Dental insurance verification in Idaho.
21 payers operating in Idaho 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.
Idaho payers with real-time eligibility
Allegiance Benefit Plan Management Incorporated
Banner Medicare Advantage Prime HMO
Blue Cross of Idaho
Blue Shield of California
BridgeSpan Health
Delta Dental of Idaho
Kaiser Foundation Health Plan Washington
Medicaid Idaho
Moda Health Plan
Mountain Health Co-op
PacificSource
PacificSource Administrators
PacificSource Medicare
Regence BlueCross BlueShield of Oregon
Regence BlueShield of Idaho
Select Health
Senior Whole Health
SKYGEN USA
TRICARE West Region
Trinity Health Plan
University of Utah Health Plans
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in Idaho too. browse the full directory.
Idaho payers by plan type
5
Commercial payers
4
Medicaid payers
8
Medicare payers
1
TRICARE payer
12 of the 21 Idaho payers list the programs they run: 5 run Commercial plans, 4 run Medicaid plans, 8 run Medicare plans and 1 runs TRICARE plans. Some run more than one. The other 9 do not list one.
By line of coverage, 2 cover dental only, 19 also cover medical and 14 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
4 payers run Medicaid plans in Idaho
- Blue Cross of Idaho, payer ID BLUEC
- Blue Shield of California, payer ID 100935
- Medicaid Idaho, payer ID ID
- Moda Health Plan, payer ID 13350
Enrollment with Idaho payers
All 21 Idaho payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, 20 of the 21 send electronic remittance advice (835) only after enrollment and 1 does not offer it electronically. 8 use a one-click enrollment and 12 need a multi-step one. Typical enrollment time: a few weeks for 16 and within hours for 4.
For claims, 8 accept dental claims (837D) electronically and 17 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 an Idaho 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 21 Idaho payers above or to a nationwide carrier. Between them, the Idaho payers go by 77 billing names and 136 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 21.
- 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.
Idaho dental payers, quick answers
How many dental payers in Idaho support real-time eligibility?
21 payers operating in Idaho support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.
Which Idaho Medicaid dental plans can be verified in real time?
Blue Cross of Idaho (payer ID BLUEC), Blue Shield of California (payer ID 100935), Medicaid Idaho (payer ID ID) and Moda Health Plan (payer ID 13350). These 4 payers run Medicaid plans in Idaho and support real-time eligibility.
Do nationwide carriers verify in Idaho?
Yes. 30 nationwide carriers verify for patients in Idaho as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 21 payers that operate in Idaho.
Do Idaho payers require enrollment before eligibility checks?
No. All 21 Idaho payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: 20 of them require it before sending electronic remittance advice (835).
Check any Idaho 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.