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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: Marygrace Pesce, (609) 292-5350 ext. 50486 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 Specialty Health ODS of New Jersey
10221 Wateridge Circle, San Diego, CA 92121
Telephone: 1-800-848-3555 www.ashnetworks.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 Ave., Suite 240, White Plains, NY 10605
Telephone: 914-681-8800 www.orthonet-online.com
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 www.superiorvision.com
Triad Healthcare of New Jersey IPA, 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 Ave., Union, NJ 07083
Telephone: 908-686-3521  
AHS Health Network, LLC
475 South St., Morristown, NJ 07962
Atlantic Diagnostic Services, LLC
110 South Jefferson Road, Suite 201, Whippany, NJ  07981
Telephone: 973-451-9415 www.aignetwork.com
Atlantic Imaging Group, LLC
110 South Jefferson Road, Suite 201, Whippany, NJ 07981
Telephone: 973-451-9415 www.aignetwork.com
Audiology Distribution, LLC d/b/a HearUSA
10455 Riverside Drive, Palm Beach Gardens, FL 33410
Telephone: 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
485 Madison Ave., 2nd Floor, New York, NY 10022
Telephone: 212-747-1000 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 Blvd., Suite 170, Hamilton, NJ 08619-1205
Telephone: 1-800-225-4246 www.chn.com
Davis Vision
159 Express St., Plainview, NY 11803
Telephone: 516-932-9500 www.davisvision.com
Dental Benefit Providers, Inc.
800 King Farm Blvd., Suite 600, Rockville, MD 21244-20850
Telephone: 410-265-6033 www.dbp-inc.com
Dental Health Alliance
2323 Grand Blvd., Kansas City, MO 64108
Telephone: 1-800-522-1313 www.dha.com
Dental Network of America, LLC
701 E. 22nd St., 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 St., Boston, MA 02129
Telephone: 1-800-417-7140 www.dentaquest.com
DentaQuest d/b/a Eyequest
465 Medford St., 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
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 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)
2101 W. John Carpenter Freeway, Irving, TX 75063
Telephone: 1-800-207-5101 www.humanabehavioralhealth.com
Integra Partners IPA, LLC
100 Wall St., Suite 2502, New York, NY 10005
Telephone: 718-369-0012 www.integrah.com
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 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: 1-844-686-2724 www.marchvisioncare.com
Maverest Dental Network, LLC
1502 W. Edgewood Ave., Suite F, Indianapolis, IN 46217
Telephone: 1-888-458-2137 www.maverest.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 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 www.multiplan.com
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
  www.uhc.com
POMAC Metro, LLC
813 East Gate Drive, Suite A, Mount Laurel, NJ 08054
Telephone: 1-800-946-9170 www.pomacnetwork.com
Private Healthcare Systems, Inc.
115 Fifth Ave., New York, NY 10003-1104
Telephone: 212-780-2000 www.multiplan.com
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 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 Ave., 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
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 Ave., 11th Floor, New York, NY 10017
  www.usimagingnetwork.com
Vista Health Systems, LLC
95 Summit Ave., 4th Floor, Summit, NJ 07901
Telephone: 908-598-0101 www.vistaipa.com
Zelis Network Solutions, LLC
Two Concourse Parkway, Suite 300, Atlanta, GA 30328
Telephone: 404-459-7201 www.zelis.com
 
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New Jersey Department of Banking and Insurance