. 92123; 800-247-2898; fax: 619-278-1262
Staff/Facilities
Primary practitioners2,020
Board-certified64%
Patients/practitioner4.8
Specialists4,367
Hospitals47
Users
Employer/payer groups17
Employees & dependents9,700
Total9,700
Revenues
First-half 1997$113,288
1996$145,153Operational date: June 1994.
Service area: Arizona: Apache, Cochise, Coconino, Gila, Graham, La Paz, Maricopa, Mohave, Navajo, Pima, Pinal, Santa Cruz, Yavapai and Yuma counties. New Mexico: Taos County.
See CCN Elect consolidated listing under California.
CNA Managed Care-Phoenix/Tucson
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Primary practitioners564
Specialists1,670
Hospitals15
Primary care locations4Service area: Arizona: Phoenix/Tucson.
See CNA Managed Care POS consolidated listing under Illinois.
CNA Managed Care-Phoenix/Tucson
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners5,103
Hospitals29
Service area: Arizona: Phoenix/Tucson.
See CNA Managed Care PPO consolidated listing under Illinois.
CAPP CARE Inc.
West Tower, 4000 MacArthur Blvd., Suite 10000, Newport Beach, Calif. 92660; 800-937-2277; fax: 714-251-2222
Staff/Facilities
Primary practitioners*311
Board-certified52.8%
Hospitals11
Service area: Arizona: Apache, Cochise, Coconino, Gila, Graham, Greenlee, La Paz, Mohave, Navajo, Pinal, Pima, Santa Cruz and Yavapai counties.
**Includes specialists.
See CAPP CARE Inc. 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 practitioners289
Service area: Arizona: statewide.
See ChiroSource Inc. consolidated listing under California.
CIGNA HealthCare
of Arizona Inc.-Phoenix IPA
11001 N. Black Canyon Highway, Suite 400, Phoenix, Ariz. 85029; 602-942-4462; fax: 602-371-2386
Staff/Facilities
Primary practitioners808
Board-certified73.7%
Patients/practitioner213
Specialists2,112
Hospitals41
Pharmacies*694
Users
Employer/payer groups1,090
Medicare31,633
Total204,253Operational date: June 1986.
Licensed in: Arizona.
NCQA fully accredited.
Model type: IPA.
Service area: Arizona: Apache, Coconino, Gila, La Paz, Maricopa, Mohave, Navajo, Pima, Pinal, Yavapai and Yuma counties.
Point-of-service contracts: 46.1% of members are enrolled.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: Dr. Clyde Wright, general manager; Dr. Robert Beauchamp, medical director; Susan Karlson, CFO; Robert Picinich, vp-sales; Bobbi Presser, regional contracting officer/provider relations manager.
Contact: Cynthia Ivan, 602-371-2497.
**Statewide total.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA HealthCare
of Arizona Inc.-Phoenix Staff
11001 N. Black Canyon Highway, Suite 400, Phoenix, Ariz. 85029; 602-942-4462; fax: 602-371-2386
Staff/Facilities
Primary practitioners110
Board-certified88.1%
Patients/practitioner1,629
Specialists1,559
Hospitals11
Pharmacies*694
Users
Employer/payer groups959
Total179,202Operational date: October 1972.
Federally qualified.
Licensed in: Arizona.
NCQA fully accredited.
Model type: Staff.
Service area: Arizona: Maricopa and Pinal counties.
Point-of-service contracts: 22.1% of members are enrolled.
Non-federally qualified programs.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: Dr. Clyde Wright, general manager/regional managed care officer; Dr. Allen Woolf, medical director; Sally Diamond, director/manager-operations; Robert Carroll, assistant vp-Healthplan operations; Robert Picinich, vp-sales.
Contact: Cynthia Ivan, 602-371-2497.
**Statewide total.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA HealthCare
of Arizona Inc.-Tucson
535 N. Wilmot, Tucson, Ariz. 85711; 520-571-8040; 520-748-2465
Staff/Facilities
Primary practitioners304
Board-certified79.3%
Patients/practitioner116
Specialists816
Hospitals13
Pharmacies181
Users
Employer/payer groups444
Medicare2,450
Total39,155Operational date: January 1981.
Federally qualified.
Licensed in: Arizona.
NCQA fully accredited.
Model type: IPA/Staff.
Service area: Arizona: Cochise, Graham, Greenlee, Pima, Pinal and Santa Cruz counties.
Point-of-service contracts: 20.1% of members are enrolled.
Non-federally qualified programs.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: Dr. Clyde Wright, general manager; Dr. Gilbert Burkel, medical director; Kris Kreutz, executive director; Chris Tucci, director/manager-operations; Dr. Robert Beauchamp, regional contracting officer.
Contact: Chris Tucci, 520-571-8040.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA PPO-Phoenix
11001 N. Black Canyon Highway, Suite 400, Phoenix, Ariz. 85029; 602-942-4462; fax: 602-371-2386
Staff/Facilities*
Primary practitioners1,209
Board-certified76.2%
Patients/practitioner38.2
Specialists2,600
Hospitals65
Users: Group Health*
Employer/payer groups442
Total Users*46,290
Operational date: July 1986.
Service area: Arizona: Apache, Coconino, Gila, Greenlee, La Paz, Maricopa, Mohave, Navajo, Pima, Pinal, Yavapai and Yuma counties.
Officers: Dr. Clyde Wright, regional managed care officer/general manager; Dr. Robert Beauchamp, medical director; Bobbi Presser, regional contracting officer/manager-provider relations; Edgar Miranda, sales director/manager.
Contact: Andrew Green, 860-726-3586.
**Statewide total.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CIGNA PPO-Tucson
535 N. Wilmot, Tucson, Ariz. 85711; 520-571-8040; fax: 520-748-2465
Staff/Facilities*
Primary practitioners1,209
Board-certified76.2%
Patients/practitioner38.2
Specialists2,600
Hospitals65
Users: Group Health*
Employer/payer groups442
Total Users*46,290
Operational date: July 1986.
Service area: Arizona: Cochise, Graham and Santa Cruz counties.
Officers: Dr. Clyde Wright, regional managed care officer/general manager; Dr. Gilbert Burkel, medical director; Kris Kreutz, executive director; Chris Tucci, director/manager-operations; Frank Benedetto, sales director/manager.
Contact: Andrew Green, 860-726-3586.
**Statewide total.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CONTACT Behavioral Health Services
1400 E. Southern Ave., Suite 301, Tempe, Ariz. 85282; 602-730-3023; fax: 602-730-5528
Specialty: mental health
Staff/Facilities
Primary practitioners275
Hospitals15
Users
Employer/payer groups20
Employees & dependents315,000
Medicare60,000
Revenues
First-half 1997$5,000,000
1996$10,000,000Parent: Samaritan Health System.
Operational date: March 1992.
Licensed in: Arizona.
Model type: Staff/Network.
Not for profit.
Service area: Arizona: statewide.
Services: Mental health. Services available unbundled. May be customized to meet employer specifications.
Offers self-insured products.
Officers: Larry Frazier, CEO; Glenn Tanita, COO; Dr. Lee Cohn, medical director; Mike Silver, director-business development; Angela Williams, director-administrative services.
Contact: Michael Silver.
CONTACT Behavioral Health Services
1400 E. Southern Ave., Suite 301, Tempe, Ariz. 85282; 602-730-3023; fax: 602-730-5528
Specialty: mental health
Staff/Facilities
Primary practitioners275
Hospitals15
Users: Group Health
Employer/payer groups6
Total Users122,000
Ownership: Samaritan Health System.
Operational date: March 1992.
Not for profit.
AAHC/URAC accreditation status: Health Utilization Management Standards.
Service area: Arizona: statewide.
Services: Mental health. Services available unbundled. May be customized to meet employer specifications.
Compensation: Negotiates hospital charges by per diem; is compensated by employers/payers; charges flat fee per employee.
UR: Standard procedures excluding length of stay determination, second surgical opinion and hospital bill audits. UR provided by the PPO.
Officers: Larry Frazier, CEO; Dr. Glenn Tanita, COO; Dr. Lee Cohn, medical director; Mike Silver, director-business development; Angela Williams, director-administrative services.
Contact: Michael Silver.
CorVel Corp.
1920 Main St., Suite 1090, Irvine, Calif. 92714; 714-851-1473; fax: 714-851-1469
Staff/Facilities
Primary practitioners2,282
Board-certified94%
Specialists4,753*
Hospitals49
Service area: Arizona.
**Includes ancillary providers.
See CorVel Corp. consolidated listing under California.