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We have several mechanisms available to allow you quick and easy access to the information you need. First, refer to Frequently Asked Questions. If you find you still need to contact us directly, simply fill out a Contact Us form or call. Contact Us forms and emails are responded to within three business days.

Note: Optima Health Community Care features plan specific contact information. Please view the relevant section below.

General Contact Information

24-Hour Interactive Voice Response
Phone: 757-552-7474 or 1-800-229-8822, option 2

Provider Relations
Medical Provider Service Representatives
Phone: 757-552-7474 or 1-800-229-8822
8 a.m. to 5 p.m. Monday through Friday
Fax: 757-552-7316
Email: ProviderRelations@sentara.com

Behavioral Health Provider Service Representatives
Phone: 757-552-7174 or 1-800-648-8420
8 a.m. to 7 p.m. Monday through Friday
Fax: 757-552-7499
Email: ProviderRelations@sentara.com

Medical Care Management Pre-authorizations
Phone: 757-552-7540 or 1-800-229-5522
Fax: 757-552-7429 or 1-877-800-2839

Behavioral Health Pre-authorizations
Phone: 757-552-7174 or 1-800-648-8420, option 2
Fax: 757-552-71716 or 1-877-800-2839
Network Educators
Phone: 757-552-7085 or 1-877-865-9075
Fax: 757-552-7114

Quality Improvement
Phone: 757-252-8400 or 1-866-425-5257

Medical Claims Mailing Address
P.O. Box 5028
Troy, MI 48007-5028

Behavioral Health Claims Mailing Address
P.O. Box 1440
Troy, MI 48099-1440

EDI Information
Questions about EDI
Existing customers with questions about EDI (the 837 process):
Email the EDI Team at editeam@sentara.com.

Questions related to EFT/ERA Enrollment:
Email EFT_ERA_Inquiry@sentara.com

Need to apply for network participation?

If you have a new provider joining your practice who needs to be credentialed by Optima Health, please submit the appropriate New Provider Application Packet.

Medical New Provider Application Packet
Behavioral Health New Provider Application Packet

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Need Web Assistance?
Email technical questions to optimahelpdesk@optimahealth.com

Member Services
Members should call the Member Services number listed on their member ID card or Contact Us.


Optima Health Community Care Contact Information

PROVIDER RELATIONS

Provider Relations & Eligibility Verification
Phone: 1-844-512-3172

CLINICAL CARE SERVICES

Prior Authorization - Medical and Pharmacy
Phone: 1-888-946-1167
Fax numbers for specific services are located on the authorization fax forms

Behavioral Health
Phone: 1-888-946-1168
Inpatient Fax: 1-844-348-3719
Outpatient Fax: 1-844-895-3231

Care Coordination
Phone: 1-866-546-7924
Fax: 1-844-828-0600

After Hours Nurse Program
Phone: 1-844-387-9420

TELEPHONE FOR DEAF AND DISABLED

Phone: 1-844-552-8148

CENTIPEDE HEALTH NETWORK

Phone: 1-855-359-5391
Fax: 1-866-421-4135
E-Mail: joincentipede@heops.com

CENTIPEDE Credentialing:

CENTIPEDE Health
P.O. Box 291707
Nashville, TN 37229

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