// Payer directory

Dental insurance verification in Ohio.

36 payers operating in Ohio 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.

Ohio payers with real-time eligibility

Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in Ohio too. browse the full directory.

// Plan types

Ohio payers by plan type

Commercial payers

Medicaid payers

Medicare payers

TRICARE payer

23 of the 36 Ohio payers list the programs they run: 5 run Commercial plans, 16 run Medicaid plans, 6 run Medicare plans and 1 runs TRICARE plans. Some run more than one. The other 13 do not list one.

By line of coverage, 3 cover dental only, 33 also cover medical and 24 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.

16 payers run Medicaid plans in Ohio

Aetna Better Health Ohio, payer ID 50023
AmeriHealth Caritas Ohio, payer ID 35374
Anthem Blue Cross and Blue Shield MyCare Ohio, payer ID 0022147
Anthem Blue Cross Blue Shield (Ohio Medicaid), payer ID 0002937
Anthem Blue Cross Blue Shield Ohio, payer ID 00834
Buckeye Health Plan, payer ID 0004202
CareSource, payer ID CRSCK
CareSource Ohio Marketplace, payer ID 31114
CareSource Ohio Medicaid, payer ID 0003150
Humana Healthy Horizons in Ohio, payer ID 61103
Medicaid Ohio, payer ID MMISODJFS
Molina HealthCare Ohio, payer ID 20149
Molina Ohio Medicaid Managed Care Entity, payer ID 0007316
Next Generation MyCare Ohio - Buckeye, payer ID 0021583
Next Generation MyCare Ohio - Molina, payer ID 0021586
United HealthCare Ohio Medicaid Managed Care Entity (MCE), payer ID 88337

// Enrollment

Enrollment with Ohio payers

All 36 Ohio payers run real-time eligibility with no enrollment step, so checks work from the first day.

On the payment side, 34 of the 36 send electronic remittance advice (835) only after enrollment and 2 do not offer it electronically. 18 use a one-click enrollment and 16 need a multi-step one. Typical enrollment time: a few weeks for 24, a few days for 7, within hours for 2 and over four weeks for 1.

For claims, 8 accept dental claims (837D) electronically and 32 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 an Ohio 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 36 Ohio payers above or to a nationwide carrier. Between them, the Ohio payers go by 113 billing names and 206 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 36.
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.

Ohio dental payers, quick answers

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

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

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

Aetna Better Health Ohio (payer ID 50023), AmeriHealth Caritas Ohio (payer ID 35374), Anthem Blue Cross and Blue Shield MyCare Ohio (payer ID 0022147), Anthem Blue Cross Blue Shield (Ohio Medicaid) (payer ID 0002937), Anthem Blue Cross Blue Shield Ohio (payer ID 00834), Buckeye Health Plan (payer ID 0004202), CareSource (payer ID CRSCK), CareSource Ohio Marketplace (payer ID 31114), CareSource Ohio Medicaid (payer ID 0003150), Humana Healthy Horizons in Ohio (payer ID 61103), Medicaid Ohio (payer ID MMISODJFS), Molina HealthCare Ohio (payer ID 20149), Molina Ohio Medicaid Managed Care Entity (payer ID 0007316), Next Generation MyCare Ohio - Buckeye (payer ID 0021583), Next Generation MyCare Ohio - Molina (payer ID 0021586) and United HealthCare Ohio Medicaid Managed Care Entity (MCE) (payer ID 88337). These 16 payers run Medicaid plans in Ohio and support real-time eligibility.

Do nationwide carriers verify in Ohio?

Yes. 30 nationwide carriers verify for patients in Ohio as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 36 payers that operate in Ohio.

Do Ohio payers require enrollment before eligibility checks?

No. All 36 Ohio payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: 34 of them require it before sending electronic remittance advice (835).

Check any Ohio 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.

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