AETNA
Commercial
Aetna PPO
Aetna HMO
Aetna Innovation Health
Aetna Signature Administrators/TPA/HealthSmart Benefit Solutions
Coresource-OSU Healthplan
Coventry Healthcare PPO
Coventry Healthcare HMO (In State Plans only)
Inova
Fringe Benefits
Meritain Health
Mail Handlers Benefit Plan
Starmark - Trustmark
Valley Health/Booz Allen
Wells Fargo
Medicare Advantage
Aetna Medicare
Aetna Medicare Advantage Gold
Aetna Medicare HMO
Aetna Medicare HMO Innovation
Coventry Medicare
Medicaid MCOs
Aetna Better Health MD*
Aetna Better Heath VA*
BCBS
Commercial
Anthem
Anthem HealthKeepers (HMO/POS)
Anthem Pathways X [Exchange] (HMO)
Anthem Pathway X Tiered PCP & Hospital Plans (Privia is Tier 2)
BlueCard PPO (out of state)
BlueChoice Adv Open Access
Federal Employee Program (FEP)
High Performance Network (HPN)
Traditional PPO
Traditional/Indemnity
CareFirst
Adventist Health (must have Adventist privileges to be Tier 1)
BlueCard PPO (out of state)
BlueChoice (HMO/POS)
BlueEssential (HMO)
BluePreferred
CareFirst Administrators
CareFirst TPA (Third Party Admin)
EPO
Federal Employee Program (FEP)
HealthyBlue (PPO/HMO/POS)
High Performance Network (HPN)
National Accounts NASCO
Maryland Point of Service (MPOS)
MedPlus
Traditional PPO
Traditional/Indemnity
Medicare Advantage
Anthem Medicare Advantage (HMO/PPO)
Anthem Healthkeepers DSNP HMO (Dual Medicare/Medicaid)
CareFirst Medicare Advantage (HMO/PPO)
CareFirst BlueCross BlueShield Advantage DualPrime (HMO-SNP)
Medicaid MCOs
Anthem HealthKeepers Plus (included in Anthem BCBS of VA contract)
CareFirst Community Health Plan Maryland*
CIGNA
Commercial
Cigna Open Access
Cigna Commercial PPO
Cigna Commercial HMO
Conifer Health Solutions Tier 2
APWU American Postal Workers Union*
*transitioned to UHC 01/01/2024
Freedom Life (TPA)
Great West
Health Partners
NALC - National Association of Letter Carriers
Significia Benefit Services
Virginia EPO Connect (Cigna Connect) *
* Only for providers in the following cities & counties in Virginia:
Northern VA: Alexandria City, Arlington, Clarke, Fairfax City, Fairfax, Falls Church City, Loudoun, Manassas City, Manassas Park City, Prince William, Stafford and Warren.
Richmond Area: Amelia, Charles City, Chesterfield, Dinwiddie, Hanover, Henrico, Prince George, Sussex, Colonial Heights City, Hopewell City, Petersburg City, Richmond City, Cumberland, Goochland, Louisa, Powhatan.
Other Virginia Counties: Fauquier, Page, Rappahannock and Shenandoah
Medicare Advantage
Cigna Medicare Advantage
UNITED
Commercial
APWU American Postal Workers Union
United Choice Advanced and Choice Plus Advanced
United Choice and Choice Plus
United Core and Core Essential
United Edge
United GEHA
United GEHA Elevate & Elevate Plus
United Golden Rule
United Medica
United Mid Atlantic Health Plan - MD-IPA and MAMSI Life Choice
United Mid Atlantic Health Plan - Optimum Choice and MAMSI Life Choice
United Navigate
United Nexus ACO
United Options (PPO) and Non Options (HMO)
United Oxford
United Student Resources
United UMR
United UMR FEHB
United UMR PEIA WV (WV and adjacent counties only)
United All Savers Health Plan (VA/MD only)
Heritage - United Healthcare of the River Valley (VA only)
Surest
Commercial Exchange*
*DC/Maryland Providers: Please check payer website for participation
UHC Bronze Essential+
UHC Bronze Value+
UHC Bronze Value+ Saver
UHC Bronze Virtual First
UHC Gold Advantage+ Extra
UHC Silver Value+
UHC Silver Value+ Saver
UHC Silver Virtual First
United Compass
United Gold Value +
Medicare Advantage
United Medicare Advantage
AARP Medicare Complete Plans
Erickson Advantage Plans
Erickson Advantage Champion/Guardian Plans
Group Medicare Advantage Plans
MedicareDirect PFFS
Nursing Home Plan
Managed Medicaid
United Healthcare Community Plan - Maryland**
United Healthcare Community Plan - Virginia**
OTHER COMMERCIALS
Allegiance - Custom Ink
Alliance Coal Health Plan
West Virginia Only
Alterwood Health
DC/MD only
Apostrophe
Beech Street
Centivo (formerly Apostrophe Health DC) (branded Trivado to patients)
ClaimDOC
ClaimsBridge (Innovative Healthware Services)
Johns Hopkins Employer Health Programs (Cigna PPO Network)
JAI Medical* (*Maryland PCP providers only)
Kaiser Permanente* (*select plans through Multiplan noted below)
Flexible Choice - Select option 2
Out-of-Area PPO - In-network benefits
Lifeworks
MedCost Virginia
Virginia only
Multiplan
NCCPO
Oscar
Northern Virginia Only - Select Richmond areas: Chesterfield, Hanover, Henrico and Richmond City
PCHP Piedmont *Health plan terminating 12/31/2024
SWVA Only
PHCS
SavATree
SavATree - Flume Health
Sentara/Optima (HMO/PPO)
Trinity Health PACE Montgomery County* (opt-in only)
Operations Consultant Approval Required
MEDICARE AND MEDICARE ADVANTAGE
Medicare Advantage
Aetna Medicare
Aetna Medicare Advantage Gold
Aetna Medicare HMO
Aetna Medicare HMO Innovation
Alterwood Health Medicare Advantage
Anthem Medicare Advantage (HMO/PPO)
Anthem HealthKeepers DSNP HMO (Dual Medicare/Medicaid)
CareFirst Medicare Advantage (HMO/PPO)
CareFirst BlueCross BlueShield Advantage DualPrime (HMO-SNP)
Cigna Medicare Advantage
Coventry Medicare
Humana Gold Choice
Humana Gold Plus
Humana Medicare
Humana PFFS
Lifeworks
United AARP Medicare Complete Plans
United Group Medicare Advantage Plans
United Medicare Advantage
United MedicareDirect PFFS
United Nursing Home Plan
Virginia Premier Medicare Advantage
Molina Complete Care* (opt-in)
Sentara Medicare*(opt-in) (requires Operation Consultant approval)
MEDICAID AND MEDICAID MCOS
District of Columbia
Amerigroup DC
AmeriHealth Caritas DC
DC Medicaid
DC Medicaid - Medicaid - DC - Crossover Claims (Medicaid)
MedStar Family Choice DC
Maryland
Aetna Better Health MD
Amerigroup - Wellpoint MD
CareFirst Community Health Plan of Maryland
Maryland Medicaid
Maryland Physicians Care
MedStar Family Choice MD
JAI Medical*
*Maryland PCP only
United Healthcare Community Plan - Maryland
Virginia
Aetna Better Health Virginia
Anthem HealthKeepers Plus*
*Included in Privia's Anthem BCBS of VA provider agreement.
Molina Complete Care
Molina Behavioral Health
Optima Family Care - Sentara Medicaid
United Healthcare Community Plan - Virginia
Virginia Medicaid
Virginia Medicaid - Secondary Only (QMB)
Virginia Premier Elite / Elite Plus & Medallion (Medicaid Secondary)*
*Merged with Optima effective July 1, 2023
West Virginia
Aetna Better Health of WVA
The Health Plan
UPMC Health Plan
Unicare
GOVERNMENT
Governmental Payers
Tricare - Humana Military
Department of Labor - Workers Comp*
Department of Labor - Black Lung Program*
Department of Labor - Energy Program*
Department of Labor - FECA Program*
CHAMPVA (non-par)
*Opt in Contracts - Must designate your interest in enrollment on the credentialing In Network Payer Checklist.