Subscribe to updates for Multiple Payers - AVMED, SENTARA HEALTH PLANS - Multiple Transactions - Health Care Services Inquiry, HCSR Inpatient Auth, HCSR Outpatient Auth and HCSR Referral transactions are currently unavailable. via email and/or text message. You'll receive email notifications when incidents are updated, and text message notifications whenever Payer Notifications creates or resolves an incident.