Dental insurance verification in Wisconsin.
24 payers operating in Wisconsin 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.
Wisconsin payers with real-time eligibility
Allegiance Benefit Plan Management Incorporated
Anthem Blue Cross and Blue Shield Wisconsin- Anthem Blue Cross and Blue Shield Wisconsin - Dental
Dean Health Plan
Delta Dental of Wisconsin
Medica
Medica Individual and Family
Medicaid Wisconsin
Medical Associates Health Plans
Medical Mutual
Molina Healthcare Wisconsin
Network Health Commercial
Network Health Medicare
Network Health TPA
Pekin Insurance
PreferredOne (Aspirus Health Plan)
Quartz
Sana Benefits
Security Health Plan
SKYGEN USA
TRICARE East
TRICARE West Region
WPS Health Insurance
WPS Health Plan
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in Wisconsin too. browse the full directory.
Wisconsin payers by plan type
10
Commercial payers
3
Medicaid payers
7
Medicare payers
2
TRICARE payers
14 of the 24 Wisconsin payers list the programs they run: 10 run Commercial plans, 3 run Medicaid plans, 7 run Medicare plans and 2 run TRICARE plans. Some run more than one. The other 10 do not list one.
By line of coverage, 3 cover dental only, 21 also cover medical and 15 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
3 payers run Medicaid plans in Wisconsin
- Anthem Blue Cross and Blue Shield Wisconsin, payer ID 450
- Medicaid Wisconsin, payer ID 100306
- Security Health Plan, payer ID 39045
Enrollment with Wisconsin payers
All 24 Wisconsin payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, 23 of the 24 send electronic remittance advice (835) only after enrollment and 1 does not offer it electronically. 14 use a one-click enrollment and 9 need a multi-step one. Typical enrollment time: a few weeks for 12, within hours for 7, a few days for 3 and over four weeks for 1.
For claims, 8 accept dental claims (837D) electronically and 18 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 Wisconsin 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 24 Wisconsin payers above or to a nationwide carrier. Between them, the Wisconsin payers go by 83 billing names and 151 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 24.
- 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.
Wisconsin dental payers, quick answers
How many dental payers in Wisconsin support real-time eligibility?
24 payers operating in Wisconsin support real-time dental eligibility, and each one is listed on this page with its own payer page. Nationwide carriers are counted separately.
Which Wisconsin Medicaid dental plans can be verified in real time?
Anthem Blue Cross and Blue Shield Wisconsin (payer ID 450), Medicaid Wisconsin (payer ID 100306) and Security Health Plan (payer ID 39045). These 3 payers run Medicaid plans in Wisconsin and support real-time eligibility.
Do nationwide carriers verify in Wisconsin?
Yes. 30 nationwide carriers verify for patients in Wisconsin as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 24 payers that operate in Wisconsin.
Do Wisconsin payers require enrollment before eligibility checks?
No. All 24 Wisconsin payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: 23 of them require it before sending electronic remittance advice (835).
Check any Wisconsin 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.