Dental insurance verification in Washington, D.C.
14 payers operating in Washington, D.C. 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.
Washington, D.C. payers with real-time eligibility
Amerigroup
AmeriHealth Caritas District of Columbia
CareFirst Administrators
CareFirst Blue Cross Blue Shield Maryland- CareFirst Blue Cross Blue Shield Maryland - Dental
CareFirst BlueCross BlueShield District of Columbia (NCA)
CareFirst BlueCross BlueShield Medicare Advantage
Delta Dental of District of Columbia (D.C.)
Delta Dental of Maryland
Innovation Health
Kaiser Foundation Health Plan Mid-Atlantic
Medicaid District of Columbia
MedStar Family Choice District of Columbia
TRICARE East
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in Washington, D.C. too. browse the full directory.
Washington, D.C. payers by plan type
3
Commercial payers
2
Medicaid payers
2
Medicare payers
1
TRICARE payer
6 of the 14 Washington, D.C. payers list the programs they run: 3 run Commercial plans, 2 run Medicaid plans, 2 run Medicare plans and 1 runs TRICARE plans. Some run more than one. The other 8 do not list one.
By line of coverage, 3 cover dental only, 11 also cover medical and 9 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
2 payers run Medicaid plans in Washington, D.C.
- CareFirst Blue Cross Blue Shield Maryland, payer ID SB690
- Medicaid District of Columbia, payer ID DCMEDICAID
Enrollment with Washington, D.C. payers
All 14 Washington, D.C. payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, all 14 send electronic remittance advice (835) only after enrollment. 9 use a one-click enrollment and 5 need a multi-step one. Typical enrollment time: a few weeks for 7, over four weeks for 3, within hours for 2 and a few days for 2.
For claims, 1 accepts 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 Washington, D.C. 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 14 Washington, D.C. payers above or to a nationwide carrier. Between them, the Washington, D.C. payers go by 42 billing names and 66 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 14.
- 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.
Washington, D.C. dental payers, quick answers
How many dental payers in Washington, D.C. support real-time eligibility?
14 payers operating in Washington, D.C. support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.
Which Washington, D.C. Medicaid dental plans can be verified in real time?
CareFirst Blue Cross Blue Shield Maryland (payer ID SB690) and Medicaid District of Columbia (payer ID DCMEDICAID). These 2 payers run Medicaid plans in Washington, D.C. and support real-time eligibility.
Do nationwide carriers verify in Washington, D.C.?
Yes. 30 nationwide carriers verify for patients in Washington, D.C. as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 14 payers that operate in Washington, D.C.
Do Washington, D.C. payers require enrollment before eligibility checks?
No. All 14 Washington, D.C. payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: all 14 of them require it before sending electronic remittance advice (835).
Check any Washington, D.C. 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.