Hdo application 2026

1. Click ‘Get Form’ to open the HDO application in the editor.
2. Begin by filling out Section 1, 'Organization Information.' Provide the legal name, DBA name, and contact details. Ensure all fields are completed accurately.
3. Move to Section 2, 'Current Insurance Coverage.' Attach a copy of your current liability insurance face sheet and check the appropriate boxes regarding your coverage.
4. In Section 3, 'Physical Location Information,' enter details for each practice location. If there are multiple locations, complete this section for each one.
5. Proceed to Section 4, where you will select your primary contracted specialty and taxonomy codes. Make sure to check all that apply.
6. Complete Section 5 regarding accreditation/certification by checking applicable organizations and providing dates of last surveys.
7. Finally, fill out Section 6 on credentialing program questions. Answer all questions thoroughly to avoid delays in processing.

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