Dental insurance verification in Connecticut.
11 payers operating in Connecticut 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.
Connecticut payers with real-time eligibility
Anthem Blue Cross Blue Shield of Connecticut- Anthem Blue Cross Blue Shield of Connecticut - Dental
Blue Cross and Blue Shield of Texas
CarePartners of Connecticut
ConnectiCare
Health New England
Healthchoice of Connecticut
Medicaid Connecticut
Oxford
PreferredOne (Aspirus Health Plan)
TRICARE East
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in Connecticut too. browse the full directory.
Connecticut payers by plan type
3
Commercial payers
3
Medicaid payers
5
Medicare payers
1
TRICARE payer
8 of the 11 Connecticut payers list the programs they run: 3 run Commercial plans, 3 run Medicaid plans, 5 run Medicare plans and 1 runs TRICARE plans. Some run more than one. The other 3 do not list one.
By line of coverage, 1 covers dental only, 10 also cover medical and 7 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
3 payers run Medicaid plans in Connecticut
- Anthem Blue Cross Blue Shield of Connecticut, payer ID 00060
- Blue Cross and Blue Shield of Texas, payer ID 84980
- Medicaid Connecticut, payer ID CTMCD
Enrollment with Connecticut payers
All 11 Connecticut payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, 10 of the 11 send electronic remittance advice (835) only after enrollment and 1 does not offer it electronically. 7 use a one-click enrollment and 3 need a multi-step one. Typical enrollment time: a few weeks for 8, instant for 1 and a few days for 1.
For claims, 3 accept dental claims (837D) electronically and 8 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 Connecticut 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 Connecticut payers above or to a nationwide carrier. Between them, the Connecticut payers go by 42 billing names and 81 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.
Connecticut dental payers, quick answers
How many dental payers in Connecticut support real-time eligibility?
11 payers operating in Connecticut support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.
Which Connecticut Medicaid dental plans can be verified in real time?
Anthem Blue Cross Blue Shield of Connecticut (payer ID 00060), Blue Cross and Blue Shield of Texas (payer ID 84980) and Medicaid Connecticut (payer ID CTMCD). These 3 payers run Medicaid plans in Connecticut and support real-time eligibility.
Do nationwide carriers verify in Connecticut?
Yes. 30 nationwide carriers verify for patients in Connecticut as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 11 payers that operate in Connecticut.
Do Connecticut payers require enrollment before eligibility checks?
No. All 11 Connecticut payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: 10 of them require it before sending electronic remittance advice (835).
Check any Connecticut 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.