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Claims and Encounters
The Claims tab/function in CHAMPS allows access for users to submit claims, a payment request from a provider for health care services provided to a recipient, directly through either a batch upload process or Direct Data Entry (DDE). Additional functions within the claims tab are manage claims (i.e. adjustment/void), claim reports, and status claims.
One of the following profiles is needed to access the Claims tab: CHAMPS Full Access, CHAMPS Limited Access, or Claims Access.
To access a resource click on the preferred file hyperlink.
Overview
102 Resources
Professional
Institutional
Dental
Adjust and Void Claims- Video
Quick Reference Guides
- Manage Claims-Adjust/Void
- Claim Inquiry
- Claim Limit List
- Direct Data Entry (DDE)
- How to Save & Search Template
Additional Resources
- Beginner Guide
- CHAMPS FAQs
- CHAMPS Navigation Tutorial - PDF, Recording
- Claim Limit List Function
- Claim Status Instructions
- Common Professional Claim Denials
- Dental Frequency Verification (DFV) Instructions
- How to Adjust a Claim with Other Insurance
- Medicaid Health Plans (michigan.gov)
- List of Medicaid Health Plans Contact and Service Listing
- List of Medicaid health plans showing Michigan counties in which each operates.
- Other Insurance Reporting Requirements
- Submitting Electronic Claim Files to MDHHS
- TCN Composition Worksheet
- Upload File (Batch Upload) Instructions
- Verifying Claim Adjustment Source