Trilogy Payer AgreementsPayer Agreement • November 18th, 2011
Contract Type FiledNovember 18th, 2011Claims Address Payer ID Payer/TPA Phone (Benefits & CS) Website Trilogy Health NetworksP.O. Box 1171 Milwaukee, WI 53201 62777 Allied Cypress 800-288-2078877-236-0844-Members 855-556-0285-Providers www.alliedbenefit.com www.lucenthealth.com/cypress EBSO 800-558-7798-Members 866-296-4002-Providers www.ebsobenefits.com Medova HealthCare 866-827-6607-Members 800-766-4184-Providers www.lifestylehealthbenefits.com Northern Ill HP 800-723-0202 www.nihp.com Prairie States EnterprisesP.O. Box 23 Sheboygan, WI 53082 36373 Prairie States 800-615-7020 www.prairieontheweb.com Health Payment Systems 20270 Auxiant 800-279-6772 P.O. Box 510620 BPA 800-236-7789 Milwaukee, WI 53203 CB-Sisco 800-457-4726 888-477-7968 Cypress 877-236-0844 EBSO 800-558-7798 Exceedent 844-532-5220 Meritain Health-MN 800-925-2272 PBA 800-435-5694 Prairie States 800-615-7020 The Alliance 88461 Allegiance 800-877-1122 www.askallegiance.com P.O. Box 44365 Madison, WI 5