Dental insurance verification in Maryland.
22 payers operating in Maryland 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.
Maryland payers with real-time eligibility
Aetna Better Health Maryland
Amerigroup
CareFirst Administrators
CareFirst Blue Cross Blue Shield Maryland- CareFirst Blue Cross Blue Shield Maryland - Dental
CareFirst BlueCross BlueShield Medicare Advantage
CareFirst Community Health Plan Maryland
Delta Dental of Maryland
Edenbridge Health
HealthSpring
Innovation Health
Jai Medical Systems
Johns Hopkins Advantage MD
Johns Hopkins Health Plans
Kaiser Foundation Health Plan Mid-Atlantic
Luminare Health
Maryland Public Behavioral Health System (PBHS)
Medicaid Maryland
MedStar Family Choice Maryland
Sana Benefits
The Dental Network of Maryland
TRICARE East
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in Maryland too. browse the full directory.
Maryland payers by plan type
4
Commercial payers
6
Medicaid payers
4
Medicare payers
1
TRICARE payer
12 of the 22 Maryland payers list the programs they run: 4 run Commercial plans, 6 run Medicaid plans, 4 run Medicare plans and 1 runs 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 11 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
6 payers run Medicaid plans in Maryland
- Aetna Better Health Maryland, payer ID 128MD
- CareFirst Blue Cross Blue Shield Maryland, payer ID SB690
- CareFirst Community Health Plan Maryland, payer ID 45281
- Edenbridge Health, payer ID R3491
- Jai Medical Systems, payer ID JAI01
- Medicaid Maryland, payer ID 100198
Enrollment with Maryland payers
All 22 Maryland payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, 21 of the 22 send electronic remittance advice (835) only after enrollment and 1 does not offer it electronically. 12 use a one-click enrollment and 9 need a multi-step one. Typical enrollment time: a few weeks for 13, within hours for 5, over four weeks for 2 and a few days for 1.
For claims, 2 accept dental claims (837D) electronically and 15 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 Maryland 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 Maryland payers above or to a nationwide carrier. Between them, the Maryland payers go by 72 billing names and 117 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.
Maryland dental payers, quick answers
How many dental payers in Maryland support real-time eligibility?
22 payers operating in Maryland support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.
Which Maryland Medicaid dental plans can be verified in real time?
Aetna Better Health Maryland (payer ID 128MD), CareFirst Blue Cross Blue Shield Maryland (payer ID SB690), CareFirst Community Health Plan Maryland (payer ID 45281), Edenbridge Health (payer ID R3491), Jai Medical Systems (payer ID JAI01) and Medicaid Maryland (payer ID 100198). These 6 payers run Medicaid plans in Maryland and support real-time eligibility.
Do nationwide carriers verify in Maryland?
Yes. 30 nationwide carriers verify for patients in Maryland as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 22 payers that operate in Maryland.
Do Maryland payers require enrollment before eligibility checks?
No. All 22 Maryland payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: 21 of them require it before sending electronic remittance advice (835).
Check any Maryland 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.