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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)
(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.
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