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patient voice

Grievance Information

About Grievances

The Renal Network is contracted by the Centers for Medicare/Medicaid Services (CMS) as an End-Stage Renal Disease (ESRD) Network and authorized under the Social Security Act to receive, investigate, and process grievances related to the quality and safety of care received by patients in Medicare-certified dialysis or transplant facilities in the state of Illinois. Grievances are reviewed in accordance with the Conditions for Coverage (CfC).

Patient Rights & Responsibilities

Patient Rights & Responsibilities

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Patient Rights & Responsibilities Spanish

Patient Rights & Responsibilities Spanish

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How to File a Grievance

You can contact the Network by phone, mail or email at:

Toll Free at (800) 456-6919

The Renal Network
911 E. 86th Street, Suite 202
Indianapolis, IN 46240

The Network has an experienced staff available Monday through Friday to address your concerns.

Patients wishing to be represented by a family member or other individual, must submit a CMS Appointment of Representative Form.

In filing a grievance, a patient may remain anonymous to the facility. The Network will not release a patient’s name to the facility without the patient’s permission. However, anonymous grievances allow the Network to do only a general investigation. Patients will be asked to indicate their preference to disclose or not to disclose their name by completing a Consent to Disclose Your Identity form.

See this helpful resource from the ESRD NCC on How to File a Grievance.

Patient Developed Tool

See this helpful tool on the Forum of ESRD Networks website for more information on filing a grievance.

Grievance Resources

What is a Grievance?

What is a Grievance?

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Grievance Poster

Grievance Poster

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Spanish What is a Grievance?

Spanish What is a Grievance?

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Grievance Root Cause Analysis

Staff Retaliation Resources

Staff Retaliation Poster

Staff Retaliation Poster

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What is the Network Role?

The Renal Network Patient Services Department handles questions related to the quality and safety of care received by patients and any questions regarding grievances process. The Renal Network’s role in resolving grievances, depending upon the situation, is to act as:

  • Investigator
  • Facilitator
  • Advocate
  • Educator
  • Coordinator
  • Referral Agent

Contact Patient Services

  • Call: 317-257-8265 or 800-456-6919 (toll-free patient line).
  • Mail: Questions or completed Grievance FormConsent 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.

When the Network is contacted regarding a concern, it will attempt to resolve the issue in one of the following ways:

  • Assist patients who wish to address the issue on his/her own by helping to organize his/her thoughts about a situation and by providing information regarding their rights and responsibilities;
  • With permission from the patient, the Network may contact the facility directly to gather information and attempt to resolve the matter;
  • The facility may be required to complete an Improvement Plan to correct problems;
  • More serious issues may be referred to the Network’s Medical Review Board (MRB) for review;
  • Life-threatening situations will be referred to the appropriate State Survey Agency for immediate action.
  • If the grievance involves a concern that falls under another agency’s or organization’s authority, the Network will refer the grievance in accordance with CMS established Guidelines.