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Organized Delivery Systems
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Certification
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License
  • 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: Frank Cipriani, (609) 292-5350 ext. 50452 or e-mail
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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
       
Licensed      
American Imaging Management East
540 Lake Cook Road, Suite 300
Deerfield, IL60015-5289
Telephone: 847-564-8500
www.americanimaging.net
  American Specialty Health ODS
of New Jersey

10221 Wateridge Circle
San Diego, CA 92121
Telephone: 1-800-848-3555
www.ashnetworks.com
Beacon Health Strategies LLC
200 State St., Suite 302
Boston, MA  01801
Telephone: 617-747-1084
www.beaconhealthstrategies.com
       
Block Vision of New Jersey, Inc.
939 Elkridge Landing Rd., Suite 200
Linthicum, MD 21090
Telephone: 1-800-243-1401
www.blockvision.com
  CareCentrix of New Jersey, Inc.
20 Church St., Suite 1200
Hartford, CT 06103
Telephone:
860-466-7725
www.carecentrix.com


CareCore NJ, L.L.C.
169 Myers Corners Road
Wappingers Falls, NY 12590
Telephone: 1-800-918-8924
www.carecorenational.com
       
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
www.healthplex.com
HN1 Therapy Network of New Jersey
801 E. Halandale Beach Blvd.
Hallandale, FL 33009
Telephone: 305-614-0101
www.hn1therapynetwork.com
       
Magellan Behavioral Health of NJ, LLC
6950 Columbia Gateway Drive
Columbia, MD 21046
Telephone: 410-953-1000
www.magellanhealth.com
  Meridian Geisinger Health Network, LLC
1350 Campus Parkway
Neptune, NJ 07753
Telephone:
570-271-7389
www.meridiangeisinger.com
Orthonet of Mid-Atlantic, Inc. 
1311 Mamaroneck Avenue
Suite 240
White Plains, NY 10605
Telephone: 914-681-8800
www.orthonet-online.com
     

 

Prism Health Networks of NJ
2732 Transit Road
West Seneca, NY 14224
Telephone: 716-712-2700
www.prismnetwork.com
  Triad Healthcare, Inc.
80 Spring Lane, PO Box 902
Plainville, CT 06062-0908
Telephone: 1-800-550-0540
www.triadhealthcareinc.com
ValueOptions of New Jersey, Inc.
240 Corporate Blvd.
Norfolk, VA 23502
Telephone: 757-459-5200
www.valueoptions.com
       
Certified      
Academy Orthotic & Prosthetic Associates IPA, Inc.
2810 Morris Avenue
Union, NJ 07083
Telephone: 908-686-3521
  Atlantic Imaging Group, LLC
2 Ridgedale Ave., Suite A-10
Cedar Knolls, NJ 07927
Telephone: 973-451-9415
www.aignetwork.com
Audiology Distribution, LLC d/b/a HearUSA
1250 Northpoint Parkway
West Palm Beach, FL 33407
1-800-323-3277
www.hearusa.com
       
Avesis Third Party Administrators, Inc.
10324 South Dolfied Road
Owings Mills, MD 21117
Telephone: 1-800-643-1132
www.avesis.com
  Beech Street Corporation
25500 Commercentre Drive
Lake Forest, CA 92630-8855
Telephone: 949-672-1000
www.beechstreet.com
CareCentrix®
20 Church St., Suite 1200
Hartford, CT 06103

Telephone: 860-528-4038
www.carecentrix.com
       
Careington International Corporation
7400 Gaylord Parkway
Frisco, TX 75035
Telephone: 1-800-441-0380
www.careington.com
  Care To Care, LLC
755 Second Avenue
New York, NY 10017
Telephone: 212-931-9090
www.caretocare.com
CIGNA Behavioral Health
11095 Viking Drive, Suite 350
Eden Prairie, MN 55344
Telephone: 1-800-274-7603
www.cignabehavioral.com
       
Consumer Health Network Plus, LLC
(d/b/a CHN PPO)

300 American Metro Boulevard, Suite 170
Hamilton, NJ 08619-1205
Telephone: 1-800-225-4246
www.chn.com
  Corphealth, Inc. (d/b/a LifeSynch)
2101 W. John Carpenter Freeway
Irving, TX 75063
Telephone: 1-800-207-5101
www.lifesynch.com
Davis Vision
159 Express Street
Plainview, NY 11803
Telephone: 516-932-9500
www.davisvision.com
     
Dental Benefit Providers, Inc.
800 King Farm Boulevard, Suite 600
Rockville, MD 21244-20850
Telephone: 410-265-6033
www.dbp-inc.com
  Dental Health Alliance
2323 Grand Boulevard
Kansas City, MO 64108
Telephone: 1-800-522-1313
www.dha.com
Dental Network of America, LLC
701 E. 22nd Street, Suite 300
Lombard, IL 60148
Telephone: 630-691-1133
www.dnoa.com
       
DenteMax Customer Service
25925 Telegraph Road - Suite 400
Southfield, MI 48033
Telephone: 1-800-752-1547
www.dentemax.com
  DentaQuest
465 Medford Street
Boston, MA 02129
Telephone: 1-800-417-7140
www.dentaquest.com
Ear Professionals International Corp.
17870 Castleton St., Suite 320
City of Industry, CA 91748
Telephone: 1-866-956-5400
www.epichearing.com
       
EyeMed Vision Care, LLC
4000 Luzottica Place
Mason, OH 45040
Telephone: 1-866-9-EYEMED
www.eyemedvisioncare.com
  First Health Group Corp.
10260 Meanley Drive
San Diego, CA 92131
Telephone: 1-800-247-2898
www.firsthealth.coventryhealthcare.com
Government Employees Health Association, Inc. (GEHA)
PO Box 6707
Lee's Summit, MO 64064-6707
Telephone: 1-800-505-8880
www.connectiondental.com
       
Integra Partners IPA, LLC
1701 Utica Ave.
Brooklyn, NY 11234
Telephone: 718-369-0012
www.integrah.com
  IPA of North Jersey
703 Main Street
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
www.Logisticare.com
     
Magellan Healthcare, Inc.
6950 Columbia Gateway Drive
Columbia, MD 21046
Telephone: 410-953-1000
www.magellanhealth.com
  MagnaCare Administrative Services, LLC
One Penn Plaza, Suite 2000
New York, NY 10119
Telephone: 1-800-235-7267
www.magnacare.com
MagnaCare Ancillary Services, LLC
1600 Stewart Ave., Suite 700
Westbury, NY 11590
Telephone: 1-800-235-7267
www.magnacare.com
       
March Vision Care Group, Inc.
6701 Center Drive West, Suite 790
Los Angeles, CA 90045
Telephone: 1-888-493-4070
www.marchvisioncare.com
  Med-Net IPA, LLC
29 Emmons Drive, Suite A-10
Princeton, NJ 08540
Telephone: 609-454-5020
Fax: 609-454-5021
www.mednetipa.com
MedSolutions, Inc.
730 Cool Springs Blvd., Suite 800
Franklin, TN 37067
Telephone: 1-800-467-6424
www.medsolutions.com
   

 

 
MHN Services
11971 Foundation Place, Bldg. C
Rancho Cordova, CA 95670
Telephone: 1-800-327-2133
www.mhn.com
  Morris Area Integrated Physicians, IPA
95 Madison Avenue, 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 Avenue
New York, NY 10003-1104
Telephone: 212-780-2000
www.multiplan.com
  National Visions Administrators, LLC
1200 Route 46 West, 2nd Floor
Clifton, NJ 07013
Telephone: 973-574-2400
OptiCare Vision Company, Inc.
112 Zebulon Court
Rocky Mount, NC 27804
Telephone: 1-800-334-3937
       
OptumHealth Care Solutions, Inc.
UnitedHealth Group
6300 Olson Memorial Highway
MN010-E151
Golden Valley, MN 55427
www.uhc.com
  POMAC Metro, LLC
813 East Gate Dr., Suite A
Mount Laurel, NJ 08054
Telephone: 1-800-946-9170
www.pomacnetwork.com
Private Healthcare Systems, Inc.
115 Fifth Avenue
New York, NY 10003-1104
Telephone: 212-780-2000
www.multiplan.com
       
QualCare, Inc.
30 Knightsbridge Road
Piscataway, NJ 08854
Telephone: 732-562-0833
www.qualcareinc.com
  Radiology Consultants of New Jersey, Inc. (RADCON)
302 Harper Drive, Suite 101
Moorestown, NJ 08057
Telephone: 856-608-1350
www.radconinc.net
ReliaCare Alliance IPA, LLC
755 2nd Avenue
2nd Floor
New York, NY 10017
Telephone: 877-331-5170
www.reliacare.com
       
Solstice of New York, Inc.
7901 SW 6th Court, Suite 400
Plantation, FL 33324
Telephone: 1-877-760-2247
www.solsticebenefits.com
  Spectera, Inc.
Liberty 6, Suite 200
6220 Old Dobbin Lane
Columbia, MD 21045
Telephone: 1-800-638-3895
www.spectera.com
Stratose, Inc.
Two Concourse Parkway, Suite 300
Atlanta, GA 30328
Telephone: 404-459-7201
www.stratose.com
       
Superior Vision Services, Inc.
11101 White Rock Road
Rancho Cordova, CA 95670
Telephone: 1-800-923-9766
www.superiorvision.com
  United Behavioral Health
1900 E. Golf Road, Suite 300
Schaumburg, IL 60173
Telephone: 1-800-711-6089
www.unitedbehavioralhealth.com
United Concordia Companies, Inc.
4401 Dear Path Road
Harrisburg, PA 17110
Telephone: 1-800-332-0366
www.ucci.com
       
U.S. Imaging Network, LLC
733 Third Avenue, 11th Floor
New York, NY 10017
www.usimagingnetwork.com
  Vista Health Systems, LLC
95 Summit Avenue, 4th Floor
Summit, NJ 07901
Telephone: 908-598-0101
www.vistaipa.com
 
 
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New Jersey Department of Banking and Insurance