Sentara Health Plans Providers
Pharmacy
Covered drug search, formularies, and order forms.
Authorizations
Prescription drug and medical authorization forms.
Billing & Claims
Billing services form instructions, EDI transaction overview, and more.
Clinical Reference
Immunization schedules, clinical guidelines, and more.
Provider Support
Provider education, tools, and other resources.
News
Important provider information, updates, and newsletters.
Webinars & Video Library
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 or watch one of our videos from our provider video library at your leisure.Is Your Information Up-To-Date?
Participating Providers: Have you had a change to your practice information or provider roster? Keeping Sentara Health Plans informed of changes is an important step to ensuring accurate claims payment and patient satisfaction.Join Our Network
If you are interested in joining our provider network, we have the information you need to get started.
News
News Update
CMS Guidelines for Anatomical Modifiers
News Update
Medicare Severity Diagnosis Related Groups (MS DRG) 870 Claims for Septicemia or Severe Sepsis
News Update
Sexually Transmitted Infections
Provider Update
Provider Updates: Electronic Prior Authorization, GLP-1 Formulary, and Important Updates
Recognize an Outstanding Provider
Annually, we recognize a physician with the Dr. Melvin T. Pinn, Jr. Quality Excellence Award for their commitment to quality care and safety.