If a clinic based practitioner performs rounding duties at a hospital for the benefit of a patient, the practitioner is not considered Hospital Based. 

For a practitioner to be Hospital Based, the following must apply: 

Credentialing of a Hospital Based practitioner is delegated to the participating hospital and IPN is not required to perform the credentialing duties. However , if the practitioner provides health care service in a clinic setting or any off-campus facility owned by a hospital, IPN is required to credential the practitioner.  

Please contact IPN Customer Service at 208-333-1513, toll free 866-476-1076 or [email protected] before submitting practitioner data as Hospital Based if any qualification is in question. 

To ensure claims are properly handed by IPN's repricing vendor - REMEMBER TO: 

1. Verify the employer group is listed on the IPN Payor List or the Run Out Repricing button below. If not, the group may not belong to IPN. Please contact the payor to obtain accurate claim submission information. 

2. Enter the insured's policy group number in box 62 (UB) or box 11 (HCFA) of the claim form. Claims with invalid or missing group numbers will be returned to providers for appropriate submission. The only exception is for Cigna and PacificSource who do not require the policy group number to be submitted for processing. 

IPN is providing run-out repricing for some terminated groups. Click the button below for a list of those affected.  For more information related to these terminated groups, please contact the payor's customer service representative at the phone number located on the insured's identification card.

Run Out Repricing

Effective for claims processed on or after April 15, 2020, Cigna will deny Current Procedural Terminology (CPT®) codes for serum drug level testing when billed with an inflammatory bowel disease (IBD) diagnosis. Serum drug level testing for IBD testing is considered experimental, investigational, and unproven (EIU).  The medical coverage policy for Serological Testing for Inflammatory Bowel Disease (0121) will be updated to reflect this change and a n article about the update will be included in the Q2 2020  Network News. 

To receive Cigna  Network News , Sign Up at  CignaforHCP.com . 

Direct Care Administrators began partnering with Change Healthcare and ECHO Health Inc to provide new electronic payment method options to providers. 

As of February, IPN participating providers who are not set up to receive  payments electronically will begin receiving Virtual Credit Card payments with Explanation of Payments (EOP). Instructions on how to process the payment will be included, but please note: transaction fees may apply. If providers do not wish to receive  the Virtual Credit Card but would like to receive payments electronically, other options include  EFT Payments or enrollment in MedPay. If providers do not wish to receive the Virtual Credit Card OR any electronic payment, refer to the Opt Out process provided in the EOP.

Review payment options and any actions needed by your office  here.  

Participating IPN providers, Brian Huck, LCSW & Bryant Kusy, LCPC ( Halo Group) are sharing their more than 30 years of experience to provide Consultative Guidance to help organizations "better see and manage Secondary Traumatic Stress" (STS) among providers. Training date(s), time(s) and location(s) would depend on interest level. See the attached brochure for more information. 

Contact Bryant for additional questions: 208-391-7050 or  [email protected]

Credentialing
Frankie Campbell (Specialist)
Jennifer Ford (Specialist)

Julie McCann (Manager)
Meagan Meter (Coordinator)
Samantha Adams (Specialist)
Stefani Borja (Specialist)

Contracting & Relations
Amy Campbell (Provider Contract Representative)

Megan Smith (Senior Payor Representative)

Michelle Ridlon (Senior Provider Services Representative) 

Operations
Allyssa Wood (Data Support Specialist)
Barb Morris (Manager) 
Codi Tomisser (Team Lead)
Kyler Jackson (Customer Service) 
Leona Campbell (Data Support Specialist II)