Alerts

This week, we are sharing the following provider updates — New Lab Vendor Partnership, Do Our Members Know You Participate in Our Network?, New Behavioral Health Forms Available Online for Medicaid and Medicare, Match DOS When Requesting Prior Authorization Extensions, Authorization Updates Effective November 1, Policy and Operations Changes

This week, we are sharing the following provider updates — Authorization Updates Effective October 1, Authorization Payment Limits Process – Postponed, Provider Quality Care Learning Collaborative, Policy and Operations Changes

Register Today: Provider Quality Care Learning Collaborative

This week, we are sharing the following provider update — Authorization Payment Limits. Provider Payment Processing Transition to Zelis Payments Network, Remaining Current on Sentara Health Plans Medicaid, Policy and Operations Updates, Authorization Updates Effective September 1, Implementation of Operations Update #OPSBHPA07012

This week, we are sharing the following provider updates — Hearing Aid Services, Attention Behavioral Health Providers, Provider Manual Annual Update Available in August, Operations Updates

This week, we are sharing the following provider update — Reminder: Provider Satisfaction and Access Surveys, Appointment Access and After-Hours Survey, Provider Satisfaction Survey.

This week, we are sharing the following provider updates — Website Updates, Operations Update Effective July 1, Policy Updates Effective August 1, Authorization Updates Effective August 1, Provider Quality Care Learning Collaborative, Sentara Health Plans Roundtable Meetings, June Baby Showers.

This week, we are sharing the following provider updates — Appointment Standards and After-Hours Protocol Register for the Provider Quality Care Learning Collaborative

This week, we are sharing the following provider updates — see below to learn more. Benign Excision Repair Unbundling – Effective July 1, 2024, New Adjustment Codes for Current Payment Policy Edits, Billing Code J7170 Requires JW or JZ Modifier, Medicaid Five-Day Readmissions: Policy 3997, New Paper Claims Vendor Deadline Approaching – Action Required, National Imaging Associates (NIA) is Now Evolent

This week, we are sharing the following provider updates — Rate Increases for Acute and MLTSS Populations, Notice of Medicare Non-Coverage Information, Provider Satisfaction and Access Surveys Scheduled to Begin Next Month.

In the past few months, Sentara Health Plans has implemented several system changes to improve the way we do business with you as a provider. We are seeing some growing pains along the way, but we believe the end result will be improved functionality for all.

This week, we are sharing the following provider updates — Managed Behavioral Health and Health Equity Full Accreditation Awarded ,Hampton Roads Sanitation District Joins Sentara Health Plans, New Paper Claims Vendor – Electronic Submission Encouraged, Provider Satisfaction and Access Surveys Scheduled to Begin Next Month, Managed Behavioral

As part of Sentara Health Plans’ ongoing commitment to providing convenient, self-service tools to the provider community, we encourage the use of the authorization capabilities within the secure provider portal.

This week, we are sharing the following provider updates — New Resources Available, Scheduled Jiva Outage, Sentara Health Plans Roundtable Meetings, Three-Day Payment Window Policy, Payment Policies in Availity, New Paper Claims Vendor

This week, we are sharing the following provider updates — Update: Secondary Claims Denial, Long Term Support Services Claims Processing Issues

This week, we are sharing the following provider updates — Availity for claims submission during Change Healthcare outage, Updated Medicaid Provider Manual, Self-service password reset process, Educational opportunities

This week, we are sharing the following provider updates — Access to the Former Virginia Premier Portal Restored, Self-Service Password Reset Process, NIA - Scheduled Outage, Percutaneous Coronary Procedures: Modifiers Required

On Wednesday, February 21, Sentara Health, for the protection of our consumers and systems, disconnected inbound and outbound transactions from Change Healthcare, a subsidiary of UnitedHealth Group, following reports of a cyber incident with the healthcare technology company. Health systems, hospitals, and pharmacies nationwide are being impacted by this disruption.

On Wednesday afternoon, Sentara Health Plans was alerted that Change Healthcare experienced a cyber security incident. Due to the nature of this threat, we made the decision to disconnect inbound and outbound transactions from Change Healthcare.

This week, we are sharing the following provider updates — Remittance Viewing in Availity Essentials, Modifier 25 Update, Secondary Claims Denial Update, Easing Administrative Requirements for ACT, FFT, and MST Services, Important Reminder – New Paper Claims Mailing Address, Provider Quality Care Workgroup, Register for Our Upcoming Webinars