On January 1, 2024, Sentara announced a significant development in our commitment to providing exceptional healthcare: Optima Health and Virginia Premier consolidated under a new name, Sentara Health Plans. This consolidation marks a pivotal moment in our journey toward improving healthcare accessibility and quality care.
We ask that you please update your accepted insurance lists and all informational materials to reflect our new name, Sentara Health Plans. Our goal is to increase education and knowledge of the name change to Sentara Health Plans and mitigate member confusion and frustration.
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.
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
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
Business Run Out, Claims Submission Starting January 1st, and Remittance Advice
Availity Portal - New, EDI, Member Identification Card Samples, Payer Identification Number, and Submitting Provider Update
Authorization Processing, Jiva, Prior Authorization List (PAL) and Medicaid and Medicare Limits
AccordantCare, Avalon, CareCentrix, Carelon, Evolent, Modivcare, and Performant.
NIA, our Medical Specialty Solutions program vendor, is now Evolent. Services include prior authorization of nonemergent, advanced outpatient imaging and some cardiac services.Virginia Premier/Optima Health Full Integration Provider Orientation.