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Managed Care Providers on Health Directory
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Spectrum Managed Care
A workers' compensation managed care firm offering claims and case management, occupational networks, and medical bill and utilization review.
Resolution Health Medical Scheme
Provides comprehensive, affordable medical cover to employer groups and individuals, and is supported by sound financial, administrative and medical controls.
Prospect Medical
An affiliation of several managed care plans in the Greater Los Angeles area who have joined together to provide the full range of medical services to patients.
Profit Line
Delivers high return, risk free managed care claim audit and recovery services to the managed healthcare industry.
Multimed
A medical scheme administrator. Services include managed care, claims management, and risk management.
Lumenos, Inc.
Offers three phase program of consumer-driven healthcare, consisting of health savings account, traditional health coverage, and a health toolkit.
Keystone Mercy Health Plan
Medical assistance (Medicaid) managed care health plan in the southeastern region of the state.
HealthSpring
A managed care organization in central part of state. Site describes products and services, allows provider search, and has areas for members, brokers, providers, and employers.
HealthHelp
Provides radiology management services for insurers and physicians. Its national radiology network is used by many managed care organizations.
GatesMcDonald HealthPlus
A managed care program providing medical care via workers' compensation for injured workers. Site describes company, its services, and allows provider lookup.
Definity Health, Inc.
A provider of consumer-driven health plans, consisting of an employer-funded personal care account, a traditional health coverage component, and an array of tools and resources to support its members.
CorVel Corporation
National, independent provider of managed care and case management services for workers' compensation, accident and health, and auto insurance markets
Concentra, Inc.
Provides occupational health services for cost containment and lost time prevention including: drug screens, physical therapy, first notice of injury, and case management.
Choice One, Inc.
Offers ongoing review and negotiation of managed care agreements for physicians with HMOs, PPOs, and POS programs. Has assisted in establishing several independent practice associations (IPAs).
Amerigroup Corporation
Provider of health care to low-income and uninsured families in several states and the District of Columbia.
AmeriChoice Corporation
Organizes health care benefits and services for beneficiaries of Medicaid and other government-sponsored health care programs in more than one dozen markets nationwide.
American Specialty Health Plans of California
Offers health plans for chiropractic care and acupuncture. Site describes the company and includes directory of participating care providers.
 
 
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