Trillium Tailored Plan Provider Resources
Contact Us and Resources
- Trillium Provider Support Service Line: 1-855-250-1539
- Trillium Member & Recipient Services: 1-877-685-2415
- Trillium Behavioral Health Crisis: 1-888-302-0738
- Carolina Complete Health Network Provider Engagement Team
- Tailored Plan Information for Trillium Providers
- Trillium Tailored Plan Trainings
- Trillium Out-of-Network (OON) Provider Guide (PDF)
Provider Portal
Trillium Physical Health Portal Setup:
- To access the Trillium Physical Health Portal, contracted providers must identify an individual who will serve as the Portal Account Manager.
- The Account Manager should follow the prompts using the portal link to create an account, validate their email, and register the Tax ID Number (TIN)
- After registering, email your assigned Provider Engagement Administrator email ProviderEngagement@cch-network.com to request verification of your portal registration request and assignment as Portal Account Manager.
Trillium Physical Health Portal Link
Provider Forms
- For Trillium Tailored Plan members, please complete the DHB 3051 Form: when making a referral for a PCS assessment or reassessment. Form can be emailed to LTSS@trilliumnc.org using the “Submit” button on the form, or by saving to your desktop and emailing as an attachment.
Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA)
- Payspan is an innovative web-based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs), also known as 835s.
- By using Payspan, you can speed up the processing and payment of your claims.
- Payspan: A Faster, Easier Way to Get Paid (PDF)
- To contact Payspan: Call 1-877-331-7154, Option 1 – Monday thru Friday 8:00 am to 8:00 pm est.
- Note: In November of 2022, Zelis, a company modernizing the business of healthcare, completed the acquisition of Payspan. Read on for more details. Providers should continue using the Payspan payment portal. Login or register here: https://www.payspanhealth.com/nps
Claim Submission
Physical health claims for Trillium Tailored Plan members are processed by Carolina Complete Health.
View Trillium's Claim Submission Protocol under Claims/Finance Information & Forms
You can submit physical health claims in any of the following ways:
| Method | Claim Submission Instructions |
|---|---|
| Portal | Trillium Physical Health Portal |
| Trillium Health Resources PO Box 8003 Farmington, MO 63640-8003 | |
| Clearinghouse/EDI | Provider’s Clearinghouse connection to Availity for Claims processing. |
| Payer ID | 68069 |
Trillium Prior Auth Flexibilities
Trillium has a No Prior Auth (NPA) required period for 91 days effective 7/1/24. This NPA period will extend through 9/30/24. Prior authorization approval will be required effective 10/1/24.
Pre-Auth Tool
To check on a specific physical health service or procedure for Trillium Tailored Plan members, use the Pre-Auth Tool. Providers should also review the Clinical Coverage Policy for specific details on services and procedures.
Trillium Physical Health Pre-Auth Tool
Authorization Submission
Physical health authorizations are reviewed by Carolina Complete Health. Please use one of the following methods to submit a physical health PA.
| Method | Physical Health PA Submission Instructions |
|---|---|
| Portal | Trillium Physical Health Portal |
| Fax | Use the Trillium PA Fax Form and submit to one of the following:
|
| Phone | Call Trillium Provider Support Service Line at 855-250-1539 to be connected to the physical health utilization management team. |