Dental insurance verification in Illinois.
26 payers operating in Illinois 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.
Illinois payers with real-time eligibility
Aetna Better Health of Illinois
Allegiance Benefit Plan Management Incorporated
Blue Cross and Blue Shield of Illinois
Blue Cross and Blue Shield of Texas
Blue Cross Community MMAI
CompBenefits Dental
Delta Dental Illinois
Devoted Health
Essence Healthcare
HealthSpring
Liberty Dental Plan
Luminare Health
Medicaid Illinois
Medical Associates Health Plans
Meridian (Illinois)
Molina Healthcare Illinois
Oscar Health
Pekin Insurance
Pipe Fitters' Local 597 Welfare Fund
Quartz
Sana Benefits
SKYGEN USA
TRICARE East
TRICARE West Region
WPS Health Plan
Zing Health
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in Illinois too. browse the full directory.
Illinois payers by plan type
9
Commercial payers
8
Medicaid payers
8
Medicare payers
2
TRICARE payers
17 of the 26 Illinois payers list the programs they run: 9 run Commercial plans, 8 run Medicaid plans, 8 run Medicare plans and 2 run TRICARE plans. Some run more than one. The other 9 do not list one.
By line of coverage, 5 cover dental only, 21 also cover medical and 12 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
8 payers run Medicaid plans in Illinois
- Aetna Better Health of Illinois, payer ID 68024
- Blue Cross and Blue Shield of Illinois, payer ID G00621
- Blue Cross and Blue Shield of Texas, payer ID 84980
- Blue Cross Community MMAI, payer ID MCDIL
- Liberty Dental Plan, payer ID CX083
- Medicaid Illinois, payer ID IL621
- Meridian (Illinois), payer ID 13189
- Molina Healthcare Illinois, payer ID 20934
Enrollment with Illinois payers
All 26 Illinois payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, 24 of the 26 send electronic remittance advice (835) only after enrollment and 2 do not offer it electronically. 17 use a one-click enrollment and 7 need a multi-step one. Typical enrollment time: a few weeks for 17, within hours for 5, a few days for 1 and over four weeks for 1.
For claims, 10 accept dental claims (837D) electronically and 19 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 Illinois 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 26 Illinois payers above or to a nationwide carrier. Between them, the Illinois payers go by 102 billing names and 155 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 26.
- 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.
Illinois dental payers, quick answers
How many dental payers in Illinois support real-time eligibility?
26 payers operating in Illinois support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.
Which Illinois Medicaid dental plans can be verified in real time?
Aetna Better Health of Illinois (payer ID 68024), Blue Cross and Blue Shield of Illinois (payer ID G00621), Blue Cross and Blue Shield of Texas (payer ID 84980), Blue Cross Community MMAI (payer ID MCDIL), Liberty Dental Plan (payer ID CX083), Medicaid Illinois (payer ID IL621), Meridian (Illinois) (payer ID 13189) and Molina Healthcare Illinois (payer ID 20934). These 8 payers run Medicaid plans in Illinois and support real-time eligibility.
Do nationwide carriers verify in Illinois?
Yes. 30 nationwide carriers verify for patients in Illinois as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 26 payers that operate in Illinois.
Do Illinois payers require enrollment before eligibility checks?
No. All 26 Illinois payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: 24 of them require it before sending electronic remittance advice (835).
Check any Illinois 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.