Valian
// Payer directory

Dental insurance verification in Nevada.

23 payers operating in Nevada 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.

// Plan types

Nevada payers by plan type

7

Commercial payers

7

Medicaid payers

11

Medicare payers

1

TRICARE payer

15 of the 23 Nevada payers list the programs they run: 7 run Commercial plans, 7 run Medicaid plans, 11 run Medicare plans and 1 runs TRICARE plans. Some run more than one. The other 8 do not list one.

By line of coverage, 3 cover dental only, 20 also cover medical and 11 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.

7 payers run Medicaid plans in Nevada

// Enrollment

Enrollment with Nevada payers

All 23 Nevada payers run real-time eligibility with no enrollment step, so checks work from the first day.

On the payment side, 21 of the 23 send electronic remittance advice (835) only after enrollment and 2 do not offer it electronically. 11 use a one-click enrollment and 10 need a multi-step one. Typical enrollment time: a few weeks for 11, within hours for 7 and a few days for 3.

For claims, 12 accept dental claims (837D) electronically and 18 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

How to verify a Nevada patient's dental coverage

  1. Step 1

    Gather the basics.

    Get the member ID from the insurance card, plus the patient's full name and date of birth.

  2. Step 2

    Pick the payer.

    Match the card to one of the 23 Nevada payers above or to a nationwide carrier. Between them, the Nevada payers go by 94 billing names and 143 alternate payer IDs, so the card may not match the list word for word.

  3. 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 23.

  4. 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.

Nevada dental payers, quick answers

How many dental payers in Nevada support real-time eligibility?

23 payers operating in Nevada support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.

Which Nevada Medicaid dental plans can be verified in real time?

Aetna Better Health - Nevada (payer ID 11231), Anthem Blue Cross and Blue Shield Nevada (payer ID 00265), Blue Cross and Blue Shield of Illinois (payer ID G00621), Blue Shield of California (payer ID 100935), Liberty Dental Plan (payer ID CX083), Medicaid Nevada (payer ID NV) and SCAN Health Plan (payer ID SPSCN). These 7 payers run Medicaid plans in Nevada and support real-time eligibility.

Do nationwide carriers verify in Nevada?

Yes. 30 nationwide carriers verify for patients in Nevada as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 23 payers that operate in Nevada.

Do Nevada payers require enrollment before eligibility checks?

No. All 23 Nevada 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 Nevada 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.