Trilogy Health Solutions
Trilogy Health Solutions is a third-party administrator (TPA) operating in Wisconsin. For an ASC, what matters isn't the logo. It's how Trilogy Health Solutions pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete Trilogy Health Solutions analysis
Tell us where to send it. Our team will prepare an analysis of Trilogy Health Solutions covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How Trilogy Health Solutions pays
See how Trilogy Health Solutions reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
Trilogy Health Solutions's presence spans Wisconsin. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Trilogy Health Solutions and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Trilogy Health Solutions's volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking Trilogy Health Solutions up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Trilogy Health Solutions
- Payer ID
- 62777 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Trilogy Health Solutions through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Trilogy Health Solutions members are verified before the date of service, through a clearinghouse using payer ID 62777or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Trilogy Health Solutions directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Trilogy Health Solutions the way it pays.
- What is Trilogy Health Solutions's payer ID?
- Trilogy Health Solutions's electronic payer ID is 62777. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Trilogy Health Solutions through a clearinghouse.
- How do ASCs verify eligibility for Trilogy Health Solutions members?
- Eligibility and benefits for Trilogy Health Solutions members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 62777) or through the payer's provider portal.
- Does Trilogy Health Solutions require prior authorization for ASC procedures?
- Prior-authorization requirements for Trilogy Health Solutions are set per plan and per procedure. Confirm whether an authorization is required with Trilogy Health Solutions directly before the date of service.
- What type of payer is Trilogy Health Solutions?
- Trilogy Health Solutions is a third-party administrator (TPA) operating in Wisconsin.
- How does Trilogy Health Solutions compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Trilogy Health Solutions pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Trilogy Health Solutions paying my ASC below market?
- Put your own Trilogy Health Solutions contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.