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  • CUP does NOT accept retroactive requests for authorization 
  • In order to ensure payment, please check eligibility prior to the member receiving services. 
  • Out of Area and Out of Network requests for service require prior authorization.

  •  servicecategoryEntered ByEntered Date
    View Acupuncture Alternative Medicine CUP\vmiller2/4/2008451
    View Adenoidectomy Surgery/ Procedure CUP\vmiller2/4/2008642
    View Adiana Family Planning CUP\taskew6/14/2010743
    View ALL other surgery requests. Surgery/ Procedure CUP\vmiller2/4/2008643
    View Allergy Services Specialist Referrals CUP\vmiller2/4/2008596
    View Amniocentesis Obstetrics/Gynecology CUP\troberts2/20/2008689
    View Angiography Diagnostic Procedures CUP\vmiller2/4/2008464
    View Any Ablation Surgery/ Procedure CUP\vmiller2/4/2008644
    View Apnea Monitors DME CUP\vmiller2/4/2008518
    View Appendectomy Surgery/ Procedure CUP\vmiller2/4/2008645
    View Aranesp High Cost Injectables CUP\vmiller2/4/2008548
    View Aranesp Infusion Therapy CUP\vmiller2/4/2008573
    View Arthrograms Diagnostic Procedures CUP\vmiller2/4/2008465
    View Audiology Services Specialist Referrals CUP\vmiller2/4/2008597
    View Audiometry Diagnostic Procedures CUP\vmiller2/4/2008466
    View Bariatric Surgery Weight Management CUP\vmiller2/4/2008676
    View Bariatric Surgery Specialist Referrals CUP\vmiller2/4/2008598
    View Bilirubin Lights DME CUP\vmiller2/4/2008519
    View Bio-Impedence Testing Diagnostic Procedures CUP\vmiller2/4/2008467
    View Biofeedback Alternative Medicine CUP\vmiller2/4/2008452
    View Biopsies Diagnostic Procedures CUP\vmiller2/4/2008468
    View Biopsies Surgery/ Procedure CUP\vmiller2/4/2008646
    View BiPAP (Bi-level Positive Airway Pressure) Machines DME CUP\vmiller2/4/2008520
    View Birth Control and Sterilization (vasectomy or tubal) Family Planning CUP\troberts6/23/2008706
    View Bladder Suspension Surgery/ Procedure CUP\vmiller2/4/2008647
    View Blood Transfusion Infusion Therapy CUP\troberts3/18/2009722
    View Bone Scan Diagnostic Procedures CUP\vmiller2/4/2008469
    View Breast Pumps DME CUP\vmiller2/4/2008521
    View Breast Reconstruction after Cancer Surgery/ Procedure CUP\vmiller2/4/2008648
    View Breast Reduction Specialist Referrals CUP\vmiller2/4/2008599
    View Bronchoscopy Diagnostic Procedures CUP\vmiller2/4/2008470
    View CABG (Coronary Artery Bypass Graft) Surgery/ Procedure CUP\vmiller2/4/2008649
    View Cardiac Cath/Stent Surgery/ Procedure CUP\vmiller2/4/2008650
    View Cardiac Cath/Stent Diagnostic Procedures CUP\vmiller2/4/2008471
    View Cardiac Rehabilitation Education CUP\vmiller2/4/2008541
    View Cardiology Services - Adult Specialist Referrals CUP\vmiller2/4/2008600
    View Cardiology Services - Peds Specialist Referrals CUP\vmiller2/4/2008601
    View Carotid Studies Diagnostic Procedures CUP\vmiller2/4/2008472
    View Carpal Tunnel Surgery Specialist Referrals CUP\vmiller2/4/2008602
    View Cataracts Surgery/ Procedure CUP\vmiller2/4/2008651
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  • CUP does NOT accept retroactive requests for authorization 
  • In order to ensure payment, please check eligibility prior to the member receiving services. 
  • Out of Area and Out of Network requests for service require prior authorization.