Dental insurance verification in Colorado.
11 payers operating in Colorado 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.
Colorado payers with real-time eligibility
Allegiance Benefit Plan Management Incorporated
Anthem Blue Cross Blue Shield of Colorado- Anthem Blue Cross Blue Shield of Colorado - Dental
Colorado Access
Colorado Community Health Alliance
Delta Dental Colorado
Devoted Health
Health First Colorado
Kaiser Foundation Health Plan Colorado
Sana Benefits
TRICARE West Region
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in Colorado too. browse the full directory.
Colorado payers by plan type
1
Commercial payer
3
Medicaid payers
1
TRICARE payer
5 of the 11 Colorado payers list the programs they run: 1 runs Commercial plans, 3 run Medicaid plans and 1 runs TRICARE plans. The other 6 do not list one.
By line of coverage, 2 cover dental only, 9 also cover medical and 6 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
3 payers run Medicaid plans in Colorado
- Colorado Access, payer ID COACC
- Colorado Community Health Alliance, payer ID COCHA
- Health First Colorado, payer ID COTXIX
Enrollment with Colorado payers
All 11 Colorado payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, all 11 send electronic remittance advice (835) only after enrollment. 8 use a one-click enrollment and 3 need a multi-step one. Typical enrollment time: a few weeks for 5, instant for 2, a few days for 2, within hours for 1 and over four weeks for 1.
For claims, 5 accept dental claims (837D) electronically and 9 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 a Colorado 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 11 Colorado payers above or to a nationwide carrier. Between them, the Colorado payers go by 35 billing names and 65 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 11.
- 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.
Colorado dental payers, quick answers
How many dental payers in Colorado support real-time eligibility?
11 payers operating in Colorado support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.
Which Colorado Medicaid dental plans can be verified in real time?
Colorado Access (payer ID COACC), Colorado Community Health Alliance (payer ID COCHA) and Health First Colorado (payer ID COTXIX). These 3 payers run Medicaid plans in Colorado and support real-time eligibility.
Do nationwide carriers verify in Colorado?
Yes. 30 nationwide carriers verify for patients in Colorado as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 11 payers that operate in Colorado.
Do Colorado payers require enrollment before eligibility checks?
No. All 11 Colorado payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: all 11 of them require it before sending electronic remittance advice (835).
Check any Colorado 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.