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Billing Guidelines

Billing Guidelines

CUP’s Provider Manual describes many of CUP’s billing guidelines and requirements.

Claims Submission Requirements (pdf) (doc)
DSHS billing instructions, fee schedules, and numbered memorandum (View Website)
Required Fields for Clean Claim Submission/HCFA 1500 (doc)
Required Submission Fields/UB92 (doc)
Submission Address (doc)
Standards for Payment of Clean Claims (pdf) (doc)
Explanation of Benefits (EOB) (doc)
Member Hold Harmless Provisions (doc)
Third Party Liability (TPL) and Subrogation (doc)
Healthy Options vs. DSHS Fee-for Service (FFS) (doc)
Coordination of Benefits (COB) (doc)

Online Billing

with NDC and WebMD to accept electronic claims. If you are interested in submitting HCFA claims through either WebMD (http://www.webmd.com/) or NDC (http://www.ndchealth.com/), please contact us at 360-891-1520 or fill out our contact form. If you are capable of creating an 837 4010A transaction you can submit to us directly.