Trillium Provider Manual
How often practitioners required to be recredentialed with Trillium.
What is every 36 months or every 3 years?
The SilverSummit turnaround time for the appeal with medical records to process.
What is 150 days?
In Amisys, this screen allows you to view the claims summary information
What is IQ1200?
The area in Portico that houses the provider affiliation information.
What is attribute fields?
SilverSummit Health plan’s timely filing limit for submitting a new claim.
What is 180 days?
The number of calendar days an overpayment must be reported and returned to Trillium.
What is 60 calendar days?
The bank code for the Trillium Healthcare Plan.
What is 7?
This screen allows you to view provider financial affiliations.
What is PR0300?
This is the universal code for Medicaid used in Portico.
What is MD?
The number of days from the date of the initial Remittance Advice (RA) listing the claim was denied a reconsideration or dispute must be submitted.
What is 60 calendar days?
The amount of time providers must retain member medical records.
What is 10 years?
The state provider portal for Oregon.
What is MMIS?
Using this screen, you can view the provider's financial address.
What is IQ0610?
The practitioner affiliation must have this to ensure the selected practitioner affiliation is current.
What is an infinity date? (12/31/999 or 01/01/4000)
The timely filing limit when SilverSummit Health plan is the secondary insurance.
What is 365 days?
The verification time limit for a Trillium‑approved application.
What is 180 days?
This update requires both an interaction and reference number in OMNI.
What is a DCO update?
This Amisys run screen allows you to check the amount of EFT/check, if cashed, where it was mailed to.
What is FS0400?
This is the tab we click on to view the main address for the provider.
What is network location cycles?
Required when submitting a paper claim form.
Must be typed or printed & Must be in the original red and white version
The maximum number of days a locum tenens provider may work without special approval.
What is 90 days?
The state provider portal for Nevada.
What is EVS (Electronic Verification System)?
This run screen allows you to view what claims are attached to the provider's check.
What is IQ1500?
This tab in Portico gives associated provider information.
What is the practitioners tab?
Claim forms that are accepted by SilverSummit Health plan.
What is the CMS-1450, CMS-1500 & UB-04?