Solutions & Services

The following solutions and services have cemented Trilogy Health Solutions as a staple in the Wisconsin Healthcare Market.  Many other carriers and employers already depend on Trilogy Health Solutions to minimize their health care and related costs.  We would appreciate the opportunity to talk with you about how your company could benefit from any or all of our services offered.

Preferred Provider Network

Trilogy Health Networks

  • Includes 22 major Wisconsin Hospital Systems and over 30,000 providers covering virtually every specialty
  • Provides substantial aggregate savings through fixed fee arrangements
  • Results in greater cost predictability
  • Available to fully insured and self-funded customers

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EverPointe Elite

EverPointe Elite is a flexible, high-performing network, delivering quality care to employers in eastern Wisconsin at the lowest price in the market. 

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The Alliance/Trilogy Health Networks

For self-funded employers seeking even more provider options, this network solution includes The Alliance and Trilogy Health Networks, which covers over 90% of providers in Wisconsin.

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Workers' Compensation

Trilogy Works Network

  • Wisconsin's only independent and comprehensive workers' comp network

  • Successfully meeting the needs of small and large, self-funded and fully insured groups alike by:

    • Building partnerships with high-quality, low-cost providers

    • Providing substantial aggregate savings

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WC Bundled Payments

  • Trilogy is the national distributor of WC Bundled Payments, the transformational e-commerce platform for worker's compensation.

Network Development

  • Vast contracting experience
  • Longstanding partnerships with the provider community
  • Developed own 25 county service area network in only 6 months
  • Assisted with network development for key Wisconsin health system in 6 months
  • Consults, plans, and executes on contracting strategies for our partners and strategic alliances
  • Reputation for quick and flexible solutions

Provider Network Management

  • Carefully constructed proprietary provider database
  • Clean and accurate data management on behalf of multiple clients
  • Customer preferred web-based provider look-up function

Claims Repricing

  • 99.99% claim accuracy rate
  • Proven relationship with market leading repricer with low cost solution
  • 24 hour turnaround time or less

Provider Directory Program

  • Trilogy's Proprietary Provider Directory Program generates dynamic directories on behalf of other network clients and has the capability to produce;
    • Various output formats including .pdfs as well as a customer preferred, interactive and multi-function, web-based provider lookup
    • PDF directories that include user friendly formatting including a table of contents and an index
    • Private labeled interactive lookups and PDF directories; allowing for customization of appearance as well as position of cover pages, inserts, trailer pages, and service area maps
    • Automated, timely data delivery and the ability to request refreshed directory data or directories at any interval, including daily
  • Looking to clean up your current directory riddled with duplicated records or inaccurate data?
    • Contact us to see how Trilogy's network and data management in combination with our proprietary directory program can help solve your directory issues and increase member and provider satisfaction.

WC Bundled Payments

  • WC Bundled Payments is a marketplace of therapeutic, diagnostic and surgery providers that compete for workers' compensation services based on bundled and flat rate reimbursement, providing an average 20-50% savings below the traditional U&C and PPO models.
  • Visit WC Bundled Payments product page to learn more.