Dental insurance verification in Tennessee.
17 payers operating in Tennessee 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.
Tennessee payers with real-time eligibility
BlueCross BlueShield of Tennessee
BlueCross BlueShield of Tennessee (Chattanooga HMO Plans)
Delta Dental of Tennessee
DentaQuest - Individual
Devoted Health
Farm Bureau Health Plans
HealthSmart Benefit Solutions
HealthSpring
Medicaid Tennessee
Medicaid Tennessee BlueCare TennCare Select
North American Administrators Nashville, Tennessee (Lucent Health)
Oscar Health
Pekin Insurance
TRICARE East
UnitedHealthcare Community Plan Tennessee
Wellpoint
Zing Health
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in Tennessee too. browse the full directory.
Tennessee payers by plan type
6
Commercial payers
5
Medicaid payers
3
Medicare payers
1
TRICARE payer
12 of the 17 Tennessee payers list the programs they run: 6 run Commercial plans, 5 run Medicaid plans, 3 run Medicare plans and 1 runs TRICARE plans. Some run more than one. The other 5 do not list one.
By line of coverage, 2 cover dental only, 15 also cover medical and 10 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
5 payers run Medicaid plans in Tennessee
- BlueCross BlueShield of Tennessee, payer ID SB890
- DentaQuest - Individual, payer ID CX014
- Medicaid Tennessee, payer ID TN
- Medicaid Tennessee BlueCare TennCare Select, payer ID MC390
- UnitedHealthcare Community Plan Tennessee, payer ID 95378
Enrollment with Tennessee payers
All 17 Tennessee payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, 16 of the 17 send electronic remittance advice (835) only after enrollment and 1 does not offer it electronically. 9 use a one-click enrollment and 7 need a multi-step one. Typical enrollment time: a few weeks for 7, within hours for 5, a few days for 2 and over four weeks for 2.
For claims, 2 accept dental claims (837D) electronically, 1 more accepts them after enrollment and 11 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 Tennessee 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 Tennessee payers above or to a nationwide carrier. Between them, the Tennessee payers go by 64 billing names and 108 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.
Tennessee dental payers, quick answers
How many dental payers in Tennessee support real-time eligibility?
17 payers operating in Tennessee support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.
Which Tennessee Medicaid dental plans can be verified in real time?
BlueCross BlueShield of Tennessee (payer ID SB890), DentaQuest - Individual (payer ID CX014), Medicaid Tennessee (payer ID TN), Medicaid Tennessee BlueCare TennCare Select (payer ID MC390) and UnitedHealthcare Community Plan Tennessee (payer ID 95378). These 5 payers run Medicaid plans in Tennessee and support real-time eligibility.
Do nationwide carriers verify in Tennessee?
Yes. 30 nationwide carriers verify for patients in Tennessee as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 17 payers that operate in Tennessee.
Do Tennessee payers require enrollment before eligibility checks?
No. All 17 Tennessee payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: 16 of them require it before sending electronic remittance advice (835).
Check any Tennessee 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.