Dental insurance verification in Texas.
38 payers operating in Texas 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.
Texas payers with real-time eligibility
Aetna Better Health Texas
Alignment Health Plan
Baylor Scott and White Health Plan
Blue Cross and Blue Shield of Texas
Blue Cross Blue Shield Texas Medicaid STAR CHIP
Blue Shield of California
Christus Health Plan LA Exchange
Clover Health
Community Health Choice
Community Health Choice
Cook Children's Health Plan (CHIP)
Dell Children's Health Plan
Devoted Health
Driscoll Health Plan
FirstCare
FirstCare Health Plans
Fringe Benefit Group
HealthSpring
Liberty Dental Plan
Medicaid Texas - Acute
Medicaid Texas - CHIP
Moda Health Plan
Molina Healthcare Texas
New Era Life Insurance
Oscar Health- Patriot Dental
Pekin Insurance
Prominence Medicare Advantage (Texas)
Sana Benefits
SCAN Health Plan
SKYGEN USA
State Of Texas Dental Plan
Texas Health Aetna
Texas Independence Health Plan
TRICARE East
TRICARE West Region
WellMed
Wellpoint
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in Texas too. browse the full directory.
Texas payers by plan type
10
Commercial payers
14
Medicaid payers
10
Medicare payers
2
TRICARE payers
27 of the 38 Texas payers list the programs they run: 10 run Commercial plans, 14 run Medicaid plans, 10 run Medicare plans and 2 run TRICARE plans. Some run more than one. The other 11 do not list one.
By line of coverage, 3 cover dental only, 34 also cover medical and 19 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
14 payers run Medicaid plans in Texas
- Aetna Better Health Texas, payer ID 38692
- Blue Cross and Blue Shield of Texas, payer ID 84980
- Blue Cross Blue Shield Texas Medicaid STAR CHIP, payer ID HCSV2
- Blue Shield of California, payer ID 100935
- Community Health Choice, payer ID 48145
- Dell Children's Health Plan, payer ID 38261
- Driscoll Health Plan, payer ID 74284
- FirstCare, payer ID 94998
- FirstCare Health Plans, payer ID 10870
- Liberty Dental Plan, payer ID CX083
- Medicaid Texas - Acute, payer ID 86916
- Medicaid Texas - CHIP, payer ID 10186
- Moda Health Plan, payer ID 13350
- SCAN Health Plan, payer ID SPSCN
Enrollment with Texas payers
All 38 Texas payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, 35 of the 38 send electronic remittance advice (835) only after enrollment and 3 do not offer it electronically. 24 use a one-click enrollment and 11 need a multi-step one. Typical enrollment time: a few weeks for 23, within hours for 7 and a few days for 5.
For claims, 9 accept dental claims (837D) electronically and 22 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 Texas 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 38 Texas payers above or to a nationwide carrier. Between them, the Texas payers go by 127 billing names and 204 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 38.
- 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.
Texas dental payers, quick answers
How many dental payers in Texas support real-time eligibility?
38 payers operating in Texas support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.
Which Texas Medicaid dental plans can be verified in real time?
Aetna Better Health Texas (payer ID 38692), Blue Cross and Blue Shield of Texas (payer ID 84980), Blue Cross Blue Shield Texas Medicaid STAR CHIP (payer ID HCSV2), Blue Shield of California (payer ID 100935), Community Health Choice (payer ID 48145), Dell Children's Health Plan (payer ID 38261), Driscoll Health Plan (payer ID 74284), FirstCare (payer ID 94998), FirstCare Health Plans (payer ID 10870), Liberty Dental Plan (payer ID CX083), Medicaid Texas - Acute (payer ID 86916), Medicaid Texas - CHIP (payer ID 10186), Moda Health Plan (payer ID 13350) and SCAN Health Plan (payer ID SPSCN). These 14 payers run Medicaid plans in Texas and support real-time eligibility.
Do nationwide carriers verify in Texas?
Yes. 30 nationwide carriers verify for patients in Texas as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 38 payers that operate in Texas.
Do Texas payers require enrollment before eligibility checks?
No. All 38 Texas payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: 35 of them require it before sending electronic remittance advice (835).
Check any Texas 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.