At the end of 2023, the Optima Health and Virginia Premier brands will retire and unify under Sentara Health Plans. Our parent company, Sentara, launched the health plan in 1984. This new brand identity is a representation of our growth and promise to continue innovating and adapting in the ever-changing healthcare industry.
It’s a new name, but the same trusted health plan. We are happy to have you as a partner in this new journey. We appreciate your assistance in continued service to our members, your patients, in meeting their healthcare needs. While our brand is evolving, our mission remains the same: We Improve Health Every Day.
This web page is your source of truth concerning health plan operations effective on January 1st until further notice. As we are in the process of transitioning, resources currently available on our website are being rebranded and updated and may not be helpful.
Providers: Help us spread the word about Sentara Health Plans! Download and print this flyer to display in your office, front desk, or break room.
Sentara Health Plans Resources
General Information and Program Updates
Appointment Access Standards, Contacts, Corporate Address, Credentialing, Email Addresses, Health Plan Names, Joining the Network, Kaiser Permanente, Medicare/DSNP Program, Remaining Informed, and Verifying Eligibility with DMAS
Claims Operations and Related Information
Business Run Out, Claims Submission Starting January 1st, and Remittance Advice
Conducting Business
Availity Portal - New, EDI, Member Identification Card Samples, Payer Identification Number, and Submitting Provider Update
Authorizations
Authorization Processing, Jiva, Prior Authorization List (PAL) and Medicaid and Medicare Limits
Vendor Partnerships
AccordantCare, Avalon, CareCentrix, Carelon, National Imaging Associates (NIA), Modivcare, and Performant
Webinars
Online Provider Orientation sessions