Updated September 1, 2026
Verify Elderplan eligibility in real time.
Elderplan supports electronic real-time eligibility. Send the check to payer ID 31625 and the full benefits picture comes back in seconds, before the patient sits down.
Also billed as: HomeFirst · MJHS Health System
Seconds
The same Elderplan check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
3 billing names
Elderplan shows up on cards under 3 names. Every one routes to payer ID 31625, and so do 4 older payer IDs still printed on cards. No guessing which card this is.
NY
Elderplan covers dental, medical. 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 Elderplan 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 31625, 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 Elderplan 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 Elderplan 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 31625
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, Elderplan 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 Elderplan 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 within hours
- Electronic funds transfer
- Not through our network
- Claim attachments
- Not through our network
Names and IDs this payer goes by
Elderplan · HomeFirst · MJHS Health System. Older cards may show payer ID 11010, 1853, 1999 and 31625MA. All of them route to payer ID 31625.
Payer site: www.elderplan.org
How to verify Elderplan, 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 31625.
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.
Elderplan, quick answers
Does Elderplan support real-time eligibility?
Yes. Eligibility checks to Elderplan clear electronically in seconds through payer ID 31625.
What payer ID do I use for Elderplan?
31625 for eligibility transactions. The same payer also appears on cards as HomeFirst, MJHS Health System.
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 Elderplan require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Can I get Elderplan remittances electronically?
Yes. Elderplan sends electronic remittance advice (835) after a multi-step enrollment, typically within hours.
What if the patient's card shows a different Elderplan name?
Alternate billing names route to the same payer ID, 31625. The same check covers them.
More questions about verifying Elderplan? Schedule 15 minutes with us and bring your toughest plan.
Check any Elderplan 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 New York dental payers
38 other payers operating in New York also verify in real time, 10 of them with Medicaid plans.
- Aetna Better Health New York34734
- Anthem Blue Cross Blue Shield of New York803
- Anthem Blue Cross of New York DentalCBNY1
- CDPHP141641028
- Centivo45564
- Delta Dental New York11198
- Delta Dental of Maryland23166
- EmblemHealth Plan13551
- Essence Healthcare20818
Medicaid plans in New York: Aetna Better Health New York, Anthem Blue Cross Blue Shield of New York, Healthfirst (Health Insurance for New Yorkers), Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP, Highmark Blue Cross Blue Shield (Western and Northeastern NY), Highmark Blue Cross Blue Shield of Western New York, and 4 more.
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.