Sentara Health Plans offers a comprehensive Provider Portal designed to streamline healthcare administration and improve provider interactions. This digital platform provides healthcare professionals with essential tools and resources to manage patient care, claims, and administrative tasks efficiently.
Official Links
- Provider Portals: https://www.sentarahealthplans.com/en/providers/provider-portals
- Providers Page: https://www.sentarahealthplans.com/en/providers
What Is the Sentara Provider Portal?
The Sentara Health Plans Provider Portal is a robust online platform offering multiple access points for healthcare providers:
- Availity Portal: The primary portal for current Sentara Health Plans providers
- Sentara Health Plans Provider Portal: Offers specific functionalities
- Reconsideration Portal: Specifically for Medicare & Medicaid Claims
Who Can Use It
The portal is designed for:
- Healthcare providers
- Medical professionals
- Network participants working with Sentara Health Plans
Key Portal Features
Available Services
- Eligibility & Benefits Verification
- Claims Submissions
- Claims Status Tracking
- Remittance Viewing
- Member ID Card Views
- Authorization Submissions
- Authorization Status Checks
Upcoming Features (Q1-Q2 2026)
- Claim Attachments
- Claim Corrections
- Claim Reconsiderations
How to Access the Portal
Registration Process
- For new users: Register on the Availity portal
- Use the “Sign In / Register” option on the Sentara Health Plans website
- Refer to the Portal Features Matrix for detailed guidance
Portal Registration Recommendations
- Complete all required provider information
- Update practice details regularly
- Use the “Update Your Information” section for current information
Privacy and Security
Sentara Health Plans emphasizes:
- Compliance with federal civil rights laws
- Non-discrimination policies
- Secure data handling
- Confidential information management
Support and Resources
Additional Provider Support
- Provider Education
- Provider Manuals and Directories
- Provider Orientation
- Provider Toolkit
- Webinars and Video Library
Contact Information
- Location: PO Box 66189, Virginia Beach, Virginia 23466
- Contact options available on the website
Billing and Claims
The portal facilitates:
- EDI Transaction Overview
- Electronic Funds Transfer (EFT) Setup
- Remittance Advice Requests
- Claims submission guidelines
Unprovided Information
Some specific details were not clearly outlined in the source documents, such as:
- Exact login process steps
- Detailed registration requirements
- Specific technical specifications of the portal
The Sentara Health Plans Provider Portal represents a comprehensive digital solution for healthcare providers, offering streamlined access to critical administrative and clinical resources.
Disclaimer: Information is current as of August 2025 and subject to change. Always verify the most recent details directly with Sentara Health Plans.
https://www.sentarahealthplans.com/en/providers/provider-portals
Sentara Health Plans Provider Portal: Eligibility & Benefits, Create/View Status of Authorizations, Historical Remittances.
https://www.sentarahealthplans.com/en/providers
We offer a variety of resources for our providers. Join us for one of our informative webinars that helps strengthen our relationship when working together.