1997 DIRECTORY OF MANAGED CARE PROVIDERS

Indiana
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 practitioners7
Hospitals4
Service area: Indiana: Allen, Lake and Porter counties.
See AnciCare PPO consolidated listing under Florida.
Anthem Health Plan
5451 W. Lakeview Parkway South Drive, Indianapolis, Ind. 46268; 800-453-5747
Staff/Facilities
Primary practitioners1,216
Specialists2,511
Hospitals68
Users
Total54,000Parent: Anthem Inc.
Operational date: January 1993.
Licensed in: Indiana.
Model type: IPA.
Service area: Indiana.
Member of HMO Blue USA. Contracts with Anthem Prescription Management for prescription drug and Green Spring for mental health in Indiana, Kentucky and Ohio.
Services: General medical, prescription drug, mental health.
Rating options: Adjusted community rating.
Offers self-insured products.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: James Murphy, president/CEO; Jeff Schmidlin, vp-finance; Dr. Joseph Berman, medical director; Brad Buxton, senior vp-health care management; Mike Houk, vp-sales.
CCN
5251 Viewridge Court, San Diego, Calif. 92123; 800-247-2898; 619-278-1262
Staff/Facilities
Primary practitioners671
Specialists1,975
Hospitals59
Service area: Indiana: 86 counties.
Services: General medical, mental health, workers compensation, ancillary services.
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 practitioners257
Board-certified70.4%
Specialists584
Users
Employer/payer groups57
Employees & dependents23
Total23Operational date: July 1996.
Service area: Indiana: Clay, Cook, Elkhart, Jasper, La Porte, Lake, Marion, Marshall, Newton, Porter, St. Joseph and Starke counties.
See CCN Elect consolidated listing under California.
CNA Managed Care-Northern Indiana
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Primary practitioners63
Specialists138
Hospitals4
Primary care locations4Service area: Indiana: Northern Indiana.
See CNA Managed Care POS consolidated listing under Illinois.
CNA Managed Care-Indianapolis
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners2,990
Hospitals40
Service area: Indiana: Indianapolis.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Northern Indiana
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners1,822
Hospitals21
Service area: Indiana: Northern Indiana.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Southern Indiana
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners597
Hospitals11
Service area: Indiana: Southern Indiana.
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*470
Board-certified38.9%
Patients/practitioner13
Hospitals14
Service area: Indiana: Allen, Boone, Clark, Floyd, Hamilton, Hancock, Hendricks, Howard, Jefferson, Johnson, Lake, La Porte, Madison, Marion, Morgan, Porter, St. Joseph and Shelby 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 practitioners6
Service area: Indiana: statewide.
See ChiroSource Inc. consolidated listing under California.
CIGNA Managed Care Network of Indiana
5929 Lakeside Blvd., Indianapolis, Ind. 46278; 317-290-5066; fax: 317-298-6023
Staff/Facilities
Primary practitioners934
Board-certified77.8%
Patients/practitioner47.3
Specialists1,538
Hospitals42
Pharmacies703
Users
Employer/payer groups646
Total44,206Operational date: April 1993.
Licensed in: Indiana, Michigan.
Model type: IPA.
Service area: Indiana: 28 counties; Michigan: Berrien, Cass and Van Buren counties.
Point-of-service contracts: 70% of members are enrolled.
Enrollment options: Individual enrollment is allowed.
Officers: Jeanne McCarthy, general manager; Dr. David Cogan, medical director; Mark Lamberth, new business manager/director; Cathy Eck, UM health services manager; Marilyn Spitaleri, quality assurance manager.
Contact: Sue Bhadelia.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA PPO-Central Indiana
5929 Lakeside Blvd., Indianapolis, Ind. 46278; 317-290-5056; fax: 317-298-6023
Staff/Facilities
Primary practitioners594
Board-certified79.4%
Patients/practitioner50.1
Specialists1,104
Hospitals25
Users: Group Health
Employer/payer groups324
Total Users29,786
Operational date: November 1989.
Service area: Indiana: Boone, Clinton, Hamilton, Hancock, Hendricks, Henry, Howard, Johnson, Madison, Marion, Montgomery, Morgan, Owen, Putnam, Rush, Shelby and Tipton counties.
Officers: Jeanne McCarthy, general manager; Dr. David Cogan, medical director; Ron Dziedzicki, regional contracting officer; Carl Biats, sales director/manager; Sue Bhadelia, manager-provider relations.
Contact: Andrew Green, 860-726-3586.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CIGNA PPO-Evansville
5929 Lakeside Blvd., Indianapolis, Ind. 46278; 317-290-5056; 317-298-6023
Staff/Facilities
Primary practitioners120
Board-certified82.5%
Patients/practitioner19.4
Specialists226
Hospitals2
Users: Group Health
Employer/payer groups81
Total Users2,339
Operational date: January 1994.
Service area: Indiana: Gibson, Posey, Vanderburgh and Warrick counties; Kentucky: Henderson County.
Officers: Jeanne McCarthy, general manager; Dr. David Cogan, medical director; Ron Dziedzicki, regional contracting officer; Carl Biats, sales director/manager; Sue Bhadelia, manager-provider relations.
Contact: Andrew Green, 860-726-3586.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CIGNA PPO-Fort Wayne/South Bend
5929 Lakeside Blvd., Indianapolis, Ind. 46278; 317-290-5056; 317-298-6023
Staff/Facilities
Primary practitioners402
Board-certified77.1%
Patients/practitioner32.4
Specialists658
Hospitals27
Users: Group Health
Employer/payer groups164
Total Users13,028
Operational date: January 1991.
Service area: Indiana: Adams, Allen, Cass, De Kalb, Elkhart, Grant, Huntington, Kosciusko, La Grange, Marshall, Miami, Noble, St. Joseph, Wabash, Wells and Whitley counties; Michigan: Berrien, Cass and Van Buren counties.
Officers: Jeanne McCarthy, general manager; Dr. David Cogan, medical director; Ron Dziedzicki, regional contracting officer; Carl Biats, sales director/manager; Sue Bhadelia, manager-provider relations.
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 practitioners1,692
Board-certified100%
Specialists4,988*
Hospitals64
Service area: Indiana.
**Includes ancillary providers.
See CorVel Corp. consolidated listing under California.
Delta Dental Plan
of Indiana Inc.-DeltaCare
5875 Castle Creek Parkway N. Drive, Suite 191, Indianapolis, Ind. 46250-4327; 800-382-5404 or 317-842-4022; fax: 317-577-2361
Specialty: dental
Staff/Facilities
Primary practitioners15
Board-certified100%
Patients/practitioner2.4
Specialists6
Primary care locations*24
Users
Employer/payer groups4
Single coverage5
Family coverage31
Employees & dependents82Parent: Delta Dental Plan of Michigan.
Operational date: June 1996.
Licensed in: Indiana.
Model type: Network.
Not for profit.
Service area: Indiana: statewide.
Services: Dental. Services available unbundled. May be customized to meet employer specifications.
Rating options: Community rating by class.
Officers: C. Richard Seitz, president/CEO; Dr. Thomas J. Fleszar, executive vp/COO; Katherine K. Downer, vp-professional relations/inquiry services; E. Craig Lesley, vp-marketing; Thomas B. Dixson, vp-administration.
Contact: Jim Stanbrough.
**Reflects total offices.
Delta Dental Plan
of Indiana Inc.-DeltaPreferred Option
5875 Castle Creek Parkway N. Drive, Suite 191, Indianapolis, Ind. 46250-4327; 800-382-5404 or 317-842-4022; fax: 317-577-2361
Specialty: dental
Staff/Facilities
Primary practitioners221
Board-certified100%
Specialists91
Users: Group Health
Employer/payer groups19
Single coverage7,557
Family coverage31,490
Employees & dependents96,080
Total Users96,080
Ownership: Delta Dental Plan of Michigan Inc.
Operational date: March 1992.
Not for profit.
Service area: Indiana: statewide.
Services: Dental. Services available unbundled. May be customized to meet employer specifications.
Compensation: Is compensated by employers/payers, TPAs; charges flat fee per employee.
UR: Precertification, case management, cost management. UR provided by the PPO.
Officers: C. Richard Seitz, president/CEO; Dr. Thomas J. Fleszar, executive vp/COO; Katherine K. Downer, vp-professional relations/inquiry services; E. Craig Lesley, vp-marketing; Thomas B. Dixson, vp-administration.
Contact: Jim Stanbrough.
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 practitioners616
Specialists2,085
Hospitals40
Total Users261,505
Operational date: September 1993.
Service area: Indiana: 73 counties.
**Includes leased providers/facilities.
See FOCUS Healthcare Management Inc. consolidated listing under Tennessee.