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Information for healthcare professionals
Join the Virginia Premier Network
We’re always looking for healthcare professionals who share our commitment to providing plan members with quality, safe and cost-efficient care.
System Upgrade 6/5/20 – 6/9/20
Due to a system upgrade, our claims management platform will not be available on Friday, June 5th from 12pm to close of business. This will not impact our provider portal and we are available to assist with general questions.
Due to a system upgrade, our member and provider portals will be unavailable on Monday, June 8th from 6pm until 8am, Tuesday, June 9th.
Providers will be required to review authorization status by utilizing the authorization inquiry functionality in the Provider Portal selection, titled “Medicaid, CCC Plus, Medicare Advantage, DSNP, VCC” (Orange Box). For additional questions please contact the Provider Service Line 1(804) 968-1529
By logging in to this portal, I affirm that I have read, understand and agree to abide by the following terms and conditions:
I certify I am a health care provider, an employee of a health care provider, a business associate of a health care provider, or an employee of a business associate, and the purpose of my access to any Virginia Premier System is related to the provision or payment of health care services.
With respect to all information viewed or obtained from this site, I agree to comply with all applicable federal and state laws regarding the confidentiality and integrity of health and medical records. This includes full compliance with the Health Insurance Portability and Accountability Act of 1996 (‘HIPAA’), the HITECH Act, and the Virginia Health Records Privacy Act, and applicable regulations to these laws.
I agree to keep confidential all information related to Virginia Premier System business, including, but not limited to, quality and risk management activities as well as other confidential or personal information concerning the medical, personal, or business affairs of Virginia Premier System and its members.
I agree to notify Virginia Premier System immediately in the event that my network access has been compromised in any way and in the event of unauthorized use or disclosure of any information obtained from the Virginia Premier System network.
In order to register for an account, if you would like access to all group NPIs/APIs under a single Tax ID, please enter your Tax ID only. If you would like access to a specific group NPI/API instead, please enter it in the field provided.
For expedited registration, please provide a Claim number and the Total Billed Charges on the claim when creating your account.
You will receive an email within 3-5 business days with your username and temporary password.
Please call Technical Support for help with Virginia Premier’s Provider Portal at 1-877-814-9909 or email email@example.com.
Virginia Premier has helpful HEDIS-related provider tools that provide you with details about each measure.