| Provider Services |
|---|
| Description | Hours | Our 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 Number | 1-855-250-1539 |
| PROVIDER PORTAL: Behavioral Health |
|---|
| Description | Claims Submitted via Secure Portal
Clearinghouses
Change Healthcare—Payor ID 56089
The SSI Group—Payor ID 43071 |
| Phone Number | 1-855-250-1539 |
| Website | ncinno.org |
| PROVIDER PORTAL: Physical Health |
|---|
| Description | Claims Submitted via Secure Portal
Clearinghouses
Change Healthcare—Payor ID 56089
Availability—Payor ID 68069 |
| Phone Number | 1-855-250-1539 |
| Website | provider.trilliumhealthresources.org |
| MEMBER AND RECIPIENT SERVICES / ELIGIBILITY |
|---|
| Description | Hours | Our 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 Number | 1-877-685-2415 |
| Website | Members & Recipients |
| CLAIMS AND ENROLLMENT/ELECTRONIC DATA INTERCHANGE (EDI) |
|---|
| Description | Hours | Claims and Enrollment operates Monday - Friday, 8:30 a.m. to 5:00 p.m.
For claims questions, please email ClaimsSupport@TrilliumNC.org. |
| Phone Number | 1-855-250-1539 |
| Website | TrilliumHealthResources.org |
| Mailing Address | Physical Health claims may be mailed to:
Carolina Complete Health
Attn: Claims
PO Box 8003
Farmington, MO 63640-8003 Behavioral Health - Out of Network Claims may be mailed to:
Trillium Health Resources
PO Box 240909
Apple Valley, MN 55124 |
| PROVIDER APPEALS |
|---|
| Description | Provider Direct |
| Phone Number | 1-855-250-1539 |
| Email | Appeals@TrilliumNC.org |
| Website | ncinno.org |
| Physical Address | 201 W. First Street,
Greenville, NC 27858 |
| PHARMACY SERVICES |
|---|
| Vendor Name | Trillium 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 Number | 1-855-662-0277 |
| Website | Providers Pharmacy Benefits |
| Fax Number | 1-833-726-7628 |
| NURSE LINE |
|---|
| Description | Hours | Phone line for Tailored Plan Medicaid members to ask about medical information; available 24 Hours a Day / 7 Days a Week. |
| Phone Number | 1-877-685-2415 |
| BEHAVIORAL HEALTH CRISIS LINE |
|---|
| Description | Hours | Phone line for anyone to call with a behavioral health crisis, 24 hours a day, 7 Days a Week. |
| Phone Number | 1-888-302-0738 |
| INTERPRETER SERVICES |
|---|
| Description | Trillium 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 Number | 1-877-685-2415 |
| Website | N/A |
| ID CARDS |
|---|
| Front |  |
| Back |  |
| DURABLE MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS, AND MEDICAL SUPPLIES (DMEPOS) |
|---|
| Vendor Name | |
| Description | |
| Website | |
| Phone Number | |
| Fax Number | |
| VISION |
|---|
| Vendor Name | Centene Vision |
| Description | Vision services for Trillium are handled through Centene Vision. Trillium's Provider Directory can be utilized to locate eye doctors or vision clinics. |
| Website | trilliumhealthresources.org/provider-directory |
| Phone Number | 1-877-685-2415 |
| Fax Number | |
