NEW TRU PACE Self-Service Provider Portal
Providers can now submit claims, check claim status, check eligibility & print EOB payment details 👉 directly within the portal.
Click Here For a Provider Portal Guide
Billing TRU PACE
Thank you for providing the utmost care to our participants! We hope to provide a seamless and easy billing process for all of our providers. You will find the most frequently needed billing information below:
Claim Submission
Please submit the claim within 90 days from the date of service if you are a contracted provider, or 365 days for non-contracted providers, to the following address:
TRU PACE – Health Plan
PO Box 1024
Lafayette, CO 80026
For electronic claims submission please use:
Electronic Payer Information
Payer ID: TRUCO
Please allow 30 days from claim submissions prior to follow up.
Payment
A W-9 is required to be on file prior to any payment being made to any provider. No payment will be made without a W-9 on file.
If your claim is denied for no W-9 on file, please email your W-9 to pacebilling@trucare.org and then submit a new claim.
Authorization
TRU PACE requires authorizations for services that are referred outside of our clinics. If you do not receive the authorization number from the participant at the time of the appointment, please contact our Scheduling Department at TRU PACE Scheduling Department 303-665-0115 option 3 and email authorization requests to pacescheduling@trucare.org to obtain the authorization prior to providing services.
Emergency Visits and Inpatient Hospitalization
Authorizations: Providers may provide emergency services that are medically necessary without an authorization number. However, providers must notify TRU PACE within 24 hours from the emergency visit. All inpatient admissions as a result from an emergency room visit require authorization.
Pharmacy Billing Information
TRU PACE
PCN DUAL: PSTMEDC/ Medicaid: PSTMEDD
BIN# 022188
Group ID#TRUH7262
Member ID: TRU00[PACE Member ID]
Appeal Submission
In the event TRU PACE denies your claim, you may submit an appeal directly to TRU PACE Health Plan requesting a reconsideration of the decision. The appeal must be received by TRU PACE within 90 days from the date of the claim denial.
All appeals must be submitted to:
TRU PACE Health Plan: Appeals
PO Box 1024
Lafayette, CO 80026
Note: Providers are responsible for sending their patient’s PHI and PII securely.
TRU PACE will respond to your appeal in writing within 60 days from receipt of the appeal. Please allow 60 days from appeal submission to follow up on status. You may contact TRU PACE at 844-350-PACE (7223) or TTY (800) 659-2656 for the status of your appeal or inquire via email at pacebilling@trucare.org