IPN 40 Anniversary Seal

Members Only

Members Only

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.

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.


Provider referred to Provider's email Referred by Referred by email Referral Date Action

COVID-19 Resources: For all COVID-19 related resources, please click here.

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