Sentara PACE
Part of Sentara Healthcare
Regional plandental
Typical enrollment turnaround
60-90 days
Summary
Sentara PACE is a regional health plan, part of Sentara Healthcare, offering dental coverage operating in Virginia and North Carolina. Claims route under payer ID SENT1. Provider enrollment typically takes 60-90 days, with applications through Sentara Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports professional claims, institutional claims, and dental claims.
At a glance
- Payer ID
SENT1- Also known as
- Sentara (pace), Sentara Health
- Uses CAQH
- YesApplication route: CAQH application only
- Service area
- VA, NC
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| Dental claims (837D) | Not required | Immediate |
Common questions
- What is the payer ID for Sentara PACE?
- The payer ID for Sentara PACE is SENT1.
- How long does Sentara PACE provider enrollment take?
- Sentara PACE provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Sentara PACE require CAQH?
- Yes. Sentara PACE uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- What states does Sentara PACE cover?
- Sentara PACE operates in VA, NC. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Sentara PACE offer?
- Sentara PACE covers dental.
Related payers
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.