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Trilogy's Claims Administrative Handbook

We wrote the book on Claims Administration…literally!

The Most Comprehensive Claims Administration Guide Available Today.
Administering medical claims requires an enormous amount of information on medical, legislative, procedural and operational issues. Assembling and updating that information is a difficult and time consuming task. Trilogy Consulting Group, Inc. has done the work for you. The Trilogy Claims Administrative Handbook contains guidelines covering:
  • Claim Review, Adjudication and Investigative Procedures
  • Federal Legislative and ERISA Updates
  • Treatment and Diagnosis Specific Information
  • Claim Processing Procedures
The Trilogy Claims Administrative Handbook also includes administrative guidelines for Short Term Disability, Dental, Flexible Spending and Prescription Drug Card claims processing.
The Trilogy Claims Administrative Handbook is published in Adobe Reader, i.e., PDF. The PDF version of the Handbook provides an interactive index, search capabilities and web site links. The 2,400 page Handbook can be downloaded immediately upon purchase. Included in the initial purchase are the next two quarterly updates. Updates are provided via e-mail download, and are published in January, April, July and October.
Example: Company XYZ purchases the handbook on August 1, 2017. Company XYZ will receive the Handbook version dated July 2017. Because the next two quarterly updates are included in the initial purchase, company XYZ will also automatically receive the October 2017 update and the January 2018 update via e-mail at no additional cost.
An annual update subscription is available to keep your organization current with constant changes affecting claims administration. If the annual update subscription is not purchased at the same time the Handbook is initially purchased, the subscriber is automatically sent an invoice with the option to order the annual subscription after the second of the two complimentary updates is sent.
For additional information about the Handbook and to view actual handbook topics, click on the following links: FAQ | Updated Topics | Handbook Demo
The Handbook is a licensed product. To review the terms of the Trilogy license agreement, please click on the following link: License Agreement
Please contact Trilogy for more information and a list of Handbook user references: Contact Trilogy

Current Pricing and Available Formats


We look forward to adding your name to our growing list of claim organizations currently utilizing the handbook. We currently offer the Handbook as a Downloadable PDF.

Downloadable PDF Version
Trilogy Claims Administrative Handbook - $3,500
Downloadable PDF Version
Includes next two quarterly updates.
The complete Handbook in one PDF file, ready for downloading once purchase is complete. The next two quarterly updates are provided via email. You will have the option at checkout to purchase the annual update subscription for an additional fee.
Downloadable PDF Version
Optional Annual Update Subscription - $1,250
Downloadable PDF Version
Includes four additional quarterly updates.
At the time of your purchase you can add the Annual Update Subscription which includes four additional quarterly updates. The quarterly update file is sent via a link that allows the PDF file to be viewed or downloaded. It is expected to be sent out approximately a week prior to the beginning of the quarter. Please add  This email address is being protected from spambots. You need JavaScript enabled to view it. to your Safe Sender’s list to ensure receipt. If you do not receive the update by the first day of the quarter, please contact us via email at This email address is being protected from spambots. You need JavaScript enabled to view it. or via phone at 630-953-6278. One time fee.


Note: the annual update subscription is for one location only. If the handbook will be used by two or more locations, please contact Trilogy for pricing information.


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If you are paying by Check: please click here to print and mail in our order form with your payment.


Handbook Info
Handbook Table of Contents
Handbook Demo Download
Updated Topics
License Agreement

“The Trilogy Claims Administrative Handbook is the best resource for accurate, fair and consistent claim operating procedures. The Handbook is organized in a user friendly manner and is updated quarterly so that the information is always current. This Handbook is an absolute “must have” for administrators and carriers throughout the industry.”
Vice President of Claims Administration