Dental insurance verification in Delaware.
15 payers operating in Delaware 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.
Delaware payers with real-time eligibility
AmeriHealth
AmeriHealth Caritas Delaware
CareFirst Blue Cross Blue Shield Maryland- CareFirst Blue Cross Blue Shield Maryland - Dental
Celtic
Delta Dental of Delaware
Delta Dental of Maryland
Devoted Health
HealthSpring
Highmark Blue Cross Blue Shield of Delaware
Highmark Delaware Health Options
Horizon Blue Cross and Blue Shield of New Jersey
Medicaid Delaware
Sana Benefits
TRICARE East
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in Delaware too. browse the full directory.
Delaware payers by plan type
4
Commercial payers
5
Medicaid payers
5
Medicare payers
1
TRICARE payer
9 of the 15 Delaware payers list the programs they run: 4 run Commercial plans, 5 run Medicaid plans, 5 run Medicare plans and 1 runs TRICARE plans. Some run more than one. The other 6 do not list one.
By line of coverage, 3 cover dental only, 12 also cover medical and 7 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
5 payers run Medicaid plans in Delaware
- AmeriHealth Caritas Delaware, payer ID 77799
- CareFirst Blue Cross Blue Shield Maryland, payer ID SB690
- Highmark Blue Cross Blue Shield of Delaware, payer ID 00570
- Highmark Delaware Health Options, payer ID 47181
- Medicaid Delaware, payer ID SKDE0
Enrollment with Delaware payers
14 of the 15 Delaware payers run real-time eligibility with no enrollment step. Highmark Blue Cross Blue Shield of Delaware lists an enrollment step for eligibility checks: a multi-step enrollment, typically a few days.
On the payment side, all 15 send electronic remittance advice (835) only after enrollment. 11 use a one-click enrollment and 4 need a multi-step one. Typical enrollment time: a few weeks for 7, within hours for 3, over four weeks for 3 and a few days for 2.
For claims, 4 accept dental claims (837D) electronically and 10 answer claim status requests (276/277).
How to verify a Delaware 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 15 Delaware payers above or to a nationwide carrier. Between them, the Delaware payers go by 53 billing names and 93 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.
- 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.
Delaware dental payers, quick answers
How many dental payers in Delaware support real-time eligibility?
15 payers operating in Delaware support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.
Which Delaware Medicaid dental plans can be verified in real time?
AmeriHealth Caritas Delaware (payer ID 77799), CareFirst Blue Cross Blue Shield Maryland (payer ID SB690), Highmark Blue Cross Blue Shield of Delaware (payer ID 00570), Highmark Delaware Health Options (payer ID 47181) and Medicaid Delaware (payer ID SKDE0). These 5 payers run Medicaid plans in Delaware and support real-time eligibility.
Do nationwide carriers verify in Delaware?
Yes. 30 nationwide carriers verify for patients in Delaware as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 15 payers that operate in Delaware.
Do Delaware payers require enrollment before eligibility checks?
Most do not. Highmark Blue Cross Blue Shield of Delaware lists an enrollment step for eligibility checks: a multi-step enrollment, typically a few days.
Check any Delaware 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.