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.

To waive member responsibility for coronavirus (COVID-19) and non-COVID-19 related telehealth visits for Medicare and Commercial plans during the emergency period you must bill with the codes that identify the services provided, affix modifier 95 or GT and use place of service (POS) 02. Optima Health follows all current and future guidance offered by DMAS for Medicaid plans.

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

Optima Health Providers

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Sentara Healthcare and Cone Health Join Forces

Sentara Healthcare and Cone Health, both regional, community-based health systems, have signed a letter of intent to combine organizations. 

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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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2020-2021 HEDIS Measures Released

The 2020-2021 HEDIS measures have been released. HEDIS is a set of standardized performance measures developed by the National Committee for Quality Assurance (NCQA) to objectively measure, report, and compare quality across health plans.

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Primary Carrier Disallowance

Beginning on September 18, 2020, Optima Health will implement a disallowance process through a partnership with Health Management Systems (HMS).

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