Forms and Materials for Our Providers

Click on a specific form below to download and print a current version.

Administrative Forms

Informational Fliers and Guides

Credentialing Forms

Tutorials

InTouch for Providers

Access your PacificSource account information 24/7.

Log into InTouch

Register now.

Are You an Idaho Provider Interested in Contracting with PacificSource?

Please contact Idaho Physicians Network (IPN) or the BrightPath Network for credentialing information.

IPN

Phone: 208.333.1513 or 866.476-1076
E-mail: ipn@ipnmd.com

BrightPath

Complete the online BrightPath Provider Nomination form, or call 208.381.1564

Last updated 7/31/2013