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Need to contact us about Optima Health Community Care?
Optima Health Community Care Contact Information

Main Phone Line

24–Hour Interactive Voice Response
757-552-7474 or 1-800-229-8822, option 2

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  • Provider Relations

    Medical Provider Service Representatives
    757-552-7474 or 1-800-229-8822
    8 a.m. to 5 p.m. Monday through Friday
    Fax: 757-552-7316
    ProviderRelations@sentara.com

    Behavioral Health Provider Service Representatives
    757-552-7174 or 1-800-648-8420
    8 a.m. to 6 p.m. Monday through Friday
    Fax: 757-552-7499
    ProviderRelations@sentara.com

    Emails are responded to within three business days.

  • Pre–Authorizations

    Medical Care Management Pre–authorizations
    757-552-7540 or 1-800-229-5522
    Fax: 757-552-7429 or 1-877-800-2839

    Behavioral Health Pre–authorizations
    757-552-7174 or 1-800-648-8420, option 2
    Fax: 757-552-7176 or 1-877-800-2839

  • Network Educators

    757-552-7085 or 1-877-865-9075
    Fax: 757-552-7114

  • Quality Improvement

    757-252-8400 or 1-844-620-1015

  • Claims Mailing Addresses

    Medical/LTSS Claims
    P.O. Box 5028
    Troy, MI 48007-5028

    Behavioral Health Claims
    P.O. Box 1440
    Troy, MI 48099-1440

  • EDI and EFT/ERA Information

    EDI Questions
    Existing customers with questions about EDI (the 837 process) should email the EDI Team at editeam@sentara.com.

    EFT/ERA Enrollment Questions
    If you have questions about enrolling in EFT/ERA, please email EFT_ERA_Inquiry@sentara.com.

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  • Member Services

    Members should call the Member Services number listed on their member ID card or Contact Us.

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