Trilogy Payer AgreementsPayer Agreement • May 23rd, 2017
Contract Type FiledMay 23rd, 2017Claims Address Payer ID Payer TPA Phone (Benefits & CS) Trilogy Health NetworksP.O. Box 1171 Milwaukee, WI 53201 62777 Auxiant CommonGround (Empower) Cypress EBSOMedova HealthCare National GeneralNorthern Ill HP Pekin InsuranceUS Health & Life Auxiant CommonGround CypressEBSO Medova Allied Benefits Northern Ill HP Pekin Insurance *US Health & Life * 800-279-6772www.auxiant.com 877-514-2442commongroundhealthcare.org 877-236-0844www.cypressbenefit.com 866-296-4002www.ebsobenefits.com 866-827-6607www.lifestylehealthbenefits.com 888-292-0272www.ngbsselffunded.com 800-723-0202www.nihp.com 800-371-9622www.pekininsurance.com/health866-429-3242www.ushealthandlife.com Prairie States EnterprisesP.O. Box 23 Sheboygan, WI 53082 36373 Prairie States Prairie States 800-615-7020www.prairieontheweb.com CB-SISCO BenefitsP.O. Box 389 Dubuque, IA 52004 44827 CB-SISCO CB-SISCO 800-457-4726 ext. 7575www.siscobenefits.com/provider Health Payment SystemsP.O. Box 510620 Milwaukee, WI 53203 20270 Health Paymen