Members Only
Members Only
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Anthem News
- Anthem 2017 ECatalog
- Anthem 2018 Webinars
- Anthem Z Codes Letter
- Diabetes Gaps in Care
- How to Succeed in Value Based Payment Arrangements
- IPN ER Plan
- Medication Adherence
- PCMS Views Reports Updates
General Miscellaneous
MACRA Resources
To access IPN’s provider manual, please click on the link below.
To access the provider manuals for the plans that IPN is contracted with, please click on any of the links below.
For your convenience, IPN has copies of commonly used forms available below. All forms are available to be opened and printed as .pdf forms.
In addition to the .pdf versions of each form, IPN has developed web-based forms for the most commonly utilized forms – The Provider Demographic Change form, the Trilogy Care Management Request form, the Trilogy Referral/Authorization form and the AARP Correction form and Referral/Authorization form for UHC. To utilize the forms simply select the appropriate link below, fill in the information and hit submit. The information on the form will then be directly submitted to IPN. There is no need for printing, faxing or mailing the form.
- IPN Demographic Change Form
- Trilogy Care Management Request Form
- PCP Notification of Change Form
- Trilogy Pregnanacy Notification Form
- Trilogy Referral Form
- UHC AARP Correction Form
- UHC Referral Form
In order to access the forms in the .pdf format, you must have the current version of Adobe Acrobat Reader. If you do not have the current version of Adobe, please click here to download.
Referrals:
Provider referred to | Provider's email | Referred by | Referred by email | Referral Date | Action |
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