Get Homelink Credentialing

The Homelink Credentialing application is a crucial document for service providers seeking accreditation within the HOMELINK DME network. This guide will provide you with step-by-step instructions to effectively complete the online form, ensuring all required information is accurately submitted.

Follow the steps to complete the Homelink Credentialing application.

1. Click ‘Get Form’ button to obtain the credentialing application and open it in the editor.
2. Begin filling out the demographic information section. Provide the legal company name, doing business as (DBA) name, physical address, remit address, and contact information including phone, fax, and email addresses.
3. Complete the section regarding your National Provider Identifier (NPI) and Federal Tax ID. Ensure to include any applicable Medicare and Medicaid numbers.
4. In the products and services section, check all services that your organization is accredited to provide. Be thorough to ensure all relevant services are listed.
5. Carefully read and acknowledge the provider confidentiality statement. This section emphasizes the importance of handling sensitive patient information securely.
6. Gather the required attachments: a copy of your current approved accreditation letter, business license, and general/liability insurance certificate.
7. Review all information to ensure accuracy and completeness. Once verified, you are ready to submit the form.
8. Finally, you can save your changes, download a copy, print the form, or share it as needed to complete the process.

Start completing your Homelink Credentialing application online now to ensure timely processing.