1997 DIRECTORY OF MANAGED CARE PROVIDERS

Mississippi
Advantage PPO
829 St. Charles Ave., New Orleans, La. 70130; 504-568-9009; fax: 504-568-0301
Staff/Facilities
Primary practitioners312
Specialists635
Hospitals33
Users: Group Health
Employer/payer groups73
Employees & dependents33,324
Users: Workers Compensation
Employer/payer groups1
Single coverage3,500
Total Users36,824
Service area: Mississippi: statewide.
See Advantage PPO consolidated listing under Louisiana.
American LIFECARE
650 Poydras St., Suite 1550, New Orleans, La. 70130; 504-561-0600; fax: 504-522-5503
Staff/Facilities
Primary practitioners461
Specialists640
Hospitals38
Users: Group Health
Employees & dependents85,000
Service area: Mississippi: cities of Columbus, Greenville, Grenada, Hattiesburg, Jackson, Meridian, McComb and Tupelo and the Gulfcoast region.
UR: Standard procedures excluding hospital bill audits.
See American LIFECARE consolidated listing under Louisiana.
CCN
5251 Viewridge Court, San Diego, Calif. 92123; 800-247-2898; 619-278-1262
Staff/Facilities
Primary practitioners25
Board-certified68%
Patients/practitioner10.6
Specialists71
Hospitals6
Users: Group Health
Employer/payer groups12
Employees & dependents310
Users: Workers Compensation
Employer/payer groups6
Total Users*310
Service area: Mississippi: 31 counties.
Services: General medical, mental health, workers compensation, ancillary services.
**Does not include workers compensation users.
See CCN consolidated listing under California.
CNA Managed Care-Central Mississippi
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners265
Hospitals6
Service area: Mississippi: Central Mississippi.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Northern Mississippi
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners10
Service area: Mississippi: Northern Mississippi.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Southern Mississippi
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners480
Hospitals10
Service area: Mississippi: Southern Mississippi.
See CNA Managed Care PPO consolidated listing under Illinois.
ChiroSource Inc.
P.O. Box 130, Clayton, Calif. 94517; 510-672-5333; fax: 510-672-6657
Specialty: chiropractic
Staff/Facilities
Primary practitioners3
Service area: Mississippi: statewide.
See ChiroSource Inc. consolidated listing under California.
CIGNA Managed Care Network of Grenada/Amory
6555 Quince Road, Suite 215, Memphis, Tenn. 38119; 901-755-7411; 901-758-5137
Staff/Facilities
Primary practitioners42
Board-certified86.4%
Patients/practitioner39.7
Specialists58
Hospitals12
Pharmacies147
Users
Employer/payer groups2
Total1,671Operational date: January 1993.
Licensed in: Mississippi.
Model type: IPA.
Service area: Mississippi: Calhoun, Carroll, Chickasaw, Grenada, Leflore, Monroe, Montgomery, Tallahatchie, Webster and Yalobusha counties.
Point-of-service contracts: 100% of members are enrolled.
Enrollment options: Individual enrollment is allowed.
Officers: David Mathis, general manager; Dr. David O. Hollis, medical director; Marianne Kimble, UM health services manager; Lisa Ellis, quality assurance manager; Chuck Utterback, provider relations manager.
Contact: Colleen Caughron.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CorVel Corp.
1920 Main St., Suite 1090, Irvine, Calif. 92714; 714-851-1473; fax: 714-851-1469
Staff/Facilities
Primary practitioners20
Board-certified96%
Specialists284*
Hospitals10
Service area: Mississippi.
**Includes ancillary providers.
See CorVel Corp. consolidated listing under California.
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 practitioners4
Specialists197
Hospitals6
Total Users76,648
Operational date: June 1991.
Service area: Mississippi: 50 counties.
See FOCUS Healthcare Management Inc. consolidated listing under Tennessee.
Guardian Resources Inc.
2739 U.S. Highway 19 North, Suite 350, Holiday, Fla. 34691; 813-938-2222; 813-938-2880
Staff/Facilities
Primary practitioners391
Board-certified56%
Specialists687
Hospitals61
Users: Group Health
Employer/payer groups32
Single coverage2,400
Family coverage1,600
Employees & dependents5,900
Total Users5,900
Service area: Mississippi: statewide.
See Guardian Resources consolidated listing under Florida.
HealthCare COMPARE Corp.
3200 Highland Ave., Downers Grove, Ill. 60515; 630-241-7900; fax: 630-241-7856
Staff/Facilities
Primary practitioners*148
Specialists205
Hospitals**21
Service area: Mississippi: 67 counties.
**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 practitioners*NA
Specialists*NA
Hospitals49
Users: Group Health
Employer/payer groups16
Employees & dependents204,073
Service area: Mississippi: 59 counties.
**Practitioner network not yet established.
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 practitioners1
Service area: Mississippi: city of Laurel.
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 practitioners1,200
Specialists1,516
Hospitals72
Users: Group Health
Employer/payer groups23
Employees & dependents124,632
Total Users124,632
Service area: Mississippi.
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 practitioners1
Specialists31
Hospitals6
Users: Group Health
Employer/payer groups330
Employees & dependents25,465
Total Users25,465
Operational date: January 1995.
Service area: Mississippi: Adams, De Soto, Forrest, George, Hancock, Harrison, Hinds, Jackson, Lauderdale, Lee, Lincoln, Lowndes, Madison, Monroe, Rankin, Washington and Webster counties.
Services: General medical, vision, mental health.
See Preferred Health Network consolidated listing under California.
Private Healthcare Systems
222 W. Las Colinas Blvd., Suite 1800, Irving, Texas 75039; 972-869-1451; fax: 972-869-2327
Staff/Facilities
Primary practitioners276
Board-certified78%
Specialists355
Hospitals13
Pharmacies634
Users: Group Health
Employees & dependents24,277
Total Users24,277
Operational date: May 1987.
Service area: Mississippi: cities of Biloxi, Gulfport, Hattiesburg and Meridian.
See Private Healthcare Systems PPO consolidated listing under Massachusetts.
ProAmerica Managed Care
1250 E. Copeland Road, Arlington, Texas 76011; 800-523-3669; fax: 817-436-5391
Staff/Facilities
Primary practitioners136
Specialists267
Hospitals22
Users: Group Health
Employees & dependents24,100
Total Users24,100
Service area: Mississippi: statewide.
See ProAmerica Managed Care consolidated listing under Texas.
USA H&W Network
7301 N. 16th St., Suite 201, Phoenix, Ariz. 85020; 602-371-3860; fax: 602-371-3889
Staff/Facilities
Primary practitioners432
Specialists524
Hospitals57
Users: Group Health
Single/family coverage21,957
Employees & dependents50,501
Total Users50,501
Operational date: September 1986.
Service Area: Mississippi: 65 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 practitioners69
Specialists146
Hospitals39
Users: Workers Compensation
Single coverage122,864
Total Users122,864
Operational date: September 1986.
Service area: Mississippi: 65 counties.
See USA Workers' Injury Network consolidated listing under Texas.
United HealthCare Insurance Co.Northern Mississippi
795 Woodlands Parkway, Suite 101, Ridgeland, Miss. 39157; 601-956-8030; fax: 601-957-1306
Staff/Facilities
Primary practitioners249
Board-certified25%
Specialists504
Users:
Employer/payer groups140
Total Users14,411
Service area: Mississippi: 22 counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Jay Fielder, director-sales.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare Insurance Co.Southern Mississippi
795 Woodlands Parkway, Suite 101, Ridgeland, Miss. 39157; 601-956-8030; fax: 601-957-1306
Users:
Employer/payer groups89
Total Users2,002
Service area: Mississippi: Harrison, Pearl River and Stone counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Jay Fielder, director-sales.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare of Mississippi Inc.
713 S. Pear Orchard Road, The Plaza II, Suite 205, Ridgeland, Miss. 39157; 601-956-8030; fax: 601-957-1306
Staff/Facilities
Primary practitioners435
Specialists750
Hospitals41
Pharmacies686
Users
Employer/payer groups82
Total Users15,335
Operational date: January 1993.
Licensed in: Mississippi.
Model type: IPA.
Service area: Mississippi: 49 counties.
Services: General medical, prescription drug, mental health/substance abuse, workers compensation.
Rating options: Community rating; adjusted community rating, experience rating.
Offers self-insured products.
Contact: James Fielder, sales director.
See United HealthCare Corp. HMO consolidated listing under Minnesota.