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Provider Documents & Forms

Attention Network Providers:

Beginning Monday, October 16, 2017, all providers will be required to submit a ticket for all questions, concerns, comments, needs, etc. This ticket system will also enable us to track and trend requests coming into the Network department and effectively manage those inquiries more efficiently.  Please submit all tickets to the following email address: NetworkServicesSupport@TrilliumNC.org


Trillium requires priority admission to all women who are pregnant and injecting drugs, pregnant and using substances and other individuals who are injecting drugs.

ATTENTION PROVIDERS  For additional information about the Trillium Network, please contact your Network Operations Liaison at 1-866-998-2597. 

For best results, please save the Adobe PDF form to a local drive on your computer before completing the form.

Provider Manual


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