Dental insurance verification in North Dakota.
7 payers operating in North Dakota 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 Dakota payers with real-time eligibility
Allegiance Benefit Plan Management Incorporated
Blue Cross Blue Shield of North Dakota
Medica
Medica Individual and Family
Medicaid North Dakota
Sanford Health Plan Medicare Advantage
TRICARE West Region
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in North Dakota too. browse the full directory.
North Dakota payers by plan type
2
Commercial payers
2
Medicaid payers
2
Medicare payers
1
TRICARE payer
5 of the 7 North Dakota payers list the programs they run: 2 run Commercial plans, 2 run Medicaid plans, 2 run Medicare plans and 1 runs TRICARE plans. Some run more than one. The other 2 do not list one.
By line of coverage, 7 also cover medical and 4 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
2 payers run Medicaid plans in North Dakota
- Blue Cross Blue Shield of North Dakota, payer ID 55891
- Medicaid North Dakota, payer ID NDDHS
Enrollment with North Dakota payers
All 7 North Dakota payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, all 7 send electronic remittance advice (835) only after enrollment. 4 use a one-click enrollment and 3 need a multi-step one. Typical enrollment time: within hours for 3, a few weeks for 3 and a few days for 1.
For claims, 4 accept dental claims (837D) electronically and 6 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 Dakota 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 7 North Dakota payers above or to a nationwide carrier. Between them, the North Dakota payers go by 27 billing names and 47 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 7.
- 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 Dakota dental payers, quick answers
How many dental payers in North Dakota support real-time eligibility?
7 payers operating in North Dakota 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 Dakota Medicaid dental plans can be verified in real time?
Blue Cross Blue Shield of North Dakota (payer ID 55891) and Medicaid North Dakota (payer ID NDDHS). These 2 payers run Medicaid plans in North Dakota and support real-time eligibility.
Do nationwide carriers verify in North Dakota?
Yes. 30 nationwide carriers verify for patients in North Dakota as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 7 payers that operate in North Dakota.
Do North Dakota payers require enrollment before eligibility checks?
No. All 7 North Dakota payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: all 7 of them require it before sending electronic remittance advice (835).
Check any North Dakota 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.