Update Your Information
In order to best serve you and our members, it is important that we have up to date information about your practice. Please notify Sentara Health Plans as soon as possible for any changes related to your practice’s operations or provider roster.
Sentara Health Plans now offers electronic submission for your provider update requests!
Please complete and submit your request using the “Submit a Provider Update Form” button below.
This Provider Update form is intended for providers who are currently contracted with Sentara Health Plans, or are in the contracting process. If your practice/organization (tax ID) is out of network, and interested in participating with Sentara Health Plans, please complete the “Request for Participation" form on the Join our Network page.
Adding a new provider to your practice? Please review the provider credentialing requirements prior to submitting your Provider Update Form.
Please note the “Provider Update Form” is not for delegate providers.
Submit a Provider Update Form
For Delegated Providers, submission of the “Delegation Update Request Form” will initiate a request to review your delegated roster and process any new provider adds, changes, and/or terminations.
If submitting a new Tax ID, please attach W9 and reach out to your respective contract manager/network educator in addition to submitting the request. Failure to do so may result in a delay in processing.
Please complete and submit your request using the button below and attach your roster using the format of the Delegated Roster Template.
Note: Delegated refers to a practice/organization authorized to credential its healthcare practitioner in-house and submit to payor for directory, maintenance, and monitoring.
Please note: Tax ID, Legal Business Name, product/reimbursement changes or other changes affecting your Provider Agreement (contract) cannot be submitted on this Provider Update Form; these requests should be submitted directly to your Sentara Health Plans Contract Manager. In addition, this form is not intended for Facilities or CMHRS/ARTs provider changes. Please contact the Network Contracting team at 877-865-6075 for these requests.
Please allow up to 30 business days for the requested provider information to be updated in all Sentara Health Plans systems (60 days for new provider/credentialing requests). You (the requestor) will receive a confirmation email when your request has been completed. After 30 days (60 for new providers), if you have not received a confirmation email and/or do not see the updated information reflected on the provider’s profile in the Sentara Health Plans directory, you may email an inquiry for status.
For Provider Update status inquires: PUStatus@sentara.com, for Credentialing inquiries: SHPCredDept@sentara.com; Recredentialing inquiries: SHPCredDept@sentara.com, for recredentialing inquiries: SHPRecred@sentara.com.
Please note: Status inquiries for requests less than 30 days old (60 for new providers) may not be responded to.
Keeping Sentara Health Plans informed of provider updates is an important step to ensuring accurate claims payment and member satisfaction. Thank you for your continued partnership!
If you have any questions, or need help, please contact us.
You can find more useful resources for providers in our Provider Toolkit. The Provider Toolkit includes helpful "How To" information, sample member ID cards, and important forms.