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Billing Guidelines
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Billing Guidelines
CUP’s Provider Manual describes many of CUP’s billing guidelines and requirements.
- Claims Submission Requirements (pdf)
- DSHS billing instructions, fee schedules, and numbered memorandum (View Website)
- Required Fields for Clean Claim Submission/HCFA 1500 (pdf)
- Required Submission Fields/UB92 (pdf)
- Submission Address (pdf)
- Standards for Payment of Clean Claims (pdf)
- Explanation of Benefits (EOB) (pdf)
- Member Hold Harmless Provisions (pdf)
- Third Party Liability (TPL) and Subrogation (pdf)
- Healthy Options vs. DSHS Fee-for Service (FFS) (pdf)
- Coordination of Benefits (COB) (pdf)
Online Billing
CUP accepts electronic claims from the following clearing houses.
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