Sentara Health Plans Contact Directory
17 contact channels across 4 types (Email, Fax, Mailing Address, Phone) for claims, prior authorization, provider services, and more.
Last verified Aug 25, 2026 from the payer's published directories.
Phone
7 rows
| Contact | Purpose | Line of Business | Hours | Notes | Source |
|---|---|---|---|---|---|
| 800-648-8420 | Behavioral Health | Medicaid | 8 a.m. to 5 p.m. Monday through Friday; 8 a.m. to 6 p.m. Monday through Friday (Medicaid only) | Behavioral Health Provider Service Representatives. - Behavioral Health Provider Services | View source |
| 888-946-1168 | Behavioral Health | Medicaid | N/A | Sentara Community Plan behavioral health line. - Behavioral Health | View source |
| 800-750-9692 | Pharmacy | All | N/A | Pharmacy prior authorization / step-edit request form instructs faxing to this number. - Pharmacy prior authorization / step-edit requests | View source |
| 888-946-1167 | Prior Authorization | Medicaid | N/A | Sentara Community Plan page says this is for prior authorization — medical and pharmacy. - Medical and Pharmacy | View source |
| 800-229-8822 | Provider Services | All | 8 a.m. to 5 p.m., Monday through Friday | Medical Provider Service Representatives / general provider services, including claims questions | View source |
| 844-512-3172 | Provider Services | Medicaid | N/A | Provider Relations and Eligibility Verification. - Provider Relations and Eligibility Verification | View source |
| 757-552-7474 | Provider Services | All | 8 a.m. to 5 p.m., Monday through Friday | Medical Provider Service Representatives / general provider services, including claims questions | View source |
Fax
2 rows
| Contact | Purpose | Line of Business | Hours | Notes | Source |
|---|---|---|---|---|---|
| 757-552-7499 | Behavioral Health | Medicaid | N/A | Behavioral Health Provider Services fax. - Behavioral Health Provider Services | View source |
| 757-552-7316 | Provider Services | Commercial | N/A | Provider Services fax. - Provider Services | View source |
Mailing Addresses
4 rows
| Contact | Purpose | Line of Business | Hours | Notes | Source |
|---|---|---|---|---|---|
| Sentara Health Plans Appeals & Grievances, PO Box 62876, Virginia Beach, VA 23466 | Appeals Disputes | All | N/A | Plan-level appeals and grievances mailing address | View source |
| Behavioral Health Claims, PO Box 8204, Kingston, NY 12402-8204 | Claims Submission | All | N/A | Behavioral Health paper claims, including corrected paper claims and reconsiderations | View source |
| Medical/LTSS Claims, PO Box 8203, Kingston, NY 12402-8203 | Claims Submission | All | N/A | Medical/LTSS paper claims, including corrected paper claims and reconsiderations | View source |
| Not explicitly listed in retrieved sources | General | All | N/A | No mailing address for these functions was visible in the retrieved sources beyond standard provider department contacts; omitted where not explicitly shown. - Not explicitly listed in retrieved sources | View source |
4 rows
| Contact | Purpose | Line of Business | Hours | Notes | Source |
|---|---|---|---|---|---|
| SHPInitialCred@sentara.com | Credentialing Enrollment | Medicaid | N/A | Initial credentialing questions. - Initial credentialing questions | View source |
| SHPrecred@sentara.com | Credentialing Enrollment | Medicaid | N/A | Re-credentialing questions. - Re-credentialing questions | View source |
| contactmyrep@sentara.com | Provider Services | All | N/A | Contact for provider network educators / provider reps for claims and reconsideration questions | View source |
| ProviderRelations@sentara.com | Provider Services, Behavioral Health | Commercial, Medicaid | N/A | Provider Relations email listed on the provider contact page. | Behavioral Health Provider Services email listed on the provider contact page. - Provider Relations | Behavioral Health Provider Services | View source |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.
More from Sentara Health Plans
Go deeper
Explore OpenPayer Data
Contact details are one slice of what OpenPayer tracks per payer. Browse the full health insurance payer directory for plan profiles and market data, or follow payer policy changes in the live policy feed.
Toolbox
More OpenPayer Tools
- Billing Code LookupSearch CPT, HCPCS, J-codes, DRG, and dental codes by number or procedure name.
- Healthcare Provider & Facility LookupFind hospitals and healthcare facilities by name, taxonomy, facility type, ownership, or state.
- Health Insurance Payer LookupSearch national health insurance payers and health plans by name and state presence.
- Provider Taxonomy Code LookupSearch NUCC taxonomy codes by code, specialty, grouping, or classification.
- CPT Modifier LookupSearch CPT modifiers by code or name — descriptions, when to use them, and payer policy context.
- Prior Authorization LookupSearch payer prior authorization policies by drug, procedure, or policy name.
- Timely Filing LookupFind payer timely filing policies: claim deadlines, corrected claim windows, and appeal timeframes.
- Coverage Criteria LookupSearch payer coverage criteria and medical necessity requirements by drug, procedure, or payer.
Sources
Where this data comes from
Every contact in this directory comes from documents the payers publish themselves, such as provider manuals, quick reference guides, and contact pages, and each payer page shows when its contacts were last verified. You can see all of our data sources and how we process them.
Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.