Dental insurance verification in Virginia.
18 payers operating in Virginia 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.
Virginia payers with real-time eligibility
Aetna Better Health Virginia
Anthem Blue Cross and Blue Shield Virginia- Anthem Blue Cross and Blue Shield Virginia - Dental
CareFirst Administrators
CareFirst Blue Cross Blue Shield Maryland- CareFirst Blue Cross Blue Shield Maryland - Dental
CareFirst BlueCross BlueShield Medicare Advantage
Delta Dental of Virginia
Devoted Health
Innovation Health
Kaiser Foundation Health Plan Mid-Atlantic
Medicaid Virginia
Molina Complete Care Virginia DSNP
Oscar Health
Sana Benefits
Sentara Health Plans
SKYGEN USA
TRICARE East
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in Virginia too. browse the full directory.
Virginia payers by plan type
5
Commercial payers
4
Medicaid payers
4
Medicare payers
1
TRICARE payer
9 of the 18 Virginia 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 9 do not list one.
By line of coverage, 4 cover dental only, 14 also cover medical and 9 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
4 payers run Medicaid plans in Virginia
- Anthem Blue Cross and Blue Shield Virginia, payer ID 423
- CareFirst Blue Cross Blue Shield Maryland, payer ID SB690
- Medicaid Virginia, payer ID 10198
- Molina Complete Care Virginia DSNP, payer ID MCC02
Enrollment with Virginia payers
All 18 Virginia payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, all 18 send electronic remittance advice (835) only after enrollment. 12 use a one-click enrollment and 6 need a multi-step one. Typical enrollment time: a few weeks for 10, within hours for 3, a few days for 2, over four weeks for 2 and instant for 1.
For claims, 5 accept dental claims (837D) electronically and 12 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 Virginia 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 18 Virginia payers above or to a nationwide carrier. Between them, the Virginia payers go by 55 billing names and 96 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 18.
- 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.
Virginia dental payers, quick answers
How many dental payers in Virginia support real-time eligibility?
18 payers operating in Virginia support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.
Which Virginia Medicaid dental plans can be verified in real time?
Anthem Blue Cross and Blue Shield Virginia (payer ID 423), CareFirst Blue Cross Blue Shield Maryland (payer ID SB690), Medicaid Virginia (payer ID 10198) and Molina Complete Care Virginia DSNP (payer ID MCC02). These 4 payers run Medicaid plans in Virginia and support real-time eligibility.
Do nationwide carriers verify in Virginia?
Yes. 30 nationwide carriers verify for patients in Virginia as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 18 payers that operate in Virginia.
Do Virginia payers require enrollment before eligibility checks?
No. All 18 Virginia payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: all 18 of them require it before sending electronic remittance advice (835).
Check any Virginia 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.