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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
- Additional Ownership Tip - PDF
MDHHS utilizes email address information entered in the CHAMPS billing agent application to communicate with providers and billing agents. Billing agents are responsible for maintaining accurate and valid email address information within their CHAMPS enrollment information. If the email address information is out of date or incorrect, enrolled billing agents will want to modify their CHAMPS enrollment information and submit it for approval.
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/ERA - PDF
- Authorize a billing agent to receive the 835/ERA - PDF
- End date the 835/ERA authorization - PDF
Billing Agent Resources
Return to Provider Enrollment Home Page