Dental insurance verification in Washington.
28 payers operating in Washington 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.
Washington payers with real-time eligibility
Allegiance Benefit Plan Management Incorporated
Asuris Northwest Health
Blue Shield of California
BridgeSpan Health
Community Health Plan of Washington
Delta Dental of Washington
Devoted Health
Essence Healthcare
Healthcare Management Administrators (HMA)
HealthSpring
Kaiser Foundation Health Plan Northwest
Kaiser Foundation Health Plan Washington
LifeWise Health Plan of Washington
Medicaid Washington
Molina HealthCare Washington
Northwest Administrators
PacificSource
Premera Blue Cross of Washington
Providence Health Plan
Providence PACE
Regence BlueCross BlueShield of Oregon
Regence BlueShield of Idaho
Regence BlueShield of Washington
Regence Group Administrators
SCAN Health Plan
SKYGEN USA
TRICARE West Region
Wellpoint
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in Washington too. browse the full directory.
Washington payers by plan type
12
Commercial payers
6
Medicaid payers
12
Medicare payers
1
TRICARE payer
18 of the 28 Washington payers list the programs they run: 12 run Commercial plans, 6 run Medicaid plans, 12 run Medicare plans and 1 runs TRICARE plans. Some run more than one. The other 10 do not list one.
By line of coverage, 2 cover dental only, 26 also cover medical and 20 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
6 payers run Medicaid plans in Washington
- Blue Shield of California, payer ID 100935
- Community Health Plan of Washington, payer ID CHPWA
- Medicaid Washington, payer ID AIDWA
- Molina HealthCare Washington, payer ID 38336
- Providence PACE, payer ID 77250
- SCAN Health Plan, payer ID SPSCN
Enrollment with Washington payers
All 28 Washington payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, 27 of the 28 send electronic remittance advice (835) only after enrollment and 1 does not offer it electronically. 16 use a one-click enrollment and 11 need a multi-step one. Typical enrollment time: a few weeks for 14, within hours for 7, a few days for 5 and over four weeks for 1.
For claims, 12 accept dental claims (837D) electronically and 23 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 Washington 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 28 Washington payers above or to a nationwide carrier. Between them, the Washington payers go by 89 billing names and 202 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 28.
- 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.
Washington dental payers, quick answers
How many dental payers in Washington support real-time eligibility?
28 payers operating in Washington support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.
Which Washington Medicaid dental plans can be verified in real time?
Blue Shield of California (payer ID 100935), Community Health Plan of Washington (payer ID CHPWA), Medicaid Washington (payer ID AIDWA), Molina HealthCare Washington (payer ID 38336), Providence PACE (payer ID 77250) and SCAN Health Plan (payer ID SPSCN). These 6 payers run Medicaid plans in Washington and support real-time eligibility.
Do nationwide carriers verify in Washington?
Yes. 30 nationwide carriers verify for patients in Washington as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 28 payers that operate in Washington.
Do Washington payers require enrollment before eligibility checks?
No. All 28 Washington payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: 27 of them require it before sending electronic remittance advice (835).
Check any Washington 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.