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

 

Provider Resources

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

 

Billing Agent Resources

 

 

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