PROVIDER E-MAIL INQUIRY
While we have provided the answers to many general questions in our Frequently Asked Questions database, TriSpan providers can use the form below to ask additional questions of a general nature. Because of privacy concerns, questions related to specific claims status, eligibility and benefits should not be submitted via e-mail.
For claims status, eligibility and benefits, providers should call TriSpan's Voice Response Unit at (877) 567-3097.
Provider Inquiry Form
(* Fields Are Required)
*Provider Name:
*Provider Number or NPI:
*Contact Person:
*Contact Person's Title:
*Phone Number:
(Please include area code)
Fax Number:
(Please include area code)
*E-Mail Address:
*Inquiry:

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