Idaho Physician Network
Idaho Physician Network operates the largest independent provider network in Idaho, contracting 14,000+ providers across all Idaho counties plus parts of Oregon and Washington to deliver network access, claims repricing, and credentialing services to 30+ payors, TPAs, and employers serving 150,000+ members.
- Company typePrivate
- Founded1993
- HeadquartersIdaho Falls, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What Idaho Physician Network does
Idaho Physician Network, Inc. (IPN) is a regional provider network and healthcare administrative services company headquartered in Boise, Idaho, with a regional office in Idaho Falls. Founded in 1993 by Boise-area physicians and merged with Primary Health, Inc. in 1998, IPN operates the largest independent provider network in Idaho, contracting with more than 14,000 providers and serving more than 150,000 members across 30+ payor, third-party administrator (TPA), and employer relationships. The company's coverage spans all Idaho counties plus Baker and Malheur Counties in Oregon and Asotin County in Washington.
IPN's core offering is its contracted provider panel, delivered alongside technology-enabled administrative services: EDI Direct Connect and VyStream for claims repricing, an online provider directory, NCQA-aligned credentialing and recredentialing, and reporting/population health data feeds. The company holds NCQA Certification in Credentialing and Recredentialing (2014), NCQA Accreditation (2018), and was the first organization in Idaho to receive URAC Health Network Accreditation (2009), collectively positioning it to serve commercial, TPA, and government payor customers including PacificSource, Cigna, Health Net Federal Services, Moda Health, and CorVel.
IPN generates revenue through three primary streams: per-employee-per-month (PEPM) access fees paid by payors and TPAs, percent-of-savings (POS) fees on repriced claims (where network discounts generate savings versus billed charges), and credentialing services revenue. The company is 60% owned by PacificSource Health Plans (since 2009) and 40% by independent physician shareholders, with 11-50 employees supporting the regional operation.
Idaho Physician Network firmographics
Firmographics- Name
- Idaho Physician Network
- Legal name
- IPN, Inc.
- Website
- https://ipnmd.com
- Company type
- Private
- Founded year
- 1993
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Idaho Physician Network operates the largest independent provider network in Idaho, contracting 14,000+ providers across all Idaho counties plus parts of Oregon and Washington to deliver network access, claims repricing, and credentialing services to 30+ payors, TPAs, and employers serving 150,000+ members.
- Ownership category
- akta.pro rank
Idaho Physician Network industry classification
Industry- Product category
- Healthcare Provider Network Management
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Provider Network, Credentialing & Contracting Support (BPAAAFAI)
- akta.pro secondary industries
- Provider Directory & Network Identity (HPD, NPI, credential linking) (HLACABAF), Provider Credentialing, Licensing & Compliance Enablement (multi-state) (HLALAKAM)
Keywords
Where Idaho Physician Network is headquartered
LocationHeadquarters
- HQ city
- Idaho Falls
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
Idaho Physician Network business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Others
Revenue model
- Network Access Fees: IPN charges access fees to payors (insurance companies, TPAs, employers) for access to the provider network. Two fee structures are offered: Per Employee Per Month (PEPM) or Percent of Savings (POS). Fees are determined by factors such as number of employees and benefit differentials.
- Credentialing Services: IPN credentialed providers undergo credentialing process for all IPN contracted payors through a single application, simplifying payor qualification for providers.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Per Employee Per Month (PEPM) access fee structure |
| Transaction based/ take rate | Pay-as-you-go | Percent of Savings (POS) access fee structure |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels5 records
Idaho Physician Network product offering
Product offeringCore offering
Idaho Physician Network operates a statewide independent healthcare provider network connecting 14,000+ providers with 30+ payors across Idaho, Oregon (Baker and Malheur counties), and Washington (Asotin County). It delivers NCQA-certified credentialing, claims repricing via EDI Direct Connect and a VyStream-hosted online platform, and a weekly-updated online provider directory, monetized through access fees (PEPM or Percent of Savings) charged to contracted payors.
Product overview
Idaho Physician Network (IPN) is a healthcare provider network management platform offering a unified suite of services centered on its provider panel network. The core offering comprises the Provider Panel (statewide healthcare network), Claims Repricing (EDI-based repricing system), Provider Directory (weekly-updated searchable directory), and Credentialing Services (NCQA-certified provider credentialing). Additional offerings include Access Fees (PEPM/POS pricing structures) and Reporting Services (Geo Access, Disruption, Network Comparison, and Claim Repricing reports). The platform connects providers, payors, and patients through collaborative relationships for efficient and cost-effective healthcare delivery.
Differentiator
Problem solved
Functional benefit
Products and services
- Provider Panel Network Statewide healthcare provider network covering medical, behavioral health, and vision practice areas, with 14,000+ providers across all Idaho counties plus Baker and Malheur Counties in Oregon and Asotin County in Washington. Sold to payors and providers through managed care contracts.
- Claims Repricing
Companies that use Idaho Physician Network
Customer profileNamed customers5 records
Segments3 records
Ideal customer profiles2 records
Idaho Physician Network technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration1 record
Feature3 records
Idaho Physician Network partnerships and signals
Strategic signalPartnerships
Four partnerships are on record, tiered core and moderate.
- VyStreamcoreVyStream hosts IPN's claims repricing system, providing real-time online claims entry and repricing capabilities for contracted payors.
- Idaho Medical AssociationmoderateIPN maintains strong working relationships with Idaho Medical Association for provider collaboration and educational opportunities.
- Idaho Medical Group Management Association (IMGMA)moderateIPN maintains collaborative relationships with IMGMA for provider network support and educational conferences.
- EDI Direct Connect PartnersmoderatePayors can transmit batched claims in ANSI 837 format to secure FTP sites for automated 24-hour claims repricing processing.
Scale indicators5 records
Recent moves8 records
Expansion highlights2 records
Idaho Physician Network competitors and assessment
Company assessmentDirect peers
- Evolent Health: Evolent Health partners with payors and providers to manage specialty and primary care networks, including network design, performance, and value-based contracts. Its network operating model and payor customer base closely resemble IPN's positioning.
- Privia Health: Privia Health builds and operates physician networks and medical group infrastructure for value-based care across multiple states. Its payor contracting, credentialing, and provider enablement platform parallels IPN's role as a network management intermediary between providers and payors.
- Astrana Health (formerly Apollo Medical Holdings): Astrana Health operates IPAs and provider networks under value-based and delegated arrangements with payors. Its model of managing contracted physician groups for multiple payors is similar in mechanism and customer profile to IPN's network management business.
- Zelis Healthcare: Zelis provides network management, claims cost management, and payment integrity solutions to health plans and TPAs. Its provider network access, repricing, and directory services closely mirror IPN's core product set, making it a strong functional peer.
- MultiPlan: MultiPlan operates one of the largest independent preferred provider organization (PPO) networks in the U.S., offering payors access to contracted providers, claims repricing, and network-based cost management — directly analogous to IPN's payor-facing provider network and repricing services.
Broad incumbents
- Tivity Health: Tivity Health operates provider networks and wellness programs for payors and employers, including network access and chronic care solutions. It is broader in scope than IPN but shares the core concept of monetizing curated provider networks via payor/employer contracts.
- PacificSource Health Plans: PacificSource is IPN's 60% parent and a regional health plan. As the dominant customer and strategic anchor, it shapes IPN's payor contracting model and network design priorities, making it the most directly comparable incumbent on the payor side.
Emerging players
- agilon health: agilon health partners with primary care physicians and payors to operate value-based care networks. While more focused on risk-bearing PCP enablement, its payor-facing network model and contracted-provider framework overlap meaningfully with IPN's offering.
Regional players
- Heritage Provider Network: Heritage Provider Network is a California-based MSO/IPA managing large regional provider networks under delegated payor contracts. It is structurally comparable to IPN as an independent, regionally anchored provider network serving multiple payors.
- Blue Cross of Idaho: Blue Cross of Idaho is the dominant regional health plan in IPN's home market. As a payor that operates its own network alongside contracted networks like IPN, it is a structural regional peer on the supply-side of network access services.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Idaho Physician Network compliance and trust
Trust signalCompliance4 records
Idaho Physician Network financial estimates
Financial estimateRevenue estimate
Valuation estimate
Idaho Physician Network leadership team
Management profileNumber of profiles
Idaho Physician Network funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Idaho Physician Network M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Idaho Physician Network
What does Idaho Physician Network do?
Idaho Physician Network operates a statewide independent healthcare provider network connecting 14,000+ providers with 30+ payors across Idaho, Oregon (Baker and Malheur counties), and Washington (Asotin County). It delivers NCQA-certified credentialing, claims repricing via EDI Direct Connect and a VyStream-hosted online platform, and a weekly-updated online provider directory, monetized through access fees (PEPM or Percent of Savings) charged to contracted payors.
Is Idaho Physician Network a public or private company?
Idaho Physician Network is a private company. It is classified as corporate owned and is currently operating.
When was Idaho Physician Network founded?
Idaho Physician Network was founded in 1993. It employs 11 to 50 people.
Where is Idaho Physician Network based?
Idaho Physician Network is headquartered in Idaho Falls, United States, in the North America region.
How does Idaho Physician Network make money?
Two revenue lines are on record. Network Access Fees are the primary driver. The others are credentialing Services.
Who are Idaho Physician Network's main competitors?
Direct peers on record are Evolent Health, Privia Health, Astrana Health (formerly Apollo Medical Holdings), Zelis Healthcare and MultiPlan. Broad incumbents are Tivity Health and PacificSource Health Plans. agilon health is listed as an emerging player. Regional players are Heritage Provider Network and Blue Cross of Idaho.
Does Idaho Physician Network have an API?
No public API is recorded for Idaho Physician Network.
What industry is Idaho Physician Network in?
Idaho Physician Network's product category is Healthcare Provider Network Management. Its primary akta.pro industry code is BPAAAFAI, Provider Network, Credentialing & Contracting Support, with a secondary code of HLACABAF, Provider Directory & Network Identity (HPD, NPI, credential linking). Its SIC code is 6324.