Have a verification code? Confirm account here.

Account Registration

This form is to create a provider clearinghouse account with CHPS. This account will allow you to submit claims, receive ERAs, and check claim status and eligibility for a variety of payers. Before creating an account, please confirm with your office manager that you have permission to do so. If you are a billing service please contact us Mon-Fri 8-5 US Pacific Time at chps_tpa_ta@chpw.org or 1-800-709-9901 to create an account.

If you have any questions, you may contact CHPS support Mon-Fri 8-5 US Pacific Time at chps_tpa_ta@chpw.org or 1-800-709-9901.

This system is intended exclusively for use by AFH (Adult Family Home) providers. By proceeding with enrollment, I attest that I am an AFH provider.

Provider Details

Provider Contact Information

Account Confirmation

In order to confirm your account, we will send you a verification code after completion of this form. If you have an NPI, we will contact you via information publicly listed on the NPPES registry.

Please select how you'd like to receive your verification code. If your contact information below is incorrect, please contact NPPES at (800) 465-3203 or customerservice@npienumerator.com to have your information updated.


Phone: An automated voice messaging system will call the number listed and speak a 6-digit verification code. You will receive a phone call from (612) 482-6161 within the next few minutes.
Fax: A fax with the 6-digit verification code will be sent to the number listed. This method can take up to 4 hours.
Mail: A letter with the 6-digit verification code will be sent to the address listed. Please note this method can take 4 to 7 business days.