From TestRail team:
It is still possible to use to use the trigger example/approach with a
TestRail Cloud account. You would simply place the server-side trigger
script on the server where you would like to execute/run the tests on
(usually on your private network). TestRail would not need to be able
to connect to your server, as the connection/glue is made via the UI
script in TestRail and via your web browser. You can also write the
server-side script in any other programming language and our script is
only an example. That said, most customers trigger their automated
tests outside of TestRail either manually, scheduled or via a
continuous integration system. They then use TestRail's API to submit
the test results to TestRail.
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