Dental insurance verification in Arizona.
28 payers operating in Arizona support real-time dental eligibility, on top of the 30 nationwide carriers. Every one of them verifies in seconds, with the full benefits breakdown, before the patient sits down. Valian's dental eligibility verification covers every payer listed below.
Arizona payers with real-time eligibility
AZ Blue
Banner Medicare Advantage Prime HMO
Blue Cross and Blue Shield of Illinois
Blue Cross Blue Shield of Arizona Health Choice
Blue Cross Blue Shield of Arizona Health Choice Pathway
Blue Shield of California
Care1st Health Plan Arizona
Delta Dental Arizona
Devoted Health
Health Choice BCBS of Arizona ACA
Luminare Health
Medica
Medicaid Arizona
Mercy Care ACC-RBHA
Mercy Care Arizona
Mercy Care Plan (AZ Health Care Cost Containment System)
Molina HealthCare Arizona
MVP Health Care
Oscar Health
Pekin Insurance
Regence BlueCross BlueShield of Oregon
Sana Benefits
SCAN Health Plan
Schaller Anderson Mercy Care
SKYGEN USA
TRICARE West Region
United HealthCare Community Plan of Arizona
Wellpoint
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in Arizona too. browse the full directory.
Arizona payers by plan type
7
Commercial payers
13
Medicaid payers
8
Medicare payers
1
TRICARE payer
18 of the 28 Arizona payers list the programs they run: 7 run Commercial plans, 13 run Medicaid plans, 8 run Medicare plans and 1 runs TRICARE plans. Some run more than one. The other 10 do not list one.
By line of coverage, 2 cover dental only, 26 also cover medical and 16 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
13 payers run Medicaid plans in Arizona
- AZ Blue, payer ID 53589
- Blue Cross and Blue Shield of Illinois, payer ID G00621
- Blue Cross Blue Shield of Arizona Health Choice, payer ID 62179
- Blue Shield of California, payer ID 100935
- Care1st Health Plan Arizona, payer ID 10981
- Medicaid Arizona, payer ID AZ
- Mercy Care ACC-RBHA, payer ID 33628
- Mercy Care Arizona, payer ID AZM01
- Mercy Care Plan (AZ Health Care Cost Containment System), payer ID 86052
- MVP Health Care, payer ID 14165
- SCAN Health Plan, payer ID SPSCN
- Schaller Anderson Mercy Care, payer ID AEMED
- United HealthCare Community Plan of Arizona, payer ID 03432
Enrollment with Arizona payers
All 28 Arizona payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, 26 of the 28 send electronic remittance advice (835) only after enrollment and 2 do not offer it electronically. 21 use a one-click enrollment and 5 need a multi-step one. Typical enrollment time: a few weeks for 17, a few days for 5, within hours for 3 and over four weeks for 1.
For claims, 12 accept dental claims (837D) electronically and 21 answer claim status requests (276/277). Eligibility checks do not wait on any of it, so you can verify a patient before any of that paperwork is done.
How to verify an Arizona patient's dental coverage
- Step 1
Gather the basics.
Get the member ID from the insurance card, plus the patient's full name and date of birth.
- Step 2
Pick the payer.
Match the card to one of the 28 Arizona payers above or to a nationwide carrier. Between them, the Arizona payers go by 103 billing names and 175 alternate payer IDs, so the card may not match the list word for word.
- Step 3
Run the check.
The eligibility request goes to the payer electronically and the answer comes back in real time, with no enrollment needed first for any of the 28.
- Step 4
Read the benefits breakdown.
Look at active status, deductible, annual maximum, coverage percentages and frequency limits before the patient sits down.
With Valian's dental insurance eligibility verification, your team runs all four steps from one screen for every payer on this page.
Arizona dental payers, quick answers
How many dental payers in Arizona support real-time eligibility?
28 payers operating in Arizona support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.
Which Arizona Medicaid dental plans can be verified in real time?
AZ Blue (payer ID 53589), Blue Cross and Blue Shield of Illinois (payer ID G00621), Blue Cross Blue Shield of Arizona Health Choice (payer ID 62179), Blue Shield of California (payer ID 100935), Care1st Health Plan Arizona (payer ID 10981), Medicaid Arizona (payer ID AZ), Mercy Care ACC-RBHA (payer ID 33628), Mercy Care Arizona (payer ID AZM01), Mercy Care Plan (AZ Health Care Cost Containment System) (payer ID 86052), MVP Health Care (payer ID 14165), SCAN Health Plan (payer ID SPSCN), Schaller Anderson Mercy Care (payer ID AEMED) and United HealthCare Community Plan of Arizona (payer ID 03432). These 13 payers run Medicaid plans in Arizona and support real-time eligibility.
Do nationwide carriers verify in Arizona?
Yes. 30 nationwide carriers verify for patients in Arizona as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 28 payers that operate in Arizona.
Do Arizona payers require enrollment before eligibility checks?
No. All 28 Arizona payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: 26 of them require it before sending electronic remittance advice (835).
Check any Arizona 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.