Medical & Hospital Real-Time Enrollment Forms
Each provider must be set up in the Change Healthcare system to access Real-time functions.
New customers: Please contact the sales team regarding Real-time products.
Current customers: Please contact your vendor for assistance.
Commonly Used Real-time Enrollment Forms
- Change Healthcare Payer List
- CHC MID/TID/TPG Creation Form – Initial request for a MID/TID or TPG
- Real-time NPI Payer Add – Existing Clients – Add additional NPI's
- Real-time Site Replication – Replicate an existing site