Updated September 1, 2026
Verify Buckeye Health Plan eligibility in real time.
Buckeye Health Plan supports electronic real-time eligibility. Send the check to payer ID 0004202 and the full benefits picture comes back in seconds, before the patient sits down.
Also billed as: Buckeye Health Plan Medicaid Behavioral Health · Buckeye Health Plan Medicaid Medical · Buckeye Health Plan Medicaid Vision · Buckeye Ohio Medicaid · Centene Ohio Medicaid Managed Care Entity
Seconds
The same Buckeye Health Plan check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
6 billing names
Buckeye Health Plan shows up on cards under 6 names. Every one routes to payer ID 0004202, and so do 4 older payer IDs still printed on cards. No guessing which card this is.
Medicaid plans
Buckeye Health Plan runs Medicaid plans in Ohio. Sign in and check any patient in one click before they arrive.
From $39/mo
Per location, billed yearly. Found checks are billed once a month, $2.50 each and less as you run more. No seat fees, no processing fees.
The phone way
Call, hold, transcribe, repeat.
Verifying Buckeye Health Plan by phone means a menu, a hold queue, and 15 to 25 minutes per patient while someone at the desk reads benefits back by hand. Ten patients on tomorrow's schedule is half a workday on hold.
The real-time way
Payer ID 0004202, in seconds.
The same check, sent electronically. Sign in and run it for any patient in one click, and Valian flags the ones that need a human look.
| By phone | In Valian | |
|---|---|---|
| Time per patient | 15 to 25 minutes on hold | Seconds |
| When it happens | Day of, squeezed between patients | Any time before the visit, in one click |
| What you get | Notes scribbled while someone reads benefits aloud | The full breakdown, saved to the patient |
What a Buckeye Health Plan eligibility check returns
- Whether coverage is active, with plan and group details
- Deductible, and how much of it is already met this year
- Annual maximum, and how much of it is left to work with
- Coverage percentages by category: preventive, basic, major
- Frequency limits on cleanings, exams, and X-rays
- Waiting periods, where Buckeye Health Plan reports them electronically
Eligibility result
Sample data- Status
- Active
- Plan
- PPO · Group 8823
- Deductible
- $50 · $0 met
- Annual max
- $1,500 remaining
- Preventive
- 100%
- Basic
- 80%
- Major
- 50%
- Cleanings
- 2 / year
Returned in seconds · payer ID 0004202
How practices handle this today, in their own words
Verbatim from recorded calls to dental offices. Names withheld.
We call the insurance, or I go on their website and do it. Yeah, we manually do it.
We have a third party insurance verification team that does it for us. I’m not too sure, maybe like seven, ten minutes.
Our system does it, and the ones that are not set up for electronic, we do ourselves.
How getting set up works
Book a discovery call
A 15-minute call with our team: we show you a check and size your plan. Then you sign up from the link we send you: create the account, sign the agreement, and put a card on file.
Save your carriers and codes
Pick the insurance carriers you take and the codes you check.
Run a check in one click
Sign in, pick a patient and see their coverage in seconds before the visit, Buckeye Health Plan included. No hold music, no portal logins.
Under half an hour of your time all in. See how the software compares, how a real-time check works, or what outsourcing costs.
What Buckeye Health Plan supports through our network
- Real-time eligibility (270/271)
- Yes, in seconds
- Enrollment for eligibility
- None, checks work day one
- Dental claims (837D)
- Not through our network
- Claim status (276/277)
- Yes
- Electronic remittance (835)
- Yes, after a multi-step enrollment, typically a few weeks
- Electronic funds transfer
- Not through our network
- Claim attachments
- Yes
Names and IDs this payer goes by
Buckeye Health Plan · Buckeye Health Plan Medicaid Behavioral Health · Buckeye Health Plan Medicaid Medical · Buckeye Health Plan Medicaid Vision · Buckeye Ohio Medicaid · Centene Ohio Medicaid Managed Care Entity. Older cards may show payer ID 42020, 7068, 9457 and SKOH3. All of them route to payer ID 0004202.
Payer site: www.buckeyehealthplan.com
How to verify Buckeye Health Plan, step by step
Get the member ID and date of birth from the card or the patient.
Send the electronic eligibility request (a 270) to payer ID 0004202.
Read the response (the 271): status, deductible, max, percentages, frequencies.
Save the breakdown to the patient. With Valian, all four take one click and a few seconds.
Buckeye Health Plan runs Medicaid plans across Ohio. Medicaid dental benefits change by state and by age, which is exactly what the check reads off the plan.
Buckeye Health Plan, for your front desk
Phone numbers and claims address, from Buckeye Health Plan's own provider pages.
- Provider customer service
- 866-296-8731
- Provider email
- EDIBA@centene.com
- Claims mailing address
- PO Box 22687, Tampa, FL 33622-2687
Source: Buckeye Health Plan, medicaid authorizations page and electronic transactions page. Checked September 19, 2026.
Buckeye Health Plan, quick answers
Does Buckeye Health Plan support real-time eligibility?
Yes. Eligibility checks to Buckeye Health Plan clear electronically in seconds through payer ID 0004202.
What payer ID do I use for Buckeye Health Plan?
0004202 for eligibility transactions. The same payer also appears on cards as Buckeye Health Plan Medicaid Behavioral Health, Buckeye Health Plan Medicaid Medical, Buckeye Health Plan Medicaid Vision.
What does a check cost with Valian?
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees. Sign in and run each check in one click before the visit.
Does Buckeye Health Plan require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Which Buckeye Health Plan plans does this cover?
Buckeye Health Plan runs Medicaid plans in Ohio. The eligibility check reads the specific plan on the patient's card, whichever program it belongs to.
Can I get Buckeye Health Plan remittances electronically?
Yes. Buckeye Health Plan sends electronic remittance advice (835) after a multi-step enrollment, typically a few weeks.
What if the patient's card shows a different Buckeye name?
Alternate billing names route to the same payer ID, 0004202. The same check covers them.
More questions about verifying Buckeye Health Plan? Schedule 15 minutes with us and bring your toughest plan.
Check any Buckeye Health Plan patient in one click, before they walk in.
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees.
Book 15 minutes, demo or onboarding
Pick a time, then tell us on the form whether it is a demo or an onboarding call.
Other Ohio dental payers
35 other payers operating in Ohio also verify in real time, 15 of them with Medicaid plans.
- Aetna Better Health Ohio50023
- AmeriHealth Caritas Ohio35374
- Anthem Blue Cross and Blue Shield MyCare Ohio0022147
- Anthem Blue Cross Blue Shield (Ohio Medicaid)0002937
- Anthem Blue Cross Blue Shield Ohio00834
- Anthem Blue Cross Blue Shield Ohio - DentalAD332
- AultCare10472
- CareSourceCRSCK
- CareSource Ohio Marketplace31114
Medicaid plans in Ohio: Aetna Better Health Ohio, AmeriHealth Caritas Ohio, Anthem Blue Cross and Blue Shield MyCare Ohio, Anthem Blue Cross Blue Shield (Ohio Medicaid), Anthem Blue Cross Blue Shield Ohio, CareSource, and 9 more.
Related payers
- Verify Aetna Better Health Ohio eligibility
- Verify AmeriHealth Caritas Ohio eligibility
- Verify Anthem Blue Cross and Blue Shield MyCare Ohio eligibility
- Verify Anthem Blue Cross Blue Shield (Ohio Medicaid) eligibility
- Verify Anthem Blue Cross Blue Shield Ohio eligibility
- Verify Anthem Blue Cross Blue Shield Ohio - Dental eligibility
Payer names and marks belong to their owners and identify the insurance company a practice can verify. Sample result shown for illustration; real results reflect the patient's actual plan. Payer capabilities can change between network updates.