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Navigation Marquette, MI June 4 th 1:00 – 3:30. Agenda  CHAMPS Profiles  Navigation  Resources  CHAMPS Trivia  Questions???

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Presentation on theme: "Navigation Marquette, MI June 4 th 1:00 – 3:30. Agenda  CHAMPS Profiles  Navigation  Resources  CHAMPS Trivia  Questions???"— Presentation transcript:

1 Navigation Marquette, MI June 4 th 1:00 – 3:30

2 Agenda  CHAMPS Profiles  Navigation  Resources  CHAMPS Trivia  Questions???

3 CHAMPS Profiles

4  Domain Administrator  Assign or remove domain and profile access  CHAMPS Full Access  Provider Enrollment (PE), Prior Authorization (PA), Eligibility, and Claims  CHAMPS Limited Access  View only PE, Full for PA, Eligibility, and Claims  PA  Access to PA only

5 CHAMPS Profiles  Eligibility Inquiry  Access to Eligibility only  PE Access  Full access to PE  View PE  View only access to PE  Claims Access  Full access to Claims

6 CHAMPS Navigation

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8 Domain Administrator Adding Users

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12 Domain Administrator Updating Domains

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16 Provider Portal

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18 Provider Managing Provider Information

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22 Admin Viewing Archived Documents

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29 Stop Getting Paper RA by Mail

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33 Claims Inquiry

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43 Claims Submit

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54 CHAMPS DDE Function  Professional Claims  All info on your 1500 form needs entered in CHAMPS  Institutional Claims  All info on your UB04 form needs to be entered in CHAMPS  Dental Claims  All info on your ADA form needs to be entered in CHAMPS

55 Manage Claims Adjust/Void

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62 Member Eligibility Inquiry

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69 Prior Authorization PA Inquire

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74 Resources

75 Spend Down https://healthplanbenefits.mihea lth.org  Web site developed and maintained by MPHI  Displays the Spend Down amount in the eligibility response on their MI Health Plan Benefits page  The information is yesterday’s information because the eligibility file is sent nightly from CHAMPS

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77  www.michigan.gov/medicaid providers  Provider Support  1-800-292-2550  ProviderSupport@michigan.gov ProviderSupport@michigan.gov

78 Questions???


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