Escalation Contact List - Anthem

Tania Sundheim Director, Network Management (Physician, Behavioral Health and Hospital) 303-831-2154, Tania.Sundheim@Anthem.comPhysician Contracting(Large Medical Groups and state-wide Specialties)Karen AllenMedSouth; plus,303-831-2436, Karen.K.Allen@Anthem.comCarolyn Gonzales-SmithInfectious Disease, Oral-Maxillo Surgery (state-wide)Arapahoe GI, Aurora Denver Cardiology, Centura Physicians, Colorado Springs Health Partners,Colorado Springs Orthopedics, Gastroenterology of the Rockies, HealthONE Clinic Services, IPN,Longmont Clinic, Mountain View Medical Group, New West Physicians, OB/GYN Affiliates, Omni EyeSpecialists, Panorama Orthopedics, Physician Health Partners (PHP), Pikes Peak Cardiology, RockyMountain Gastroenterology Assoc., South Denver Gastroenterology, The Urology Center ofColorado, University Physicians, Inc., Western Cardiology, Western Orthopedics303-831-2607Carolyn.Gonzales@Anthem.comZanetta Jackson Autism Network, Rheumatology (state-wide) 303-831-2764, Zanetta.Jackson@Anthem.comAudra RickeAssociates in Family Medicine, Banner, Boulder Medical Center, Exempla, Family Physicians ofGreeley, Ft. Collins Women’s Clinic, Greeley Medical Center, Orthopedic Center of the Rockies,Northern CO IPA, Poudre Valley Health Systems, Poudre Valley Medical Group, Rocky MountainCancer Center, Rose Medical Group, Southern Colorado Clinic, Valley Wide; plus,Neuromonitoring network (state-wide)303-831-3140Audra.Ricke@Anthem.comAmy Sun Hospital based: Anesthesia, Emergency Room, Pathology, Radiology (state-wide) 303-831-2461, Amy.Sun@Anthem.comPhysician Contracting by City(excluding Large Medical Groups and statewide specialties listed above, and Behavioral Health professionals listed below)Karen AllenZanetta JacksonAurora, Canon City, Castle Rock, Centennial, Colorado Springs, Denver, Englewood, Franktown,Glendale, Greenwood Village, Highlands Ranch, Kittridge, Lakewood, Littleton, Lone Tree, Morrison,Parker, Pueblo, Rocky Ford, Salida, TrinidadArvada, Boulder, Brighton, Broomfield, Commerce City, Craig, Fort Collins, Golden, Greeley, IdahoSprings, Lafayette, Longmont, Louisville, Loveland, Niwot, Northglenn, Steamboat Springs, Sterling,Superior, Thornton, Westminster, Wheat Ridge303-831-2436Karen.K.Allen@Anthem.com303-831-2764Zanetta.Jackson@Anthem.comJan McCusker Cortez, Durango, Pagosa Springs 303-831-3204Jan.McCusker@Anthem.comAudra RickeBailey, Conifer, Evergreen, Glenwood Springs, Grand Junction, Gunnison, Leadville, Montrose, Pine,Telluride, Vail (Edwards)303-831-3140Audra.Ricke@Anthem.comBehavioral Health Professional Contracting by CityItha Gabriel Denver, Colorado Springs (all other cities, see Physician Contracting by City category listed above) 800-962-1037 opt. 2Hospital ContractingTracy FennernBanner Health System, Centura Health System, Children’s, Longmont United, Poudre ValleyHospital, Medical Center of Rockies, Platte Valley Medical Center, LTACs and Rehab Hospitals303-831-3299Tracy.Fennern@Anthem.comItha Gabriel Behavioral Health facilities 800-962-1037 opt. 2Randy LukinsHealthOne (HCA), Exempla, Craig Hospital, Denver Health, National Jewish, University Hospital, freestanding radiology centers (Denver Metro), Radiology Imaging Assoc.916-636-2351Randy.Lukins@wellpoint.comJan McCuskerSouthern Colorado and Grand Junction; plus, Conejos County Hospital, Memorial Health System,The Memorial Hospital at Craig, Parkview Medical Center, Rio Grande Hospital, San Luis ValleyRegional Medical Center;303-831-3204Jan.McCusker@Anthem.comAmy SunBoulder Community Hospital, Haxtun Hospital District, Kremmling Memorial Hospital Dist., St.Vincent General Hospital Dist., Vail Valley Medical Center, Valley View, Weisbrod Memorial CountyHospital, Wray Community Dist. Hospital, Yampa Valley Medical Center, Yuma Dist. Hospital,Diversified Radiology and Colorado Imaging Assoc.303-831-2461Amy.Sun@Anthem.comAncillary ContractingNatasha BakerAmbulance (Ground and Air), Ambulatory Cardiac Event Monitoring,303-831-3058, Natasha.Baker@anthem.comAudiologists/hearing aid suppliers, PT/OT/STKathleen Brozee Skilled Nursing Facilities 818-234-3399, Kathleen.Brozee@wellpoint.comLandmark Healthcare Chiropractic, Acupuncture, Massage Therapist, Nutritionists/dieticiansNote: Provider demographic changes and provider administrative grievances shouldbe directed to LandmarkLandmark Healthcare: 800-638-4557Louis Carlentine Durable Medical Equipment (DME), Mail Order Disposable Supplies, Orthotics & 818-234-6266, Louis.Carlentine@wellpoint.comProsthetics (O&P), Reference LabMarie Chambers Home Health, Hospice 949-215-1165, Marie.Chambers@wellpoint.comAudra Ricke Free standing sleep centers 303-831-3140, Audra.Ricke@Anthem.comAmy SunASCs (for hospital-affiliated ASCs, contact appropriate contractor for that Hospital303-831-2461, Amy.Sun@Anthem.comlisted above under “Hospital Contracting”)Sandra Whitfield Dialysis, Home Infusion Therapy (HIT), Ambulatory Infusion Suites (AIS), Medical 303-831-3249, Sandra.Whitfield@Anthem.comSpecialty PharmacyProvider Education and Communication: contact for provider education/communication questions/needsJackie Ferguson Network Education and Communication 303-831-5846, Jackie.Ferguson@Anthem.comRevised: February 20, 2013 Page 2 of 2Anthem Blue Cross and Blue Shield is the trade name of Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc.Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of theBlue Cross and Blue Shield Association.