Provider Quick Reference Guide

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, Physical Health and I/DD Claims
DescriptionITransact is the Trillium Tailored Plan secure provider portal to submit Tailored Plan claims with the exception of NEMT, Vision, and Pharmacy point of sale.
Phone Number1-855-250-1539
Websiteprovider.trilliumitransact.com   
PRIOR AUTHORIZATIONS / NOTIFICATIONS
DescriptionTo check on a specific behavioral health or physical health service or procedure for Trillium members, use these Pre-Authorization Tools. Providers should also review the Clinical Coverage Policy for specific details on services and procedures.
Phone Number1-855-250-1539
WebsiteBehavioral Health: trilliumhealthresources.org/prior-authorization-services
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
WebsiteMembers & Recipients
CLAIMS AND ENROLLMENT/ELECTRONIC DATA INTERCHANGE (EDI)
For Behavioral Health, Physical Health, and I/DD Claims
Description 

Secure Provider Portal—
Claims Submitted via Secure Portal

  • Clearinghouses: Payer ID is 43072
  • Optum - Change HealthCare
  • The SSI Group
  • Availity
  • Direct 837
  • Secure File Transfer Protocol (SFTP)
Phone Number1-855-250-1539
WebsiteITransact
Address for Paper ClaimsTrillium Health Resources
PO Box 240909
Apple Valley, MN 55124
PROVIDER APPEALS
DescriptionTrillium provider appeals should all be submitted to the mailing address listed here.
Phone Number1-855-250-1539
AddressTrillium Health Resources
Attn: Appeals
PO Box 12797, Durham, NC 27709
EmailAppeals@TrilliumNC.org
Fax1-252-215-6879
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
WebsiteProviders Pharmacy Benefits 
Fax Number1-833-726-7628
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
WebsiteAuxiliary Aids and Interpreter Services
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
FrontA health card displaying personal information, including name, Medicaid number, date of birth, effective date, and PCP details.
BackA health card displaying personal information, including name, Medicaid number, date of birth, effective date, and PCP details.
PATIENT CARE
DescriptionTrillium Health Resources helps people with serious mental health conditions, intellectual/developmental disabilities (I/DD), substance use disorders and traumatic brain injuries (TBI) to get the healthcare services they need.
Phone Number1-877-685-2415
WebsiteMembers & Recipients
VISION
Vendor NameCentene Vision
DescriptionVision services for Trillium are handled through Centene Vision. Trillium's Provider Directory can be utilized to locate eye doctors or vision clinics. 
Websitetrilliumhealthresources.org/provider-directory 
Phone Number1-877-685-2415
Fax Number1-877-865-1077 
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