General Overview
Non-Participating Providers can register with Sentara Health Plans using the forms below. New Non-Participating Provider registration can be submitted using the Sentara Health Plans EDI form. Any existing Non-Participating Providers can submit updates using the Sentara Health Plans W9 form. Providers contracted with Sentara Health Plans should navigate to the Update Your Information page to update information. Note: Incorrect contracted provider submissions through the forms below will not be processed.
Electronic Data Interchange (EDI) 837 Enrollment
For EDI 837 Enrollment, please complete the Sentara Health Plans EDI form and Sentara Health Plans W9 form and click submit.