How to use or fill out hdo application with our platform
- Click ‘Get Form’ to open the HDO application in the editor.
- Begin by filling out Section 1, 'Organization Information.' Provide the legal name, DBA name, and contact details. Ensure all fields are completed accurately.
- 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.
- In Section 3, 'Physical Location Information,' enter details for each practice location. If there are multiple locations, complete this section for each one.
- Proceed to Section 4, where you will select your primary contracted specialty and taxonomy codes. Make sure to check all that apply.
- Complete Section 5 regarding accreditation/certification by checking applicable organizations and providing dates of last surveys.
- Finally, fill out Section 6 on credentialing program questions. Answer all questions thoroughly to avoid delays in processing.
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