Optima Health Providers
Pharmacy
Covered drug search, formularies and order forms.
Authorizations
Prescription drug and medical authorization forms.
Billing & Claims
Billing services form instructions, EDI transaction overview and more.
Clinical Reference
Immunization schedules, clinical guidelines and more.
Provider Support
Provider education, tools and other resources.
News
Important provider information, updates and newsletters.
Optima Health/Virginia Premier Merger
Resources and important details about conducting business with the health plan.
Providers Webinars
Please join us for a variety of informative webinars that will help make it easy to work with us.Is Your Information Up-To-Date?
Participating Providers: Have you had a change to your practice information or provider roster? Keeping Optima Health informed of changes is an important step to ensuring accurate claims payment and patient satisfaction.Join Our Network
If you are interested in joining our provider network, we have the information you need to get started.
News
News Update
12 Character Password Required
News Update
providerNEWS 2nd Quarter 2023
News Update
CMS - External Infusion Pumps Policy
News Update
Benefit Flexibilities Post Public Health Emergency (PHE)