Dental insurance verification in Georgia.
17 payers operating in Georgia 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.
Georgia payers with real-time eligibility
Alliant Health Plans
Amerigroup
Anthem Blue Cross Blue Shield of Georgia
CareFirst BlueCross BlueShield District of Columbia (NCA)
CareSource
CareSource Georgia (Marketplace)
CareSource Ohio Marketplace
Clover Health
Devoted Health
Kaiser Foundation Health Plan Georgia
Medicaid Georgia
Oscar Health
Pekin Insurance
Sonder Health Plans- Student Insurance
TRICARE East
WellStar Health Plan
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in Georgia too. browse the full directory.
Georgia payers by plan type
4
Commercial payers
4
Medicaid payers
2
Medicare payers
1
TRICARE payer
9 of the 17 Georgia payers list the programs they run: 4 run Commercial plans, 4 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, 17 also cover medical and 9 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
4 payers run Medicaid plans in Georgia
- Anthem Blue Cross Blue Shield of Georgia, payer ID 00601
- CareSource, payer ID CRSCK
- CareSource Ohio Marketplace, payer ID 31114
- Medicaid Georgia, payer ID GAMEDICAID
Enrollment with Georgia payers
All 17 Georgia payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, 15 of the 17 send electronic remittance advice (835) only after enrollment and 2 do not offer it electronically. 10 use a one-click enrollment and 5 need a multi-step one. Typical enrollment time: a few weeks for 9, within hours for 3 and a few days for 3.
For claims, 4 accept dental claims (837D) electronically and 11 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 Georgia 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 17 Georgia payers above or to a nationwide carrier. Between them, the Georgia payers go by 47 billing names and 94 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 17.
- 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.
Georgia dental payers, quick answers
How many dental payers in Georgia support real-time eligibility?
17 payers operating in Georgia support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.
Which Georgia Medicaid dental plans can be verified in real time?
Anthem Blue Cross Blue Shield of Georgia (payer ID 00601), CareSource (payer ID CRSCK), CareSource Ohio Marketplace (payer ID 31114) and Medicaid Georgia (payer ID GAMEDICAID). These 4 payers run Medicaid plans in Georgia and support real-time eligibility.
Do nationwide carriers verify in Georgia?
Yes. 30 nationwide carriers verify for patients in Georgia as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 17 payers that operate in Georgia.
Do Georgia payers require enrollment before eligibility checks?
No. All 17 Georgia payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: 15 of them require it before sending electronic remittance advice (835).
Check any Georgia 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.