End Stage Renal Dialysis Facilities are facilities that provide dialysis treatment or dialysis training to individuals with end stage renal disease.
How to Become Medicare Certified
For information on filing a complaint or checking the status of a current complaint, please visit our complaint section.
Grievances may also be filed through The Renal Network.
- Call: 317-257-8265 or 800-456-6919 (toll-free patient line).
- Email: firstname.lastname@example.org
- Mail: Questions or completed Grievance Form, Consent to Disclose Your Identity and if appropriate a CMS Appointment of Representative Form to The Renal Network, 911 E. 86th Street, Suite 202, Indianapolis, IN 46240, Attention: Patient Services Department.
Further information on The Renal Network, grievance forms and information on filing a grievance can be located by following the link on the right side of the page.
Frequently Asked Questions
What is required for a relocation of the health care provider?
When the agency is seeking to relocate the health care provider’s facility location, the provider shall contact the Health Facilities Service Review Board. See link. In addition, if the Facility is Medicare certified the provider shall complete the Medicare Provider enrollment form A and submit to their Medicare fiscal intermediary.