Billing Agent

All new Billing Agent enrollments must also be completed utilizing the CHAMPS system. This process replaces the paper enrollment using the "Billing Agent ID Request" form. 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. 

• CHAMPS Enrollment Application: Billing Agent User Guide 
• Billing Agent Quick Reference Guide
• Domain Administrator CORE Password Instructions

• 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

 

For providers: How to associate a billing agent and authorize the 835

 

Billing Agent Resources

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

 

 

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