The Sentara Health Plans Provider Portal represents a comprehensive digital platform designed to streamline healthcare provider interactions, offering efficient management of essential administrative and clinical tasks. This portal serves as a critical technological solution for healthcare professionals seeking quick, secure access to patient-related information and services.
Official Links
What Providers Can Do
The Sentara Health Plans Provider Portal offers multiple critical services:
Key Portal Features
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Eligibility & Benefits Verification
- Real-time member coverage checking
- Immediate insurance status confirmation
-
Authorization Management
- Create and view authorization statuses
- Submit medical and drug authorizations
- Track authorization requests
-
Claims Processing
- Submit claims electronically
- Check claim status
- View historical remittance advice
- Access electronic remittance documents
Access and Registration
Portal Options
Sentara Health Plans provides multiple portal access methods:
-
Availity Portal
- Primary provider portal
- Comprehensive feature set
- Registration required for new users
-
Sentara Health Plans Provider Portal
- Alternative access point
- Specific service capabilities
-
Reconsideration Portal
- Specialized for Medicare and Medicaid claims
- Dedicated claims review platform
Portal Registration Process
Providers can register through these steps:
- Visit the Sentara Health Plans website
- Navigate to Provider Portals section
- Click “Register” for Availity Portal
- Complete required professional information
Upcoming Portal Enhancements
Sentara Health Plans is continuously improving portal capabilities:
Projected Releases (2026)
- Claim Attachments: Q1 2026
- Claim Corrections: Q1 2026
- Claim Reconsiderations: Q2 2026
Privacy and Security
Sentara Health Plans ensures:
- Compliance with federal civil rights laws
- Non-discrimination in access
- Secure data transmission
- Protected health information safeguards
Support Resources
Provider Support Channels
- Provider Education Programs
- Webinars and Video Library
- Provider Orientation
- Provider Toolkit
- Integration Information Support
Technical Requirements
Recommended Access
- Modern web browser
- Stable internet connection
- Updated security settings
- JavaScript enabled
Limitations and Considerations
Unprovided Information
- Specific login credential requirements
- Detailed step-by-step registration process
- Exact technical specifications for portal access
The Sentara Health Plans Provider Portal represents a robust, evolving digital platform designed to enhance healthcare provider efficiency, offering comprehensive tools for administrative and clinical management.
Contact Information
- PO Box 66189
- Virginia Beach, Virginia 23466
Note: Portal features and availability subject to periodic updates. Providers should regularly check official Sentara Health Plans communications for the most current information.
FAQ
Are Sentara and Optima the same company?Sentara Health Plans, previously known as Optima Health Plan, has been offering health coverage since 1984.
Is Optima an insurance company?Its wholly-owned subsidiary, Optima Healthcare Insurance Services (Optima), manages CHI and operates as a multi-line property/casualty commercial insurance broker.
Is Optima Health VA Medicaid?Optima Health offers a full suite of commercial products and plans serving Medicare and Medicaid enrollees. Verida will provide call center services, provider network administration, quality management, and claims administration for the health plan’s non-emergency medical transportation benefit.
Why did Optima change to Sentara?Optima Health has changed our name to Sentara Health Plans to better reflect our enhanced focus on promoting the overall health and well-being of our consumers.
https://www.sentarahealthplans.com/en/providers/provider-portals
Sentara Health Plans Provider Portal: Eligibility & Benefits, Create/View Status of Authorizations, Historical Remittances.
https://provider.caloptima.org/
Welcome to the Provider Portal. For best experience, choose a larger device such as a tablet or desktop. We currently do not