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 Resources
- Domain Administrator CORE Password Instructions - PDF
-
Domain Administrator Functions -PDF
- 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