Updated September 1, 2026
Verify North Carolina Medicaid eligibility in real time.
North Carolina Medicaid supports electronic real-time eligibility. Send the check to payer ID NCMCD and the full benefits picture comes back in seconds, before the patient sits down.
Also billed as: Medicaid North Carolina · NC Medicaid · NCDHHS
Seconds
The same North Carolina Medicaid check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
4 billing names
North Carolina Medicaid shows up on cards under 4 names. Every one routes to payer ID NCMCD, and so do 8 older payer IDs still printed on cards. No guessing which card this is.
4 North plans
verify in real time through Valian. One setup covers the whole North family, North Carolina Medicaid included.
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 North Carolina Medicaid 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 NCMCD, 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 North Carolina Medicaid 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 North Carolina Medicaid 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 NCMCD
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, North Carolina Medicaid 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 Medicaid NC supports through our network
- Real-time eligibility (270/271)
- Yes, in seconds
- Enrollment for eligibility
- None, checks work day one
- Dental claims (837D)
- Yes, after enrollment
- Claim status (276/277)
- Yes, after enrollment
- Electronic remittance (835)
- Yes, after a multi-step enrollment, typically a few weeks
- Electronic funds transfer
- Not through our network
- Claim attachments
- Not through our network
Names and IDs this payer goes by
North Carolina Medicaid · Medicaid North Carolina · NC Medicaid · NCDHHS. Older cards may show payer ID 10156, 12K23, 1561250855, 377 and CKNC1. All of them route to payer ID NCMCD.
Payer site: medicaid.ncdhhs.gov
How to verify North Carolina Medicaid, 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 NCMCD.
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.
North Carolina Medicaid runs Medicaid plans across North Carolina. Medicaid dental benefits change by state and by age, which is exactly what the check reads off the plan.
North Carolina Medicaid, for your front desk
Phone numbers, from North Carolina Medicaid's own provider pages.
- Provider customer service
- 888-245-0179
Source: North Carolina Medicaid, dental providers page. Checked September 19, 2026.
North Carolina Medicaid, quick answers
Does North Carolina Medicaid support real-time eligibility?
Yes. Eligibility checks to North Carolina Medicaid clear electronically in seconds through payer ID NCMCD.
What payer ID do I use for North Carolina Medicaid?
NCMCD for eligibility transactions. The same payer also appears on cards as Medicaid North Carolina, NC Medicaid, NCDHHS.
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 North Carolina Medicaid require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Which North Carolina Medicaid plans does this cover?
North Carolina Medicaid runs Medicaid plans in North Carolina. The eligibility check reads the specific plan on the patient's card, whichever program it belongs to.
Can I get North Carolina Medicaid remittances electronically?
Yes. North Carolina Medicaid sends electronic remittance advice (835) after a multi-step enrollment, typically a few weeks.
What if the patient's card shows a different North name?
Alternate billing names route to the same payer ID, NCMCD. The same check covers them.
More questions about verifying North Carolina Medicaid? Schedule 15 minutes with us and bring your toughest plan.
Check any North Carolina Medicaid 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 North Carolina dental payers
19 other payers operating in North Carolina also verify in real time, 4 of them with Medicaid plans.
- ACS Benefit Services72467
- Alignment Health PlanCCHPC
- Alliance Health23071
- AmeriHealth Caritas North Carolina81671
- Blue Cross NCBCSNC
- Blue Medicare PPO/HMO of North Carolina56152
- CareFirst Blue Cross Blue Shield MarylandSB690
- CareFirst Blue Cross Blue Shield Maryland - Dental00580
- CareSourceCRSCK
Medicaid plans in North Carolina: Alliance Health, CareFirst Blue Cross Blue Shield Maryland, CareSource, Vaya Health.
All 20 North Carolina payers, with plan types and enrollment
The North family in the network
4 North plans verify in real time through Valian.
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.