Dental insurance verification in North Carolina.
20 payers operating in North Carolina 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.
North Carolina payers with real-time eligibility
ACS Benefit Services
Alignment Health Plan
Alliance Health
AmeriHealth Caritas North Carolina
Blue Cross NC
Blue Medicare PPO/HMO of North Carolina
CareFirst Blue Cross Blue Shield Maryland- CareFirst Blue Cross Blue Shield Maryland - Dental
CareSource
Corporate Benefit Services (90 Degree Benefits)
Delta Dental North Carolina
Devoted Health
Healthy Blue North Carolina
Luminare Health
MedCost Benefit Services
North Carolina Medicaid
Oscar Health
Partners Health Management (Behavioral Health)
TRICARE East
Vaya Health
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in North Carolina too. browse the full directory.
North Carolina payers by plan type
5
Commercial payers
5
Medicaid payers
2
Medicare payers
1
TRICARE payer
11 of the 20 North Carolina payers list the programs they run: 5 run Commercial plans, 5 run Medicaid plans, 2 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, 18 also cover medical and 15 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
5 payers run Medicaid plans in North Carolina
- Alliance Health, payer ID 23071
- CareFirst Blue Cross Blue Shield Maryland, payer ID SB690
- CareSource, payer ID CRSCK
- North Carolina Medicaid, payer ID NCMCD
- Vaya Health, payer ID 13010
Enrollment with North Carolina payers
All 20 North Carolina payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, 19 of the 20 send electronic remittance advice (835) only after enrollment and 1 does not offer it electronically. 12 use a one-click enrollment and 7 need a multi-step one. Typical enrollment time: a few weeks for 10, within hours for 4, a few days for 2, over four weeks for 2 and instant for 1.
For claims, 3 accept dental claims (837D) electronically, 1 more accepts them after enrollment and 11 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 North Carolina 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 20 North Carolina payers above or to a nationwide carrier. Between them, the North Carolina payers go by 70 billing names and 106 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 20.
- 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.
North Carolina dental payers, quick answers
How many dental payers in North Carolina support real-time eligibility?
20 payers operating in North Carolina support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.
Which North Carolina Medicaid dental plans can be verified in real time?
Alliance Health (payer ID 23071), CareFirst Blue Cross Blue Shield Maryland (payer ID SB690), CareSource (payer ID CRSCK), North Carolina Medicaid (payer ID NCMCD) and Vaya Health (payer ID 13010). These 5 payers run Medicaid plans in North Carolina and support real-time eligibility.
Do nationwide carriers verify in North Carolina?
Yes. 30 nationwide carriers verify for patients in North Carolina as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 20 payers that operate in North Carolina.
Do North Carolina payers require enrollment before eligibility checks?
No. All 20 North Carolina payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: 19 of them require it before sending electronic remittance advice (835).
Check any North Carolina 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.