In order to best serve you and our members, it is important that we have up to date information about your practice. Please notify Optima Health as soon as possible for any changes related to your practice’s operations or provider roster.
Optima Health now offers electronic submission for your provider update requests!
Please complete and submit your request using the button below.
This Provider Update form is intended for providers who are currently contracted with Optima Health, or are in the contracting process. If your practice/organization (tax ID) is out of network, and interesting in participating with Optima Health, please complete the “Request for Participation" form on the Join our Network page.
Adding a new provider to your practice? Please review the provider credentialing requirements prior to submitting your Provider Update Form.
Submit a Provider Update Form
Please note: Tax ID, Legal Business Name, product/reimbursement changes or other changes affecting your Provider Agreement (contract) cannot be submitted on this Provider Update Form; these requests should be submitted directly to your Optima Health Contract Manager. In addition, this form is not intended for Facilities or CMHRS/ARTs provider changes. Please contact the Network Contracting team at 877-865-9075 for these requests.
Please allow 30 business days for the requested provider information to be updated in all Optima Health systems (90 days for new provider/credentialing requests). You (the requestor) will receive a confirmation email when your request has been completed. After 30 days (90 for new providers), if you have not received a confirmation email and/or do not see the updated information reflected on the provider’s profile in the Optima Health directory, you may email an inquiry for status.
For Provider Update status inquires: PUStatus@sentara.com; for Credentialing status inquiries: OHPCredDept@sentara.com; Recredentialing inquiries: OptimaRecred@sentara.com.
Please note: Status inquiries for requests less than 30 days old (90 for new providers) may not be responded to.
Keeping Optima Health informed of provider updates is an important step to ensuring accurate claims payment and member satisfaction. Thank you for your continued partnership!
If you have any questions, or need help, please contact us.
You can find more useful resources for providers in our Provider Toolkit. The Provider Toolkit includes helpful "How To" information, sample member ID cards, and important forms.