Provider Quick Refence Guide

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Provider Services
Description | HoursOur Provider Support Service Line is a dedicated phone line that is available for all contracted providers in our network to answer questions regarding billing, processes, etc.
Monday–Saturday | 7 a.m. to 6 p.m.
Phone Number1-855-250-1539
PROVIDER PORTAL: Behavioral Health
DescriptionClaims Submitted via Secure Portal 
Clearinghouses
Change Healthcare—Payor ID 56089
The SSI Group—Payor ID 43071
Phone Number1-855-250-1539
Websitencinno.org
PROVIDER PORTAL: Physical Health
DescriptionClaims Submitted via Secure Portal 
Clearinghouses
Change Healthcare—Payor ID 56089
Availability—Payor ID 68069
Phone Number1-855-250-1539
Websiteprovider.trilliumhealthresources.org
PRIOR AUTHORIZATIONS / NOTIFICATIONS
Description 
Phone Number1-855-250-1539
WebsitePhysical Health: carolinacompletehealth.com/trillium-preauth.html
Behavioral Health: trilliumhealthresources.org/prior-authorization-services
Fax Number 
MEMBER AND RECIPIENT SERVICES / ELIGIBILITY
Description | HoursOur Member and Recipient Services line is available Monday–Saturday 7 a.m. to 6 p.m. for non-emergency inquiries from Medicaid members or state-funded recipients.
Phone Number1-877-685-2415
Websitetrilliumhealthresources.org/members-recipients
CLAIMS AND ENROLLMENT/ELECTRONIC DATA INTERCHANGE (EDI)
Description | Hours 
Phone Number 
Website 
Mailing Address 
PROVIDER APPEALS
DescriptionProvider Direct
Phone Number1-855-250-1539
Websitencinno.org
Physical Address201 W. First Street,
Greenville, NC 27858
PHARMACY SERVICES
Vendor NameTrillium has contracted with PerformRx as our Pharmacy Benefits Manager (PBM). Providers can fax or visit the link to submit prior authorization forms for pharmacy use, ask about the Drug Utilization Review Program, and more.
Phone Number1-855-662-0277
Website 
Fax Number 
NURSE LINE
Description | HoursPhone line for Tailored Plan Medicaid members to ask about medical information; available 24 Hours a Day / 7 Days a Week.
Phone Number1-877-685-2415
BEHAVIORAL HEALTH CRISIS LINE
Description | HoursPhone line for anyone to call with a behavioral health crisis, 24 hours a day, 7 Days a Week.
Phone Number1-888-302-0738
INTERPRETER SERVICES
DescriptionTrillium will connect to interpreter services when members call in to the service line if they speak a language other than English. Providers are required to offer interpreter assistance to members receiving services in their offices when requested.
Phone Number1-877-685-2415
WebsiteN/A
FRAUD, WASTE, AND ABUSE HOTLINE
Description | HoursOn-Line and Telephonic Reporting System for Fraud, Waste and Abuse.
Phone Number1-855-659-7660
Websitesecure.ethicspoint.com/domain/media/en/gui/34587/index.html
ID CARDS
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PATIENT CARE
Description 
Phone Number1-877-685-2415
Websitetrilliumhealthresources.org/members-recipients
DURABLE MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS, AND MEDICAL SUPPLIES (DMEPOS)
Vendor Name 
Description 
Website 
Phone Number 
Fax Number 
VISION
Vendor Name 
Description 
Website 
Phone Number 
Fax Number