Dental insurance verification in Maine.
11 payers operating in Maine 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.
Maine payers with real-time eligibility
Anthem Blue Cross Blue Shield of Maine- Anthem Blue Cross Blue Shield of Maine - Dental
Anthem Maine Health
Anthem MaineHealth
Community Health Options
Delta Dental of Northeast
Harvard Pilgrim Health Care
Maine Medicaid
Mass General Brigham Health Plan
TRICARE East
Tufts Health Plan
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in Maine too. browse the full directory.
Maine payers by plan type
4
Commercial payers
2
Medicaid payers
1
Medicare payer
1
TRICARE payer
6 of the 11 Maine payers list the programs they run: 4 run Commercial plans, 2 run Medicaid plans, 1 runs Medicare plans and 1 runs TRICARE plans. Some run more than one. The other 5 do not list one.
By line of coverage, 2 cover dental only, 9 also cover medical and 8 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
2 payers run Medicaid plans in Maine
- Anthem Blue Cross Blue Shield of Maine, payer ID 180
- Maine Medicaid, payer ID SKME0
Enrollment with Maine payers
All 11 Maine payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, 10 of the 11 send electronic remittance advice (835) only after enrollment and 1 does not offer it electronically. 6 use a one-click enrollment and 4 need a multi-step one. Typical enrollment time: a few weeks for 4, instant for 2, a few days for 2, within hours for 1 and over four weeks for 1.
For claims, 2 accept dental claims (837D) electronically and 8 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 Maine 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 11 Maine payers above or to a nationwide carrier. Between them, the Maine payers go by 36 billing names and 57 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 11.
- 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.
Maine dental payers, quick answers
How many dental payers in Maine support real-time eligibility?
11 payers operating in Maine support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.
Which Maine Medicaid dental plans can be verified in real time?
Anthem Blue Cross Blue Shield of Maine (payer ID 180) and Maine Medicaid (payer ID SKME0). These 2 payers run Medicaid plans in Maine and support real-time eligibility.
Do nationwide carriers verify in Maine?
Yes. 30 nationwide carriers verify for patients in Maine as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 11 payers that operate in Maine.
Do Maine payers require enrollment before eligibility checks?
No. All 11 Maine payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: 10 of them require it before sending electronic remittance advice (835).
Check any Maine 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.