Alerts

This week, we are sharing the following provider updates — Quest Diagnostics Roundtable Session

This week, we are sharing the following provider updates — Former Virginia Premier Portal Will Retire on December 31, 2024, View Claims Status in Availity Essentials, Reminder—Inappropriate Use of Modifier 57.

This week, we are sharing the following provider updates - OncoHealth To Administer the Oncology Benefits Management Program, Quest Diagnostics To Become the Lab Provider for Sentara Health Plans, Avalon Genetic Testing Management Program Partnership Training and Implementation, Medicaid Provider Manual Update Available in December, Important Reminder About the National Provider Identifier for Groups, 23-Hour Crisis Stabilization Services–Deadline Extended, Where To Go for Care, Appropriate Documentation of Injection Administration of Medroxyprogesterone Acetate (Depo Provera), Authorization Updates Effective January 1

Provider Alert: Important Reminders, Enrollment Policy Update, and More

This week, we are sharing the following provider updates — Reminder: Eligibility and Benefits Are Now Live in Availity Essentials, Register for the Provider Quality Learning Collaborative, OncoHealth - New Oncology Vendor Partnership, Avalon Services Expand to Genetic Testing Management, Healthcare Financial Inc. Begins, Outreach to Medicare Members, Authorization Updates Effective December 1, Accessing the Prior Authorization Look-up Tool

This week, we are sharing the following provider updates — see below to learn more. • Clinical Practice Guidelines • 23-Hour Crisis Stabilization Services • Availity Essentials

This week, we are sharing the following provider updates — see below to learn more. • Provider Manual Annual Review • Finding Plan Information • Reminder - Behavioral Health Prior Authorization Requirement Removed

This week, we are sharing the following provider updates — New Lab Vendor Partnership, Do Our Members Know You Participate in Our Network?, New Behavioral Health Forms Available Online for Medicaid and Medicare, Match DOS When Requesting Prior Authorization Extensions, Authorization Updates Effective November 1, Policy and Operations Changes

This week, we are sharing the following provider updates — Authorization Updates Effective October 1, Authorization Payment Limits Process – Postponed, Provider Quality Care Learning Collaborative, Policy and Operations Changes

Register Today: Provider Quality Care Learning Collaborative

This week, we are sharing the following provider update — Authorization Payment Limits. Provider Payment Processing Transition to Zelis Payments Network, Remaining Current on Sentara Health Plans Medicaid, Policy and Operations Updates, Authorization Updates Effective September 1, Implementation of Operations Update #OPSBHPA07012

This week, we are sharing the following provider updates — Hearing Aid Services, Attention Behavioral Health Providers, Provider Manual Annual Update Available in August, Operations Updates

This week, we are sharing the following provider update — Reminder: Provider Satisfaction and Access Surveys, Appointment Access and After-Hours Survey, Provider Satisfaction Survey.

This week, we are sharing the following provider updates — Website Updates, Operations Update Effective July 1, Policy Updates Effective August 1, Authorization Updates Effective August 1, Provider Quality Care Learning Collaborative, Sentara Health Plans Roundtable Meetings, June Baby Showers.

This week, we are sharing the following provider updates — Appointment Standards and After-Hours Protocol Register for the Provider Quality Care Learning Collaborative

This week, we are sharing the following provider updates — see below to learn more. Benign Excision Repair Unbundling – Effective July 1, 2024, New Adjustment Codes for Current Payment Policy Edits, Billing Code J7170 Requires JW or JZ Modifier, Medicaid Five-Day Readmissions: Policy 3997, New Paper Claims Vendor Deadline Approaching – Action Required, National Imaging Associates (NIA) is Now Evolent

This week, we are sharing the following provider updates — Rate Increases for Acute and MLTSS Populations, Notice of Medicare Non-Coverage Information, Provider Satisfaction and Access Surveys Scheduled to Begin Next Month.

In the past few months, Sentara Health Plans has implemented several system changes to improve the way we do business with you as a provider. We are seeing some growing pains along the way, but we believe the end result will be improved functionality for all.

This week, we are sharing the following provider updates — Managed Behavioral Health and Health Equity Full Accreditation Awarded ,Hampton Roads Sanitation District Joins Sentara Health Plans, New Paper Claims Vendor – Electronic Submission Encouraged, Provider Satisfaction and Access Surveys Scheduled to Begin Next Month, Managed Behavioral