Chargemaster Increases

IPN facilities are required to notify IPN when any increase is made to a chargemaster. Notifications can be sent to  [email protected] . 

Notice of Change - A Provider Responsibility

All IPN Agreements contain language regarding the provider's responsibility to notify IPN of certain changes. Changes are loaded into IPN's provider database, repricing system, directory and reported to payors each week. 

Without up-to-date provider data, pre-authorizations and claims may be delayed or denied, payors find themselves unable to comply with certain government regulations and/or provide accurate information to their members, and members are often referred to other providers or forced to wait for care while updates are made to the provider data. 

Notify IPN Within 30 Days for changes to:	Notify IPN Within 10 Days for changes to:
Practitioner Name Directory Name Billing Name Service Address, Phone, Fax, Email Billing Address, Phone, Fax, Email Tax ID Number NPI Number Termination of employment	Licensure or certification Hospital privileges Malpractice action involving an IPN payor's member DEA Medicare/Medicaid participation Liability insurance

To make the circle of responsibility complete, providers must own their notification responsibilities. Set a monthly calendar reminder to consider whether any information has changed that needs to be reported. Submit changes using the IPN  Provider Information form. 

Currently, the IPN service area* offered to payors consists of providers located in Idaho, Asotin County in Washington and Baker and Malhuer Counties in Oregon. 

Providers located in an extended service area may be credentialed if the provider's primary location is within Idaho and the additional location(s) is/are  located near the Idaho border (Spokane or Pullman). However, s ince not all payors will accept providers in the extended service area, IPN is unable to list them in our directory. Claims for all credentialed providers will  continue to be repriced and payors will determine whether to apply IPN discounts to services rendered in an extended service area based on the member's benefits and product type listed on the ID card. 

Refer to the IPN Payor List located in the secure section of the website to find out more about which product types utilize the IPN network and which payors have geographic exclusions in their service area. 

*Not applicable to ancillary providers such as Durable Medical Equipment, Laboratory and Home Infusion IV Therapy Services.  

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 employer groups, please contact the payor's customer service representative at the phone number located on the member's ID card.

Run Out Repricing

IPN attended the ribbon cutting of the new 66- patient room hospital, Idaho Falls Community Hospital (IFCH) located in Eastern Idaho.  The new hospital offers the following services: 

• Emergency Department
• Kidney Care
• Heart & Vascular Care
• Intensive Care
• Cancer Care 
• Back & Spine Care

Evaluation and Management Services Reimbursement Policy Update

TRICARE Provider Directory  

Effective February 1, 2020, HNFS's online TRICARE Network Provider Directory will limit the number of locations listed for each provider to five per Tax ID Number. Providers affected will have been notified by HNFS that this is done in an effort to improve directory accuracy and reduce the risk of TRICARE beneficiaries being appointed to incorrect providers offices (especially with PCM's).

Questions about these listings, or any changes needed, should be directed to HNFS at 1-844-866-9378. Information on how to update demographic data is available at  www.tricare-west.com. 

Note: If IPN is sending demographic and credentialing information on your behalf, updates can be directed to IPN. HNFS will be notified in a monthly report. Instructions for listings in the TRICARE Network Provider should be directed to HNFS as the above number. 

Free MAT Waiver Training

Hosted by ECHO Idaho

Tuesday, February 25, 2020 and Tuesday, September 22, 2020 12:30-5pm MT