Pennsylvania
Admar Med Network
1551 N. Tustin Ave., Suite 300, Santa Ana, Calif. 92705; 714-953-9600; fax: 714-953-6309
Staff/Facilities*
Primary practitioners1,497
Specialists4,397
Hospitals147
Users
Employees & dependents27,964
Operational date: September 1991.
Service area: Pennsylvania: 52 counties.
**Includes leased providers/facilities.
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 practitioners59
Hospitals32
Service area: Pennsylvania: Allegheny, Bedford, Berus, Bucks, Chester, Delaware, Fulton, Lancaster, Lebanon, Lehigh, Lycoming, Mercer, Montgomery and Philadelphia counties.
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 practitioners207
Specialists1,432
Hospitals110
Users: Group Health
Single coverage19,499
Family coverage68,594
Employees & dependents177,265
Users: Workers Compensation
Single coverage13,833
Total Users191,098
Operational date: 1987.
Service area: Pennsylvania: 58 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 practitioners314
Board-certified73.2%
Specialists625
Hospitals84
Service area: Pennsylvania: 44 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 Pennsylvania
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners1,986
Hospitals18
Service area: Pennsylvania: Central Pennsylvania.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Philadelphia
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners5,412
Hospitals35
Service area: Pennsylvania: Philadelphia.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Pittsburgh
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners3,044
Hospitals25
Service area: Pennsylvania: Pittsburgh.
See CNA Managed Care PPO consolidated listing under Illinois.
Central Susquehanna Healthcare Providers
1 Hospital Drive, Lewisburg, Pa. 17837; 717-522-2748; fax: 717-522-2063
Staff/Facilities
Primary practitioners90
Board-certified95%
Specialists290
Hospitals5
Users: Group Health
Employer/payer groups158
Single coverage4,500
Ownership: Evangelical Community Hospital, Sunbury Community Hospital, Susquehanna Health System.
Operational date: October 1987.
Not for profit.
Service area: Pennsylvania: Lycoming, Northumberland, Snyder and Union counties.
Services: General medical, dental, mental health, durable medical equipment, ancillary services. May be customized to meet employer specifications.
Compensation: Negotiates hospital charges by discount off customary rates; is compensated by employers/payers; charges flat fee per employee.
UR: Standard procedures. UR provided by outside contractors.
Officers: Michael Daniloff, president; Dr. James W. Morgan Jr., chairman; William Stoltzfus, treasurer; Marcia J. Cooney, secretary; Dr. Charles Zaleski, Jr., chairman-UR committee.
Contact: Lisa Featherman, managed care secretary.
ChiroSource Inc.
P.O. Box 130, Clayton, Calif. 94517; 510-672-5333; fax: 510-672-6657
Specialty: chiropractic
Staff/Facilities
Primary practitioners35
Service area: Pennsylvania: statewide.
See ChiroSource Inc. consolidated listing under California.
CIGNA HealthCare of PennsylvaniaPhiladelphia
1 Beaver Valley Road, Suite CHP, Wilmington, Del. 19803; 302-477-3700; fax: 302-477-3708
Staff/Facilities
Primary practitioners1,262
Board-certified77%
Patients/practitioner32.5
Specialists2,658
Hospitals54
Pharmacies1,360
Users
Employer/payer groups1,179
Total41,060Operational date: July 1987.
Federally qualified.
Licensed in: Delaware, New Jersey, Pennsylvania.
NCQA fully accredited.
Model type: IPA.
Service area: Pennsylvania: Bucks, Chester, Delaware, Montgomery and Philadelphia counties.
Point-of-service contracts: 67.3% of members are enrolled.
Non-federally qualified programs.
Enrollment options: Individual enrollment is allowed.
Officers: Vince Sobocinski, general manager/market manager; Dr. Robert Mogul, medical director; Lou Marrafino, provider relations manager; Sheryl O'Neill, quality assurance manager; Nancy McWilliams, UM health services manager.
Contact: Vicki Williamson.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA Managed Care Network-Central Pennsylvania
1 Beaver Valley Road, Suite CHP, Wilmington, Del. 19803; 302-477-3700; fax: 302-477-3708
Staff/Facilities
Primary practitioners492
Board-certified91%
Patients/practitioner3
Specialists924
Hospitals16
Pharmacies1,360
Users
Employer/payer groups152
Total1,512Operational date: April 1994.
Licensed in: Pennsylvania.
Model type: IPA.
Service area: Pennsylvania: Adams, Berks, Cumberland, Dauphin, Lancaster, Lebanon, Lehigh and York counties.
Point-of-service contracts: 81.6% of members are enrolled.
Enrollment options: Individual enrollment is allowed.
Officers: Vince Sobocinski, general manager/market manager; Dr. Robert Mogul, medical director; Lou Marrafino, provider relations manager; Sheryl O'Neill, quality assurance manager; Nancy McWilliams, UM health services manager.
Contact: Vicki Williamson.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA PPO-Central Pennsylvania
1 Beaver Valley Road, Suite CHP, Wilmington, Del. 19803; 302-477-3700; fax: 302-477-3708
Staff/Facilities
Primary practitioners490
Board-certified90.8%
Patients/practitioner8.9
Specialists909
Hospitals16
Users: Group Health
Employer/payer groups148
Total Users4,396
Operational date: April 1994.
Service area: Pennsylvania: Adams, Berks, Cumberland, Dauphin, Lancaster, Lebanon, Lehigh, Mifflin, Perry, Schuylkill and York counties.
Officers: Vince Sobocinski, general manager/sales director/market manager; Dr. Robert Mogel, medical director; Lou Marrifino, provider relations manager; Laura Bowman, planning/analysis-medical economics.
Contact: Andrew Green, 860-726-3586.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CIGNA PPO-Philadelphia
1 Beaver Valley Road, Suite CHP, Wilmington, Del. 19803; 302-477-3700; fax: 302-477-3708
Staff/Facilities
Primary practitioners1,414
Board-certified77.4%
Patients/practitioner27.2
Specialists4,057
Hospitals68
Users: Group Health
Employer/payer groups474
Total Users38,524
Operational date: December 1990.
Service area: Pennsylvania: Bucks, Chester, Delaware, Montgomery and Philadelphia counties.
Officers: Vince Sobocinski, general manager/sales director/market manager; Dr. Robert Mogel, medical director; Lou Marrifino, provider relations manager; Laura Bowman, planning/analysis-medical economics.
Contact: Andrew Green, 860-726-3586.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CIGNA PPO-Pittsburgh
5929 Lakeside Blvd., Indianapolis, Ind. 46278; 317-290-5066; fax: 317-298-6023
Staff/Facilities
Primary practitioners343
Board-certified76.3%
Patients/practitioner43
Specialists949
Hospitals20
Users: Group Health
Employer/payer groups310
Total Users14,775
Operational date: January 1991.
Service area: Pennsylvania: Greene, Washington and Westmoreland counties.
Officers: Jeanne McCarthy, general manager; Dr. David Cogan, medical director; Ron Dziedzicki, regional contracting officer; Carl Biats, sales director/manager; Sue Bhadelia, provider relations manager.
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 practitioners1,088
Board-certified90%
Specialists7,789*
Hospitals60
Service area: Pennsylvania.
**Includes ancillary providers.
See CorVel Corp. consolidated listing under California.