January 2022
Provider eConnection
IPN News and Events
that you don't want to miss!
Happy New Year from the IPN staff!!
PAYOR CHANGES

Many IPN payors moved their business to other provider networks or TPAs during 2021, only 10 payors remain. Remember to review the IPN January Payor List to see which payors will continue utilizing IPN's network for dates of service on or after January 1, 2022.

To access the Payor List, log into www.ipnmd.com/Login and select Providers > Payor List.
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RUN-OUT REPRICING

Below is a link to the list of terminated groups for which IPN is processing run-out claims. Be sure to submit claims before the run-out periods end. For additional information about the terminated groups, contact the payor on the patient's ID card.
DIRECT CONTRACTING - WORKERS COMPENSATION

CorVel Corporation, is offering direct contracts to Idaho providers interested in continuing a relationship once IPN has been dissolved. For questions, please contact CorVel Corporations' Network Developer Rocky Mountain Region, Karrie Clark.

T: (970)231.5998 | E: karrie_clark@corvel.com
MODA HEALTH EXTENSION

IPN and Moda Health (Moda) previously announced the termination of its network relationship effective September 30, 2021. IPN and Moda later decided to extend the partnership through December 31, 2021. Now, IPN and Moda have agreed to extended the relationship again through June 30, 2022 to allow even more time for direct contracting and a smoother employer group transition.

For providers in Ada, Adams, Canyon, Gem, Idaho, Owyhee, Payette and Washington counties:
If a contract has been completed and executed with Moda, no further action is required.
If a contract has NOT been completed, contact Moda to begin the process and avoid being out of network.

For providers outside of Ada, Adams, Canyon, Gem, Idaho, Owyhee, Payette and Washington counties: IPN network discounts will continue to be utilized through June 30, 2022. Out of network status will not apply until July 1, 2022.

For more information, see the updated Moda Health FAQs.
Payor News
PACIFICSOURCE COMMUNICATION UPDATES

COVID-19
Read FAQs related to Benefit and Reimbursement Policies: Benefit and Reimbursement Policy.

General Information
For news, tools, and key resources, visit Pacificsource.com/providers/medical.
CIGNA COMMUNICATION UPDATES

COVID-19
Read Cigna's billing guidelines and FAQs here OR visit Cigna.com > Health Care Providers > Billing information and resources related to the COVID-19 pandemic.

NaviNet Online Precertification Tool
Effective December 31, 2021 Cigna will no longer utilize NaviNet for online precertification requests. NOTE: This change does NOT affect other NaviNet services.

Providers can access NaviNet through January 20, 2022, to check the status of previously submitted precertification requests. However, on or after December 31, 2021, providers should use one of the following options to submit new precertification requests:
 
  • eviCore healthcare (eviCore) for specific service types managed by eviCore
  • Fax precertification/prior authorization form and cover sheet to (866) 873.8279.
  • Mail to Cigna, Attention: Precertification Department 1640 Dallas Parkway, Second Floor Plano, Texas 75093
  • Submit ANSI 278 Health Care Services Request for Review and Response
  • Call the telephone number listed on the back of patient’s Cigna ID card or (800) 882.4462.
 
Paper precertification forms available on the Medical Forms page on CignaforHCP.com
Contact Us
www.ipnmd.com

p: 866.476.1076 | f: 208.433.4605 | e: ipn@ipnmd.com