Get Molina Healthcare Hdo Application 2019-2025
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How to fill out the Molina Healthcare HDO Application online
Completing the Molina Healthcare Health Delivery Organization (HDO) Application online is an important step for organizations seeking credentialing with Molina Healthcare. This guide provides clear instructions to help users fill out each section accurately and efficiently.
Follow the steps to complete your application effectively.
- Click ‘Get Form’ button to obtain the application form and open it in your preferred editor.
- Begin with the organization information section. Provide the legal name of the organization, any DBA names, and the historic names if applicable. Fill in the Medicare and Medicaid numbers, TIN, NPI, and contact information.
- Proceed to the current insurance coverage section. If your facility is required to carry liability insurance, provide details such as policy number, type, start date, end date, and coverage amounts. If not required, check the appropriate box.
- If your organization has multiple locations, complete a copy of sections 3-4 for each differing location. Provide the necessary details such as location DBA, Medicare certification status, and additional certifications as outlined.
- In the accreditation/certification section, check all applicable boxes that pertain to your organization’s certifications and attach supporting documents as needed.
- Review the attestation and release of information section. It is crucial to read and agree to the conditions stated regarding the accuracy and completeness of your information. Ensure the authorized individual signs and dates the application.
- After completing all sections, review the entire application for accuracy. Save any changes made, then prepare to download, print, or share the form as directed.
Complete your Molina Healthcare HDO Application online today to ensure timely processing of your credentialing.
Timely filing for Molina NE refers to the specific time frame within which claims must be submitted after receiving services. Typically, providers must file claims within a set number of days from the date of service, or reimbursement may be denied. Understanding these specifics during the Molina Healthcare HDO Application process will help ensure smooth operations for both providers and patients.
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