Dental insurance verification in Indiana.
22 payers operating in Indiana 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.
Indiana payers with real-time eligibility
Anthem Blue Cross Blue Shield of Indiana- Anthem Blue Cross Blue Shield of Indiana - Dental
Blue Cross and Blue Shield of Illinois
CareSource
CareSource Indiana
Delta Dental Indiana
Devoted Health
Indiana Medicaid
Indiana University Health Plan - Medicare Advantage
Key Benefit Administrators
Luminare Health
McLaren Community - Commercial HMO/POS
MDwise (Healthy Indiana Plan)
MDwise (Hoosier Healthwise)
Pekin Insurance
Physicians Health Plan (PHP) of Northern Indiana
Physicians Mutual Insurance Company
Sana Benefits
SKYGEN USA
TRICARE East
TRICARE West Region
Zing Health
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in Indiana too. browse the full directory.
Indiana payers by plan type
6
Commercial payers
6
Medicaid payers
3
Medicare payers
2
TRICARE payers
12 of the 22 Indiana payers list the programs they run: 6 run Commercial plans, 6 run Medicaid plans, 3 run Medicare plans and 2 run TRICARE plans. Some run more than one. The other 10 do not list one.
By line of coverage, 3 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.
6 payers run Medicaid plans in Indiana
- Anthem Blue Cross Blue Shield of Indiana, payer ID 130
- Blue Cross and Blue Shield of Illinois, payer ID G00621
- CareSource, payer ID CRSCK
- Indiana Medicaid, payer ID IHCP
- MDwise (Healthy Indiana Plan), payer ID 3135M
- MDwise (Hoosier Healthwise), payer ID 3519M
Enrollment with Indiana payers
All 22 Indiana payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, 20 of the 22 send electronic remittance advice (835) only after enrollment and 2 do not offer it electronically. 14 use a one-click enrollment and 6 need a multi-step one. Typical enrollment time: a few weeks for 11, within hours for 4, a few days for 3, instant for 1 and over four weeks for 1.
For claims, 9 accept dental claims (837D) electronically and 14 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 Indiana 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 22 Indiana payers above or to a nationwide carrier. Between them, the Indiana payers go by 72 billing names and 123 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 22.
- 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.
Indiana dental payers, quick answers
How many dental payers in Indiana support real-time eligibility?
22 payers operating in Indiana support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.
Which Indiana Medicaid dental plans can be verified in real time?
Anthem Blue Cross Blue Shield of Indiana (payer ID 130), Blue Cross and Blue Shield of Illinois (payer ID G00621), CareSource (payer ID CRSCK), Indiana Medicaid (payer ID IHCP), MDwise (Healthy Indiana Plan) (payer ID 3135M) and MDwise (Hoosier Healthwise) (payer ID 3519M). These 6 payers run Medicaid plans in Indiana and support real-time eligibility.
Do nationwide carriers verify in Indiana?
Yes. 30 nationwide carriers verify for patients in Indiana as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 22 payers that operate in Indiana.
Do Indiana payers require enrollment before eligibility checks?
No. All 22 Indiana 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 Indiana 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.