Billing Agent

All new Billing Agent enrollments must also be completed utilizing the CHAMPS system.  All providers who are associated to a Billing Agent will not be able to complete a new enrollment until the Billing Agent has been approved in CHAMPS. Most resources are provided in both PDF and Adobe Recording formats.

• CHAMPS Enrollment Application: Billing Agent User Guide - PDF
  • Billing Agent Quick Reference Guide - PDF
• ​CHAMPS Billing Agent Modification Instructions - PDF

• Domain Administrator CORE Password Instructions  - PDF 
• Domain Administrator Functions -PDF
  • Quick Reference Guide
  • Manage User List Page for Domain Administrators 
• Electronic Signature Agreement Cover Sheet MDHHS-5405
• Electronic Signature Agreement DCH-1401

 

Provider Resources

•  How to associate a billing agent and authorize the 835 - PDF

 

Billing Agent Resources

• Trading Partners webpage
• Electronic Submissions Transactions 
• HIPAA Companion Guides

 

 

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