ICD-10: Are You Ready?Learn more
Ready, Set, Sync,Helping members take a more active role in their health
Important Provider Manual UpdateFor All Providers
Optima Health Individual & Family Plans Have a New Name
View our hours of operation for the Thanksgiving holiday
Optima Health will be closed for business on Friday, July 3 in observance of Independence Day. After Hours Nurses may be contacted at the number listed on the back of your member ID card.
The “View Remits and Pend Reports” transaction is currently undergoing maintenance and may not be available. This tool should be fully operational on Monday, July 6.
Drug authorization forms, formularies and more.
Medical authorization forms, policy information and more.
Billing services form instructions, EDI transaction overview and more.
Immunization schedules, clinical guidelines and more.
Tools, credentialing, changes and updates, and more.
Read “Network News” and important "Updates"
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Optima Health is the trade name of Optima Health Plan, Optima Health Insurance Company, Optima Health Group, Inc., and Sentara Health Plans, Inc. Optima HMO products, related Patient Optional Point-of-Service products, Point-of-Service products, and Open Access products are underwritten by Optima Health Plan. Optima Preferred Provider Organization products are underwritten by Optima Health Insurance Company. Self-funded plans are administered by Sentara Health Plans, Inc.