You need to enable JavaScript to run this app.
Sentara Health Plans
Members
Providers
Employers
Brokers
Search
Contact Us
English
English
Spanish
Sign In / Register
Contact Us
Main navigation is closed
Close main navigation
Back to the main navigation level
Claims and Authorizations
Medical Authorizations
Drug Authorizations
Behavioral Health
Billing and Claims
PAL Tool
Back to the main navigation level
Resources
News
Programs
Pharmacy
Back to the main navigation level
Provider Support
Provider Manuals and Directories
Provider Orientation
Provider Toolkit
Webinars and Video Library
Provider Education
Close Care Gaps
Appeals, Reconsiderations, and Retractions
JIVA Resources
Back to the main navigation level
Policies
Clinical Guidelines
Medical Policies
Authorization and Medical Policy Updates
Back to the main navigation level
Our Network
Find Doctors, Drugs, and Facilities
Join Our Network
Update Your Information
Sentara Health Plans
Members
Providers
Employers
Brokers
Home
Providers
Claims and Authorizations
Authorizations
Medical Authorizations
Medical Authorizations
View medical authorization requirements for our commercial, Medicare and Medicaid plans.
Prior Authorization Forms
Commercial Plans (Employer-sponsored and Individual plans)
Medicaid and Medicare Advantage plans*
Authorizations
Medical Authorizations
Prescription Drug Authorizations