Your delegated roster must be attached to the Delegation Update Form using the format of the delegated roster template.
If your roster includes a new Tax ID, please attach a W9 and contact your Sentara Health Plans Contract Manager in addition to submitting this form. Failure to do so may result in a delay in processing.
Submit a Delegation Update FormRequest Turnaround Time and Status Inquiries
Please allow up to 30 days for the requested provider information to be updated in all Sentara Health Plans systems. You (the requestor) will receive a confirmation email when your request has been completed. After 30 days, if you have not received a confirmation email and/or do not see the updated information reflected on the provider’s profile in the Sentara Health Plans directory, send an email for status inquiries to:
Provider Update status inquires: PUStatus@sentara.com