Dental insurance verification in West Virginia.
13 payers operating in West 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.
West Virginia payers with real-time eligibility
Aetna Better Health of West Virginia
CareFirst Blue Cross Blue Shield Maryland- CareFirst Blue Cross Blue Shield Maryland - Dental
CareSource
Delta Dental of Maryland
Delta Dental of West Virginia
Health Plan of Upper Ohio Valley
Highmark Health Options West Virginia
The Health Plan of West Virginia
TRICARE East
Wellpoint West Virginia
West Virginia Medicaid
West Virginia Public Employees Insurance Agency
Nationwide carriers like Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA verify in West Virginia too. browse the full directory.
West Virginia payers by plan type
4
Commercial payers
8
Medicaid payers
4
Medicare payers
1
TRICARE payer
10 of the 13 West Virginia payers list the programs they run: 4 run Commercial plans, 8 run Medicaid plans, 4 run Medicare plans and 1 runs TRICARE plans. Some run more than one. The other 3 do not list one.
By line of coverage, 4 cover dental only, 9 also cover medical and 5 also cover vision. Whatever the program, the eligibility check reads the specific plan on the patient's card.
8 payers run Medicaid plans in West Virginia
- Aetna Better Health of West Virginia, payer ID 128WV
- CareFirst Blue Cross Blue Shield Maryland, payer ID SB690
- CareSource, payer ID CRSCK
- Health Plan of Upper Ohio Valley, payer ID 95677
- Highmark Health Options West Virginia, payer ID RP118
- The Health Plan of West Virginia, payer ID 34150
- Wellpoint West Virginia, payer ID 80314
- West Virginia Medicaid, payer ID 100305
Enrollment with West Virginia payers
All 13 West Virginia payers run real-time eligibility with no enrollment step, so checks work from the first day.
On the payment side, 12 of the 13 send electronic remittance advice (835) only after enrollment and 1 does not offer it electronically. 11 use a one-click enrollment and 1 needs a multi-step one. Typical enrollment time: a few weeks for 7, over four weeks for 3, within hours for 1 and a few days for 1.
For claims, 3 accept dental claims (837D) electronically and 6 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 West 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 13 West Virginia payers above or to a nationwide carrier. Between them, the West Virginia payers go by 37 billing names and 56 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 13.
- 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.
West Virginia dental payers, quick answers
How many dental payers in West Virginia support real-time eligibility?
13 payers operating in West 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 West Virginia Medicaid dental plans can be verified in real time?
Aetna Better Health of West Virginia (payer ID 128WV), CareFirst Blue Cross Blue Shield Maryland (payer ID SB690), CareSource (payer ID CRSCK), Health Plan of Upper Ohio Valley (payer ID 95677), Highmark Health Options West Virginia (payer ID RP118), The Health Plan of West Virginia (payer ID 34150), Wellpoint West Virginia (payer ID 80314) and West Virginia Medicaid (payer ID 100305). These 8 payers run Medicaid plans in West Virginia and support real-time eligibility.
Do nationwide carriers verify in West Virginia?
Yes. 30 nationwide carriers verify for patients in West Virginia as well, including Aetna, Cigna, UnitedHealthcare Dental, Humana and ASA GEHA. They are in addition to the 13 payers that operate in West Virginia.
Do West Virginia payers require enrollment before eligibility checks?
No. All 13 West Virginia payers run real-time eligibility with no enrollment step. Enrollment comes up on the payment side instead: 12 of them require it before sending electronic remittance advice (835).
Check any West 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.