Dental insurance verification in South Carolina.
17 payers operating in South 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.
South Carolina payers with real-time eligibility
BlueChoice HealthPlan of South Carolina
BlueCross BlueShield of South Carolina
BlueCross BlueShield of South Carolina Federal Employee Program
BlueCross BlueShield of South Carolina Medicare Blue
BlueCross BlueShield of South Carolina Planned Administrators, Inc.
BlueCross BlueShield of South Carolina State Health Plan
Clover Health
Delta Dental of South Carolina
Devoted Health
First Choice by Select Health South Carolina - Medicaid
Healthy Blue South Carolina
Horizon Blue Cross and Blue Shield of New Jersey
Medicaid South Carolina
Molina Healthcare South Carolina
MVP Health Care
SKYGEN USA
TRICARE East
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in South Carolina too. browse the full directory.
South Carolina payers by plan type
5
Commercial payers
4
Medicaid payers
4
Medicare payers
1
TRICARE payer
11 of the 17 South Carolina payers list the programs they run: 5 run Commercial plans, 4 run Medicaid plans, 4 run Medicare plans and 1 runs TRICARE plans. Some run more than one. The other 6 do not list one.
By line of coverage, 2 cover dental only, 15 also cover medical and 12 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
4 payers run Medicaid plans in South Carolina
- First Choice by Select Health South Carolina - Medicaid, payer ID 23285
- Healthy Blue South Carolina, payer ID 00403
- Medicaid South Carolina, payer ID SCMED
- MVP Health Care, payer ID 14165
Enrollment with South Carolina payers
All 17 South Carolina payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, 12 of the 17 send electronic remittance advice (835) only after enrollment and 5 do not offer it electronically. 9 use a one-click enrollment and 3 need a multi-step one. Typical enrollment time: a few weeks for 7, a few days for 2, instant for 1, within hours for 1 and over four weeks for 1.
For claims, 3 accept dental claims (837D) electronically and 14 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 South 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 17 South Carolina payers above or to a nationwide carrier. Between them, the South Carolina payers go by 52 billing names and 95 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 17.
- 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.
South Carolina dental payers, quick answers
How many dental payers in South Carolina support real-time eligibility?
17 payers operating in South 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 South Carolina Medicaid dental plans can be verified in real time?
First Choice by Select Health South Carolina - Medicaid (payer ID 23285), Healthy Blue South Carolina (payer ID 00403), Medicaid South Carolina (payer ID SCMED) and MVP Health Care (payer ID 14165). These 4 payers run Medicaid plans in South Carolina and support real-time eligibility.
Do nationwide carriers verify in South Carolina?
Yes. 30 nationwide carriers verify for patients in South Carolina as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 17 payers that operate in South Carolina.
Do South Carolina payers require enrollment before eligibility checks?
No. All 17 South Carolina payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: 12 of them require it before sending electronic remittance advice (835).
Check any South 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.