Authorization Form Changes: Effective October 19, 2020 prior authorizations will be processed by two teams: Government Programs and Commercial Plans. See new fax numbers and new fillable forms on our website. Be sure to reprogram your fax machines or electronic fax services as well as update any form templates you maintain. You may also submit via Provider Connection. Learn about this new contact information.

Supporting Members as COVID-19 Spreads

As your partner in health, we are taking steps to protect and educate our members about the coronavirus (COVID-19) as it spreads throughout our nation.

Learn about actions we are taking to support our members | Frequently asked questions for Providers (PDF) | Vaccine Information for Providers (PDF)

Optima Health Providers

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Join Our Network

If you are interested in joining our provider network, we have the information you need to get started.

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New Balance Billing Protection

Beginning January 1, 2021, Virginia state law protects members from balance or “surprise billing.” Elective (self-funded) Group Health Plans must opt-in to this balance billing law at least 30 days prior to their effective date if they would like to offer this protection to their employees. Employers can choose to opt in effective January 1 or effective on the first day of the group’s plan year.

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Quarterly Provider Webinars - February 2021

Join our network educators from the convenience of your office for a series of educational webinars about doing business with Optima Health.

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