October 2020 Provider eConnection
news for IPN Provider Offices
Happy Fall, Y'all | The Importance of Demographic Data | Run-Out Repricing |
PacificSource Communication Update | Cigna Communication Update  
Happy Fall, Y'all

Football was postponed. Summer is gone. But it's fall, y'all. That means beautiful scenery, pumpkin patches, sitting by the fire and sipping hot drinks (your choice). Let us cheer - to fall! 
The Importance of Demographic Data

It isn't news that IPN payors use demographic data to update claims and Directory systems on a weekly basis. The payors rely on IPN's data to be current, and IPN relies on provider offices to keep data up-to-date. 

Twice a year, Provider Data Verification forms are sent via fax to verify whether data updates are necessary. The data should be reviewed carefully. Updates to data should be indicated on the form and returned to IPN. 

Data most important for expedient claims turnaround are:
  • Name
  • NPI
  • Tax ID
  • Service Address
Data most important for Directory listings are: 
  • Name
  • Directory Name (business name on signage) 
  • Service Address 
  • Phone Number (for appointments)
Data most important for IPN communication: 
  • Email Address
  • Fax Number
The Provider Information form should be completed for data updates not being reported during the Provider Data Verification time-period.   
Run-Out Repricing

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.
PacificSource Communication Update
    
COVID-19
For current information about PacificSource's action plan, coding guidelines, provider relief plans and FAQs click here. 
Cigna Communication Update
    
Cigna Reference Guide
As part of an annual update, Cigna has revised the Cigna Reference Guide for use by  participating physicians, hospitals, ancillaries, and other health care professionals. 

Specialty Medical Injectables with Reimbursement Restriction
The Specialty Medical Injectables with Reimbursement Restriction List was updated to include additional specialty medical injectables. This means facilities may not be reimbursed for drugs included on the updated list, if prior authorization was obtained on or after September 1, 2020. Find additional details here.

Nutritional Support Policy Update
Effective February 15, 2021, Cigna will update the Nutritional Support (0136) medical coverage policy to ensure claims will be processed according to medical necessity and reimbursement guidelines. Stay tuned for details in the Q4 2020 issue of Network News. See the provider notification here. 

COVID-19
For current information about Cigna's interim billing guidelines and FAQs, click here. 

Network News
To receive Cigna Network News, Sign Up at CignaforHCP.com. 
(P) 208-333-1513 or 866-476-1076 | (F) 208-433-4605

IPN Team
Allyssa Wood (Data Support Specialist)
Amy Campbell (Provider Contract Representative)
Barb Morris (Operations and Contracting Manager) 
Codi Tomisser (Operations Team Lead)
Frankie Campbell (Credentialing Specialist)
Gina Stewart (Audit and Quality Specialist)
Hilary Klarc (Executive Director)
Jennifer Ford (Credentialing Specialist)
Kyler Jackson (Customer Service) 
Leona Campbell (Data Support Specialist II)
Meagan Meter (Credentialing Team Lead)
Megan Smith (Payor and Operations Representative)
Michelle Ridlon (Senior Provider Services Representative
Samantha Adams (Credentialing Specialist)
Stefani Borja (Credentialing Specialist)

IPN Board of Directors
April Dillion, DO; Daniel Reed, MD; Edward McEachern, MD - PacificSource HP Executive VP and CMO; Gary Wallace, MD (President); Graham Wetherley, MD (Vice President); Hilary Klarc - IPN Executive Director; Jeffrey Hessing, MD; Jeremy Waters, MD; Joseph Williams, MD; Martin Gabica, MD; Matt Bell - PacificSource HP VP & Idaho Regional Director; and Peter Davidson - PacificSource HP CFO