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Get Optima Behavioral Health Provider Credentialing Packet

Optima Behavioral Health Provider Credentialing Packet Thank you for your interest in becoming a participating provider in the Optima Behavioral Health (OBH) Network. We are currently accepting applications.

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How to fill out the Optima Behavioral Health Provider Credentialing Packet online

This guide is designed to assist you in completing the Optima Behavioral Health Provider Credentialing Packet online. Following the outlined steps will ensure that your application is filled out correctly and submitted promptly.

Follow the steps to complete your credentialing packet effectively.

  1. Click the 'Get Form' button to access the credentialing packet and open it for your completion.
  2. Review the OBH Application Checklist for CAQH before filling out the form. This checklist outlines the required information and documentation to submit your application appropriately.
  3. Fill out the Behavioral Health Provider Information section. Provide details such as your name, license type, license number, and practice information. Ensure that all fields are complete, including your Tax ID and NPI number.
  4. In the Member Matching Information section, provide your availability and the populations you serve. Be thorough to enhance your visibility for potential client matches.
  5. Complete the Authorization and Release section. Carefully review the terms before signing and dating the document, as this is crucial for processing your application.
  6. If applicable, fill out the Cross Coverage Form only if you have not listed any partners or associates in your CAQH application. This form confirms coverage in your absence.
  7. Review your completed packet carefully, ensuring all required components are included. Send the final version to Network Management via fax to the appropriate number.
  8. After submission, wait for the credentialing process to begin, which typically takes 60-90 days. You will receive a contract for review and further instructions upon successful submission.

Begin completing your Optima Behavioral Health Provider Credentialing Packet online today to expedite your application process.

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Optima Health is part of the Sentara Healthcare integrated health care system. This system is made up of companies owned by Sentara Healthcare.

What are the timely filing limits for claim submission? 365 days from the date of service. This includes any reconsiderations and appeals.

Optima and Optum teamed up to change this. Optum® is a registered trademark of Optum, Inc. in the U.S. and other jurisdictions. All other brand or product names are the property of their respective owners.

Payer Name: Sentara Family Plan / Sentara Health Management Note: Customer Service: (800) 229-8822.

Shop at a participating grocery store. Simply scan the card or the bar code from the app at the checkout. The app is free from the App Store or Google Play.

We're a leading UK occupational health and wellbeing company. We help organisations and their people perform at their best by managing their health.

You can also call our main number at 757-552-7401 or toll-free at 1-877-552-7401. If you are hearing impaired please call our TTY VA Relay Service at 1-800-828-1140 or 711.

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