Dental insurance verification in New York.
39 payers operating in New York 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.
New York payers with real-time eligibility
Aetna Better Health New York
Anthem Blue Cross Blue Shield of New York
Anthem Blue Cross of New York Dental
CDPHP
Centivo
Delta Dental New York
Delta Dental of Maryland
Elderplan
EmblemHealth Plan
Essence Healthcare
Excellus BlueCross BlueShield
Fidelis Care
First Ameritas New York
Healthfirst
Healthfirst (Health Insurance for New Yorkers)
Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP
Highmark Blue Cross Blue Shield (Western and Northeastern NY)
Highmark Blue Cross Blue Shield of Western New York
Highmark Blue Shield of Northeastern New York
HIP / EmblemHealth Insurance Company
Horizon Blue Cross and Blue Shield of New Jersey
Independent Health
Liberty Dental Plan
MagnaCare
Medicaid New York
MetroPlusHealth
Molina Healthcare - Affinity by Molina Healthcare
MVP Health Care
MVP Health Care
Nova Healthcare Administrators
Oscar Health
Oxford
Senior Whole Health
Senior Whole Health of New York
SKYGEN USA
TRICARE East
Trinity Health Plan
VillageCareMAX
VNS Health
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in New York too. browse the full directory.
New York payers by plan type
13
Commercial payers
10
Medicaid payers
10
Medicare payers
1
TRICARE payer
23 of the 39 New York payers list the programs they run: 13 run Commercial plans, 10 run Medicaid plans, 10 run Medicare plans and 1 runs TRICARE plans. Some run more than one. The other 16 do not list one.
By line of coverage, 6 cover dental only, 33 also cover medical and 20 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
10 payers run Medicaid plans in New York
- Aetna Better Health New York, payer ID 34734
- Anthem Blue Cross Blue Shield of New York, payer ID 803
- Healthfirst (Health Insurance for New Yorkers), payer ID HFRST
- Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP, payer ID 246
- Highmark Blue Cross Blue Shield (Western and Northeastern NY), payer ID 55204
- Highmark Blue Cross Blue Shield of Western New York, payer ID 100948
- Liberty Dental Plan, payer ID CX083
- Medicaid New York, payer ID MCDNY
- MVP Health Care, payer ID 14165
- Senior Whole Health of New York, payer ID SWHNY
Enrollment with New York payers
All 39 New York payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, 37 of the 39 send electronic remittance advice (835) only after enrollment and 2 do not offer it electronically. 26 use a one-click enrollment and 11 need a multi-step one. Typical enrollment time: a few weeks for 22, within hours for 8, a few days for 4, over four weeks for 2 and instant for 1.
For claims, 9 accept dental claims (837D) electronically and 30 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 New York 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 39 New York payers above or to a nationwide carrier. Between them, the New York payers go by 142 billing names and 263 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 39.
- 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.
New York dental payers, quick answers
How many dental payers in New York support real-time eligibility?
39 payers operating in New York support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.
Which New York Medicaid dental plans can be verified in real time?
Aetna Better Health New York (payer ID 34734), Anthem Blue Cross Blue Shield of New York (payer ID 803), Healthfirst (Health Insurance for New Yorkers) (payer ID HFRST), Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP (payer ID 246), Highmark Blue Cross Blue Shield (Western and Northeastern NY) (payer ID 55204), Highmark Blue Cross Blue Shield of Western New York (payer ID 100948), Liberty Dental Plan (payer ID CX083), Medicaid New York (payer ID MCDNY), MVP Health Care (payer ID 14165) and Senior Whole Health of New York (payer ID SWHNY). These 10 payers run Medicaid plans in New York and support real-time eligibility.
Do nationwide carriers verify in New York?
Yes. 30 nationwide carriers verify for patients in New York as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 39 payers that operate in New York.
Do New York payers require enrollment before eligibility checks?
No. All 39 New York payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: 37 of them require it before sending electronic remittance advice (835).
Check any New York 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.