1997 DIRECTORY OF MANAGED CARE PROVIDERS
Posted On: Dec. 28, 1997 12:00 AM CSTOklahoma
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 practitioners1
Hospitals1
Service area: Oklahoma: Tulsa County.
See AnciCare PPO consolidated listing under Florida.
Beech Street Corp.
173 Technology, Irvine, Calif. 92618; 800-233-2478 or 714-727-1353; fax: 714-727-1319
Staff/Facilities
Primary practitioners1,514
Specialists2,874
Hospitals84
Users: Group Health
Single coverage7,690
Family coverage30,090
Employees & dependents76,896
Users: Workers Compensation
Single coverage20,218
Total Users97,114
Operational date: 1991.
Service area: Oklahoma: 69 counties.
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 practitioners204
Specialists420
Hospitals17
Service area: Oklahoma: 40 counties.
Services: General medical, mental health, workers compensation, ancillary services.
See CCN consolidated listing under California.
CNA Managed Care-Oklahoma City
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners1,419
Hospitals16
Service area: Oklahoma: Oklahoma City.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Tulsa
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners886
Hospitals13
Service area: Oklahoma: Tulsa.
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 practitioners7
Service area: Oklahoma: statewide.
See ChiroSource Inc. consolidated listing under California.
CIGNA HealthCare of Oklahoma Inc.-Oklahoma City
5100 N. Brookline, Ninth Floor, Oklahoma City, Okla. 73112; 405-943-7711; fax: 405-946-9568
Staff/Facilities
Primary practitioners186
Board-certified69.6%
Patients/practitioner92.8
Specialists650
Hospitals27
Pharmacies318
Users
Employer/payer groups228
Total17,265Operational date: January 1984.
Federally qualified.
Licensed in: Oklahoma.
NCQA fully accredited.
Model type: IPA.
Service area: Oklahoma: Canadian, Cleveland, Coal, Comanche, Cotton, Grady, Kingfisher, Lincoln, Logan, McClain, McIntosh, Okfuskee, Oklahoma, Pottawatomie and Seminole counties.
Point-of-service contracts: 40% of members are enrolled.
Non-federally qualified programs.
Enrollment options: Individual enrollment allowed.
Officers: Cynthia Finter, general manager; Sharron Merry, director/manager-operations; Dr. William Vennart, medical director; Andrew Carter, sales director/manager; Rick Wilson, UM health services manager.
Contact: Kristi Hatfield.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA HealthCare of Oklahoma Inc.-Tulsa
9810 E. 42nd St., Suite 220, Tulsa, Okla. 74136; 405-943-7711; fax: 405-946-9568
Staff/Facilities
Primary practitioners224
Board-certified70.3%
Patients/practitioner98.1
Specialists464
Hospitals22
Pharmacies227
Users
Employer/payer groups260
Total21,994Operational date: January 1992.
Federally qualified.
Licensed in: Oklahoma.
NCQA fully accredited.
Model type: IPA.
Service area: Oklahoma: Coal, Cotton, Creek, Lincoln, Mayes, McIntosh, Muskogee, Okmulgee, Osage, Payne, Rogers, Tulsa, Wagoner and Washington counties.
Point-of-service contracts: 67.3% of members are enrolled.
Non-federally qualified programs.
Enrollment options: Individual enrollment is allowed.
Officers: Cynthia Finter, general manager; Sharron Merry, director/manager-operations; Dr. William Vennart, medical director; Andrew Carter, sales director/manager; Rick Wilson, UM health services manager.
Contact: Kristi Hatfield.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA PPO-Oklahoma/Tulsa
5100 N. Brookline, Ninth Floor, Oklahoma City, Okla. 73112; 405-943-7711; fax: 405-946-9568
Staff/Facilities
Primary practitioners671
Board-certified69.1%
Patients/practitioner27.1
Specialists1,522
Hospitals61
Users: Group Health
Employer/payer groups294
Total Users18,234
Operational date: January 1989.
Service area: Oklahoma: 47 counties.
Officers: Cynthia Finter, general manager; Sharron Merry, director/manager-operations; Dr. William Vennart, medical director; Andrew Carter, sales director/manager; Keith Wisdom, planning/analysis-medical economics.
Contact: Andrew Green, 860-726-3586.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CommunityCare HMO
218 W. Sixth, Tulsa, Okla. 74119; 918-594-5200; fax: 918-594-5260
Staff/Facilities
Primary practitioners418
Board-certified77%
Patients/practitioner100
Specialists797
Hospitals21
Pharmacies262
Primary care locations1,236
Users
Employer/payer groups349
Employees & dependents44,255
Medicare4,685
Medicaid10,444
Total59,384
Revenues
1996$29,500,000Parent: Mercy Health Center, St. Anthony Hospital, St. Francis Hospital, St. John Medical Center.
Operational date: October 1993.
Federally qualified.
Licensed in: Oklahoma.
Model type: IPA.
For profit.
Service area: Oklahoma: 36 counties.
Services: General medical, vision, prescription drug, mental health. Services available unbundled.* May be customized to meet employer specifications.
Rating options: Adjusted community rating.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: David Pynn, president; Dr. Jack Sommers, medical director; Al Kaufman, COO; Earle Rice, senior vp-finance; William Hancock, executive vp.
Contact: Barbara Ferrier.
**Mental health and prescription drug only.
CorVel Corp.
1920 Main St., Suite 1090, Irvine, Calif. 92714; 714-851-1473; fax: 714-851-1469
Staff/Facilities
Primary practitioners1,383
Board-certified90%
Specialists3,210*
Hospitals84
Service area: Oklahoma.
**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 practitioners1,258
Specialists3,946
Hospitals123
Total Users205,146
Operational date: July 1990.
Service area: Oklahoma: statewide.
See FOCUS Healthcare Management Inc. consolidated listing under Tennessee.
Foundation Health, an Oklahoma Health Plan Inc.
5810 E. Skelly Drive, Suite 1100, Tulsa, Okla. 74135; 800-772-2993;
fax: 918-660-0526
Staff/Facilities
Primary practitioners584
Board-certified77%
Patients/practitioner49.8
Specialists1,278
Hospitals60
Pharmacies593
Primary care locations500
Users
Employer/payer groups62
Single coverage1,049
Family coverage701
Medicaid25,797
Total29,098Parent: Foundation Health Systems Inc.
Operational date: February 1995.
Licensed in: Oklahoma.
Model type: IPA.
Service area: Oklahoma: 60 counties.
Services: General medical, vision, prescription drug, mental health. Services available unbundled. May be customized to meet employer specifications.
Rating options: Community rating by class.
Offers self-insured products.
Point-of-service contracts: 8% of members are enrolled.
Enrollment options: Individual enrollment is allowed.
Officers: Richard D. McCutchen, president; Dr. Robert Jarrett, medical director; Don Schmidt, regional director-provider development; Cliff Peden, director-sales/marketing.
Contact: Cliff Peden, 405-530-3801.
See Foundation Health Systems consolidated listing under California.
HealthCare COMPARE Corp.
3200 Highland Ave., Downers Grove, Ill. 60515; 630-241-7900; fax: 630-241-7856
Staff/Facilities
Primary practitioners*892
Specialists1,173
Hospitals**52
Service area: Oklahoma: 69 counties.
**Includes some specialists.
***Includes specialty hospitals.
See HealthCare COMPARE Corp./The AFFORDABLE Medical Networks consolidated listing under Illinois.
HealthStar Inc.
14860 Montfort Drive, Suite 130, Dallas, Texas 75240; 972-980-2928; fax: 972-387-0721
Staff/Facilities
Primary practitioners156
Specialists291
Hospitals22
Users: Group Health
Employer/payer groups1
Employees & dependents75
Total Users75
Operational date: 1996.
Service area: Oklahoma: statewide.
See HealthStar Inc. consolidated listing under Illinois.