Updated September 1, 2026
Verify Medicaid Virginia eligibility in real time.
Medicaid Virginia supports electronic real-time eligibility. Send the check to payer ID 10198 and the full benefits picture comes back in under a second, before the patient sits down.
Also billed as: Cardinal Care · Virginia DMAS · Virginia Department of Medical Assistance Services · Virginia Medicaid
Under 1 second
The same Medicaid Virginia check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
5 billing names
Medicaid Virginia shows up on cards under 5 names. Every one routes to payer ID 10198, and so do 13 older payer IDs still printed on cards. No guessing which card this is.
42 Medicaid plans
verify in real time through Valian. One setup covers the whole Medicaid family, Medicaid Virginia included.
First month free
On day 30 your card on file is charged $500 unless you cancel. Then $2.50 a check. No seat fees, no platform fee, no contract.
The phone way
Call, hold, transcribe, repeat.
Verifying Medicaid Virginia 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 10198, under a second.
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 | Under a second |
| 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 Medicaid Virginia 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 Medicaid Virginia 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 under a second · payer ID 10198
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
Sign up
About ten minutes: create the account, sign the agreement, and your free first month starts. On day 30 your card on file is charged $500 unless you cancel.
Connect your system
We connect your practice management software with your office manager. Open Dental, Dentrix, Eaglesoft, and more.
Run a check in one click
Sign in, pick a patient and see their coverage in under a second before the visit, Medicaid Virginia included. No hold music, no portal logins.
Under half an hour of your time all in. See the full walkthrough on the insurance verification page.
What Medicaid VA supports electronically
- Real-time eligibility (270/271)
- Yes, under a second
- Enrollment for eligibility
- None, checks work day one
- Dental claims (837D)
- Not offered electronically
- Claim status (276/277)
- Not offered electronically
- Electronic remittance (835)
- Yes, after a multi-step enrollment, typically a few weeks
- Electronic funds transfer
- Not offered electronically
- Claim attachments
- Not offered electronically
Names and IDs this payer goes by
Medicaid Virginia · Cardinal Care · Virginia DMAS · Virginia Department of Medical Assistance Services · Virginia Medicaid. Older cards may show payer ID 00913, 12003, 1472, 454 and 5538. All of them route to payer ID 10198.
Payer site: www.dmas.virginia.gov
How to verify Medicaid Virginia, 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 10198.
Read the response (the 271): status, deductible, max, percentages, frequencies.
Save the breakdown to the patient. With Valian, all four take one click and under a second.
Medicaid Virginia runs Medicaid plans across Virginia. Medicaid dental benefits change by state and by age, which is exactly what the check reads off the plan.
Medicaid Virginia, quick answers
Does Medicaid Virginia support real-time eligibility?
Yes. Eligibility checks to Medicaid Virginia clear electronically in under a second through payer ID 10198.
What payer ID do I use for Medicaid Virginia?
10198 for eligibility transactions. The same payer also appears on cards as Cardinal Care, Virginia DMAS, Virginia Department of Medical Assistance Services.
What does a check cost with Valian?
$2.50 per verification. Sign in and run each check in one click before the visit. Your first month is free. On day 30 your card on file is charged $500 unless you cancel. No contract and no seat fees.
Does Medicaid Virginia require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Which Medicaid Virginia plans does this cover?
Medicaid Virginia runs Medicaid plans in Virginia. The eligibility check reads the specific plan on the patient's card, whichever program it belongs to.
Can I get Medicaid Virginia remittances electronically?
Yes. Medicaid Virginia sends electronic remittance advice (835) after a multi-step enrollment, typically a few weeks.
What if the patient's card shows a different Medicaid name?
Alternate billing names route to the same payer ID, 10198. The same check covers them.
More questions about verifying Medicaid Virginia? Schedule 15 minutes with us and bring your toughest plan.
Check any Medicaid Virginia patient in one click, before they walk in.
First month free. On day 30 your card on file is charged $500 unless you cancel. $2.50 a check after that. No seat fees, no platform fee, no contract.
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 Virginia dental payers
17 other payers operating in Virginia also verify in real time, 3 of them with Medicaid plans.
- Aetna Better Health Virginia128VA
- Anthem Blue Cross and Blue Shield Virginia423
- Anthem Blue Cross and Blue Shield Virginia - DentalAD423
- CareFirst Administrators75191
- CareFirst Blue Cross Blue Shield MarylandSB690
- CareFirst Blue Cross Blue Shield Maryland - Dental00580
- CareFirst BlueCross BlueShield Medicare Advantage45282
- Delta Dental of VirginiaCDVA1
- Devoted HealthDEVOT
Medicaid plans in Virginia: Anthem Blue Cross and Blue Shield Virginia, CareFirst Blue Cross Blue Shield Maryland, Molina Complete Care Virginia DSNP.
The Medicaid family in the network
42 Medicaid plans verify in real time through Valian.
- Verify Medicaid Alabama eligibility
- Verify Medicaid Alaska eligibility
- Verify Medicaid Arizona eligibility
- Verify Medicaid Arkansas eligibility
- Verify Medicaid California Medi-Cal eligibility
- Verify Medicaid Connecticut eligibility
- Verify Medicaid Delaware eligibility
- Verify Medicaid District of Columbia eligibility
- Verify Medicaid Florida eligibility
- Verify Medicaid Georgia eligibility
- Verify Medicaid Hawaii eligibility
- Verify Medicaid Idaho 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.