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WV Approved Workers' Compensation Managed Health Care Plans

Preferred Provider Networks and Non-Fiduciary Plans

CorVel West Virginia Managed Health Care Plan
661 Andersen Drive, Foster Plaza 7
Pittsburgh, PA 15220
Tom Byers, Vice President
Phone: 412-587-8016
Approved: September 25, 2007
Recertification Date: September 24, 2017
Service Area (WV): All counties in West Virginia

Travelers & Constitution Managed Health Care Plan
One Tower Square - MS07A
Hartford, CT 06183
James A. Wucherpfennig, Vice President, Workers' Compensation Claim
Phone: 860-277-3856
Approved: June 17, 2008
Recertification Date: June 16, 2018
Service Area (WV): All counties in West Virginia

Coventry Workers' Comp Services
151 Farmington Avenue, RW61
Hartford, CT 06156
Caitlin Roux-Halloran, Senior Compliance Consultant
Phone: 860-273-2259
Approved: December 27, 2010
Renewal Approved: June 19, 2014
Recertification Date: July 1, 2018
Service Area (WV) Modification Approved: July 22, 2008, August 1, 2008, December 4, 2008
Service Area (WV): All counties in West Virginia

GENEX Services Managed Health Care Plan
440 E. Swedesford Rd., Ste 1000
Wayne, PA 19087
John Keohane, CFO
Phone: 610-964-5240
Approved: August 25, 2008                                                                                                                                                      
Recertification Date: August 19, 2018
Service Area (WV): All counties in West Virginia

HealthSmart Preferred Care II, LP
222 W. Las Colinas Blvd.  Suite 600N
Irving, Texas  75039
James D. Kelly
Phone: 214-574-2392
Approved: July 15, 2013
Recertification Date: July 14, 2017
Service Area (WV): All counties in West Virginia

Liberty Mutual Managed Health Care Plan
690 Lee Road, Suite 200
Wayne, PA 02406
B.J. Enright
Phone: 800-637-4611 ext. 4192
Approved: October 31, 2008
Recertification Date: October 30, 2018
Service Area (WV) Modification Approved: December 4, 2008
Service Area (WV): All counties in West Virginia

Rising-Rockport Managed Health Care Plan
325 North LaSalle Street, Suite 475
Chicago, Illinois  60654
Denise Travis, MHA, MPH
Phone:  312-559-8445
Approved:  September 16, 2009
Renewal Approved:  August 28, 2013
Recertification Date:  September 15, 2017
Service Area (WV):  All counties in West Virginia 

Bunch & Associates, LLC / Bunch WV MHCP
3500 Reynolds Road
Lakeland, FL 33803-7327
Darelene Ondecker, Partner Relations Team Lead
Phone: 800-906-5353 ext. 245
Approved: February 12, 2010
Recertification Date: September 20, 2018
Service Area (WV): All counties in West Virginia

Brickstreet Mutual Insurance Company / StreetSelect                        
400 Quarrier Street
Charleston, WV  25301                                                                                                                           
Thomas J. Obrokta, Jr., Sr. Vice President, General Counsel and Secretary                                         
Phone:  304-941-1000                                                                                                                            
Approved:  June 17, 2010                                                                                                                       
Recertification Date:  June 16, 2018                                                                                                       
Service Area (WV):  All counties in West Virginia

Procura Management, Inc.
2736 Meadow Church Road
Suite 300
Duluth, GA  30097
Martha C. Nerenhausen, Assistant General Counsel, Director of Compliance
Phone:  954-560-4153
Approved:  September 26, 2013
Recertification Date:  September 18, 2017
Service Area (WV): All counties in West Virginia

Health Maintenance Organizations

The Health Plan of the Upper Ohio Valley, Inc.
dba The Health Plan Managed Workers’ Compensation Program
P.O. Box 97
St. Clairsville, OH 43950
James M. Pennington, President, CEO
Phone: 740-695-7678
Approved: December 19, 2006
Recertification Date: December 18, 2018
Service Area (WV): Barbour, Brooke, Doddridge, Gilmer, Hancock, Harrison, Lewis, Marion, Marshall, Monongalia, Ohio, Pleasants, Preston, Randolph, Ritchie, Taylor, Tucker, Tyler, Upshur, Wetzel, Wirt and Wood counties.

Approved -  Network Only

Physician Services, LC (PSLC) d/b/a/ 4MOST trade name 4COMP Network
323 Call Road, Suite 200
Sissonville, WV 25312
Gary C. Shorter, Jr., VP Business Development
Phone: 304-720-6801
Approved: February 27, 2007
Renewal Approved: January 4, 2011
Recertification Date:  February 25, 2013
Service Area (WV): All counties in West Virginia

One Call Care Management
841 Prudential Drive, Suite 900
Jacksonville, Florida  32207
Vince Miranda, Director of Compliance
Phone: 904-997-3164
Approved: March 3, 2016
Recertification Date: March 2, 2018
Service Area (WV): All counties in West Virginia

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