Sunny Hills Orthopedic Services has Contracts with the following:
     a. Insurance Companies
     b. Medical Groups
     c. Hospitals

Insurance Companies

Admar (BCE Emergis, merged w/MultiPlan)	Focus &Focus – Concentra (MPN)	PMCS
Aetna  HMO, PPO, EPO	Galaxy Health Network	PMSI (effective June 1st 2007)
AMVI – Cap Management	Great West.	PPO NEXT – (Merger with Preferred Health Network)
AMVI / Prospect	Great-West Healthcare       (formerly One Health) – PPO, POS, HMO, Open Access (Cigna)	Preferred Health Network –  see PPO Next
Anthem (BCE Emergis, merged w/MultiPlan)	Health Net – HMO, PPO	Prime Health Services, Inc
Arta Health Network	Health Net Comp 24	Progressive Medical Inc.
Avalon IPA / Admin thu Cap Management Systems	Health Net Senior	Regional Center of Orange County
BCE Emergis – MultiPlan merger	Homelink	SCAN
Beech Street Corp – Concentra (CNS) merger	Integrated Health Plan	Secure Horizons
Blue Cross	Interplan Corp	St. Joseph Heritage Health (Mission Hospital Physicians, St. Joseph Hospital Affiliated  & St. Joseph Heritage Medical Group
Blue Shield	Kaiser Medical	Tech Health – pending final approval
BPS (sold to BCE Emergis, merged w/MultiPlan)	Medi-Cal	Three Rivers Provider Network
BWC	Medicare	Tri-Care
Cal Optima	MSC	TriWest
Care 1st  (UHP)	MSI	UCI University Physicians and Surgeons
CareMore - Value Plus, Medicare Advantage, etc.	Multiplan (BPS, BCE, Antham, Admar,  United Payers & Physicians, HealthNetwork ProAmerica, ForMost, )	United Care Medical Network – 1/2005 - 4/1/05 admin through Cap Management Systems
CCS	National Preferred Provider Network (NPPN)	United Healthcare (merged with PacifiCare)
CHOC Health Alliance   - Cal Optima Plan	One Care – Cal Optima	United Payers & Providers (MultiPlan Merger)
Cigna – HMO & PPO Connecticut General Life –      Worker Comp	One Health – contracted under “Great-West Healthcare”	Universal Care
CorVel	Orange County Foundation for Medical Care –      Worker Comp included	USA Care – Preferred Care
Concentra Network Services MPN – Safeco Medical Provider Network - Worker Comp	PacifiCare – HMO, PPO EPO	USA Managed Care Organization
EBS – OON	Great West.	Veterans Administration (VA) L.B. & L.A.
First Health – through Homelink	PHCS - (merged with MultiPlan)	WellComp Medical Provider Network (through Medical Audit & Management) SCRMA

Medical Groups

Arta	Family Choice Medical Group	Regal Medical Group
Avalon IPA	Gateway	St. Joseph Heritage Medical Group
Bright Medical Group – Shared Risk	Kaiser	St. Joseph Hospital Affiliated Physicians
Bristol Park Medical Group – Shared Risk	Mid Cities IPA	Talbert Medical Group – In process - Shard Risk
CareMore Medical Group	Monarch Medical Group	Valley View Medical
Edward Medical IPA – Shared Risk	Prospect Medical Group	Yorba Park Medical Group

IMPORTANT: Direct IPA-Sunny Hills contracts are not necessary when our services are utilized and reimbursed under a “shared risk” agreement. Sunny Hills has direct insurance company contracts and can be used when requested with prior authorization

 

Hospitals List

Anaheim General Hospital		St. Jude Medical Center
Anaheim Memorial	Irvine Medical Center	UCI Medical Center
Chapman Hospital	Kindred	West Anaheim Medical Center
C.H.O.C.	La Palma Intercommunity Hospital	Western Medical Center - Anaheim
Fountain Valley Regional Hospital Med Center	Los Alamitos Medical Center	Western Medical Center – Santa Ana
Garden Grove Hospital & Medical Center	Placentia-Linda Medical Center	Whittier Hospital Medical Center
HEALTHSOUTH Tustin Rehabilitation Center	St. Joseph Hospital	Whittier Presbyterian Intercommunity Hospital

Rev A: List Last Updated 2/7/2008 ... please contacts us for any changes or recommendations.