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Organized Delivery Systems
  • Application for license - To be completed by entities that will be compensated on a basis that entails the assumption of financial risk, as defined at N.J.A.C. 11:22-4.2.

    Entities that will be compensated on a basis that entails the assumption of financial risk, but this financial risk meets the criteria of de minimus risk, as set forth at N.J.A.C. 11:22-4.3 (b) may be granted an exemption from licensure.   If you are claiming that the financial risk is de minimus, check off on the Application Coversheet that you are applying for “Exemption”, otherwise check off “Licensure.”

  • Contact information for Licensed ODS: Marygrace Pesce, (609) 292-5350 ext. 50486 or e-mail
Description of Organized Delivery Systems

An Organized Delivery System (ODS) is a legal entity that contracts with a carrier for the purpose of providing or arranging for the provision of health care services to those persons covered under a carrier’s health benefits plan, but which is not a licensed health care facility or other health care provider.

Examples of the types of entities that are an ODS include preferred provider organizations (PPOs), Physician Hospital Organizations (PHOs) and Independent Practice Associations (IPAs). In order to contract with a carrier, an ODS must become licensed or certified. However, by law, an entity that only contracts to provide pharmaceutical services, or case management services, or employee assistance plan services does not have to become licensed or certified.

Certain additional entities that might otherwise appear to be an ODS also are exempt from obtaining certification or licensing. More details are set forth in regulations.

Approved Organized Delivery Systems
American Specialty Health ODS
of New Jersey

10221 Wateridge Circle
San Diego, CA 92121
Telephone: 1-800-848-3555
  CareCentrix of New Jersey, Inc.
20 Church St., Suite 1200
Hartford, CT 06103
  CareCore NJ, L.L.C.
169 Myers Corners Road
Wappingers Falls, NY 12590
Telephone: 1-800-918-8924

Freedom Health Solutions, LLC
35 Journal Square, Suite 1103
Jersey City, NJ 07306
Telephone: 201-216-9500
  Healthplex of NJ, Inc.
333 Earle Ovington Blvd., Suite 300
Uniondale, NY 11553-3608
Telephone: 1-800-468-0608

  HN1 Therapy Network of New Jersey
801 E. Halandale Beach Blvd.
Hallandale, FL 33009
Telephone: 305-614-0101
Magellan Behavioral Health of NJ, LLC
6950 Columbia Gateway Drive
Columbia, MD 21046
Telephone: 410-953-1000
  Meridian Geisinger Health Network, LLC
1350 Campus Parkway
Neptune, NJ 07753
  Orthonet of Mid-Atlantic, Inc. 
1311 Mamaroneck Ave.
Suite 240
White Plains, NY 10605
Telephone: 914-681-8800
Prospect Health Services NJ, Inc.
10780 Santa Monica Blvd.
Suite 400
Los Angeles, CA 90025
  Summit Select, LLC
1 Diamond Hill Road
Berkeley Heights, NJ 07922
Telephone: 908-277-8610
  Superior Vision of New Jersey, Inc.
939 Elkridge Landing Road, Suite 200
Linthicum, MD 21090
Telephone: 1-800-243-1401
Triad Healthcare of New Jersey IPA, Inc.
80 Spring Lane, PO Box 902
Plainville, CT 06062-0908
Telephone: 1-800-550-0540
  ValueOptions of New Jersey, Inc.
240 Corporate Blvd.
Norfolk, VA 23502
Telephone: 757-459-5200


Academy Orthotic & Prosthetic Associates IPA, Inc.
2810 Morris Ave.
Union, NJ 07083
Telephone: 908-686-3521
  AHS Health Network, LLC
475 South St.
Morristown, NJ 07962
  Atlantic Imaging Group, LLC
2 Ridgedale Ave., Suite A-10
Cedar Knolls, NJ 07927
Telephone: 973-451-9415
Audiology Distribution, LLC d/b/a HearUSA
10455 Riverside Drive
Palm Beach Gardens, FL 33410
  Avesis Third Party Administrators, Inc.
10324 South Dolfied Road
Owings Mills, MD 21117
Telephone: 1-800-643-1132
  Beech Street Corporation
25500 Commercentre Drive
Lake Forest, CA 92630-8855
Telephone: 949-672-1000
20 Church St., Suite 1200
Hartford, CT 06103

Telephone: 860-528-4038
  Careington International Corporation
7400 Gaylord Parkway
Frisco, TX 75035
Telephone: 1-800-441-0380
  Care To Care, LLC
485 Madison Ave., 2nd Floor
New York, NY 10022
Telephone: 212-747-1000
CIGNA Behavioral Health
11095 Viking Drive, Suite 350
Eden Prairie, MN 55344
Telephone: 1-800-274-7603
  Consumer Health Network Plus, LLC
(d/b/a CHN PPO)

300 American Metro Blvd., Suite 170
Hamilton, NJ 08619-1205
Telephone: 1-800-225-4246
  Davis Vision
159 Express St.
Plainview, NY 11803
Telephone: 516-932-9500
Dental Benefit Providers, Inc.
800 King Farm Blvd., Suite 600
Rockville, MD 21244-20850
Telephone: 410-265-6033
  Dental Health Alliance
2323 Grand Blvd.
Kansas City, MO 64108
Telephone: 1-800-522-1313
  Dental Network of America, LLC
701 E. 22nd St., Suite 300
Lombard, IL 60148
Telephone: 630-691-1133
DenteMax Customer Service
25925 Telegraph Road - Suite 400
Southfield, MI 48033
Telephone: 1-800-752-1547
465 Medford St.
Boston, MA 02129
Telephone: 1-800-417-7140
d/b/a Eyequest

465 Medford St.
Boston, MA 02129
Telephone: 1-800-417-7140
Ear Professionals International Corp.
17870 Castleton St., Suite 320
City of Industry, CA 91748
Telephone: 1-866-956-5400
  Envolve Vision, Inc.
112 Zebulon Court
Rocky Mount, NC 27804
Telephone: 1-800-334-3937
  EyeMed Vision Care, LLC
4000 Luzottica Place
Mason, OH 45040
Telephone: 1-866-9-EYEMED
First Health Group Corp.
10260 Meanley Drive
San Diego, CA 92131
Telephone: 1-800-247-2898
  Government Employees Health Association, Inc. (GEHA)
PO Box 6707
Lee's Summit, MO 64064-6707
Telephone: 1-800-505-8880
  Humana Behavioral Health, Inc.
2101 W. John Carpenter Freeway
Irving, TX 75063
Telephone: 1-800-207-5101
Integra Partners IPA, LLC
100 Wall St., Suite 2502
New York, NY  10005
Telephone: 718-369-0012
  IPA of North Jersey
703 Main St.
Paterson, NJ 07509-7214
Telephone: 973-754-2795
  LogistiCare Solutions, LLC
1800 Phoenix Blvd., Suite 120
College Park, GA 30349
Telephone: 1-800-486-7647
Magellan Healthcare, Inc.
6950 Columbia Gateway Drive
Columbia, MD 21046
Telephone: 410-953-1000
  MagnaCare Administrative Services, LLC
One Penn Plaza, Suite 2000
New York, NY 10119
Telephone: 1-800-235-7267
  MagnaCare Ancillary Services, LLC
1600 Stewart Ave., Suite 700
Westbury, NY 11590
Telephone: 1-800-235-7267


March Vision Care Group, Inc.
6701 Center Drive West, Suite 790
Los Angeles, CA 90045
Telephone: 1-844-686-2724
  Maverest Dental Network, LLC
1502 W. Edgewood Ave., Suite F
Indianapolis, IN 46217
Telephone: 1-888-458-2137
  Med-Net IPA, LLC
29 Emmons Drive, Suite A-10
Princeton, NJ 08540
Telephone: 609-454-5020
Fax: 609-454-5021
MedSolutions, Inc.
730 Cool Springs Blvd., Suite 800
Franklin, TN 37067
Telephone: 1-800-467-6424
  MHN Services
11971 Foundation Place, Bldg. C
Rancho Cordova, CA 95670
Telephone: 1-800-327-2133
  Morris Area Integrated Physicians, IPA
95 Madison Ave., 4th Floor, Suite 406
Morristown, NJ 07960
Telephone: 973-971-7222
Morris-Somerset IPA, Inc.
1719 Route 10 East, Suite 303
Parsippany, NJ 07054
Telephone: 973-292-9496
  MultiPlan, Inc.
115 Fifth Ave.
New York, NY 10003-1104
Telephone: 212-780-2000
  National Visions Administrators, LLC
1200 Route 46 West, 2nd Floor
Clifton, NJ 07013
Telephone: 973-574-2400
OptumHealth Care Solutions, Inc.
UnitedHealth Group
11000 Optum Circle
Eden Prairie, MN 55402
  POMAC Metro, LLC
813 East Gate Drive, Suite A
Mount Laurel, NJ 08054
Telephone: 1-800-946-9170
  Private Healthcare Systems, Inc.
115 Fifth Ave.
New York, NY 10003-1104
Telephone: 212-780-2000


Prospect Provider Group NJ, LLC
10780 Santa Monica Blvd.
Suite 400
Los Angeles, CA 90025
  QualCare, Inc.
30 Knightsbridge Road
Piscataway, NJ 08854
Telephone: 732-562-0833
  Radiology Consultants of New Jersey, Inc. (RADCON)
302 Harper Drive, Suite 101
Moorestown, NJ 08057
Telephone: 856-608-1350
ReliaCare Alliance IPA, LLC
755 2nd Ave.
2nd Floor
New York, NY 10017
Telephone: 877-331-5170
  Solstice of New York, Inc.
7901 SW 6th Court, Suite 400
Plantation, FL 33324
Telephone: 1-877-760-2247
  Spectera, Inc.
Liberty 6, Suite 200
6220 Old Dobbin Lane
Columbia, MD 21045
Telephone: 1-800-638-3895
Superior Vision Services, Inc.
11101 White Rock Road
Rancho Cordova, CA 95670
Telephone: 1-800-923-9766
  United Behavioral Health
1900 E. Golf Road, Suite 300
Schaumburg, IL 60173
Telephone: 1-800-711-6089
  United Concordia Companies, Inc.
4401 Dear Path Road
Harrisburg, PA 17110
Telephone: 1-800-332-0366
U.S. Imaging Network, LLC
733 Third Ave., 11th Floor
New York, NY 10017
  Vista Health Systems, LLC
95 Summit Ave., 4th Floor
Summit, NJ 07901
Telephone: 908-598-0101
  Zelis Network Solutions, LLC
Two Concourse Parkway, Suite 300
Atlanta, GA 30328
Telephone: 404-459-7201
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New Jersey Department of Banking and Insurance