Updated September 1, 2026
Verify Sutter Health Plan eligibility in real time.
Sutter Health Plan supports electronic real-time eligibility. Send the check to payer ID 13287 and the full benefits picture comes back in under a second, before the patient sits down.
Also billed as: Sutter Health Plus
Under 1 second
The same Sutter Health Plan check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
2 billing names
Sutter Health Plan shows up on cards under 2 names. Every one routes to payer ID 13287, and so do 1 older payer ID still printed on cards. No guessing which card this is.
3 Sutter plans
verify in real time through Valian. One setup covers the whole Sutter family, Sutter Health Plan included.
First month free
On day 30 your card on file is charged $500 unless you cancel. Then $2.50 a check. No seat fees, no platform fee, no contract.
The phone way
Call, hold, transcribe, repeat.
Verifying Sutter Health Plan by phone means a menu, a hold queue, and 15 to 25 minutes per patient while someone at the desk reads benefits back by hand. Ten patients on tomorrow's schedule is half a workday on hold.
The real-time way
Payer ID 13287, under a second.
The same check, sent electronically. Sign in and run it for any patient in one click, and Valian flags the ones that need a human look.
| By phone | In Valian | |
|---|---|---|
| Time per patient | 15 to 25 minutes on hold | Under a second |
| When it happens | Day of, squeezed between patients | Any time before the visit, in one click |
| What you get | Notes scribbled while someone reads benefits aloud | The full breakdown, saved to the patient |
What a Sutter Health Plan eligibility check returns
- Whether coverage is active, with plan and group details
- Deductible, and how much of it is already met this year
- Annual maximum, and how much of it is left to work with
- Coverage percentages by category: preventive, basic, major
- Frequency limits on cleanings, exams, and X-rays
- Waiting periods, where Sutter Health Plan reports them electronically
Eligibility result
Sample data- Status
- Active
- Plan
- PPO · Group 8823
- Deductible
- $50 · $0 met
- Annual max
- $1,500 remaining
- Preventive
- 100%
- Basic
- 80%
- Major
- 50%
- Cleanings
- 2 / year
Returned in under a second · payer ID 13287
How practices handle this today, in their own words
Verbatim from recorded calls to dental offices. Names withheld.
We call the insurance, or I go on their website and do it. Yeah, we manually do it.
We have a third party insurance verification team that does it for us. I’m not too sure, maybe like seven, ten minutes.
Our system does it, and the ones that are not set up for electronic, we do ourselves.
How getting set up works
Sign up
About ten minutes: create the account, sign the agreement, and your free first month starts. On day 30 your card on file is charged $500 unless you cancel.
Connect your system
We connect your practice management software with your office manager. Open Dental, Dentrix, Eaglesoft, and more.
Run a check in one click
Sign in, pick a patient and see their coverage in under a second before the visit, Sutter Health Plan included. No hold music, no portal logins.
Under half an hour of your time all in. See the full walkthrough on the insurance verification page.
What Sutter Health Plan supports electronically
- Real-time eligibility (270/271)
- Yes, under a second
- Enrollment for eligibility
- None, checks work day one
- Dental claims (837D)
- Not offered electronically
- Claim status (276/277)
- Not offered electronically
- Electronic remittance (835)
- Yes, after a multi-step enrollment, typically within hours
- Electronic funds transfer
- Not offered electronically
- Claim attachments
- Not offered electronically
Names and IDs this payer goes by
Sutter Health Plan · Sutter Health Plus. Older cards may show payer ID S4700. All of them route to payer ID 13287.
Payer site: www.sutterhealthplan.org
How to verify Sutter Health Plan, step by step
Get the member ID and date of birth from the card or the patient.
Send the electronic eligibility request (a 270) to payer ID 13287.
Read the response (the 271): status, deductible, max, percentages, frequencies.
Save the breakdown to the patient. With Valian, all four take one click and under a second.
Sutter Health Plan, quick answers
Does Sutter Health Plan support real-time eligibility?
Yes. Eligibility checks to Sutter Health Plan clear electronically in under a second through payer ID 13287.
What payer ID do I use for Sutter Health Plan?
13287 for eligibility transactions. The same payer also appears on cards as Sutter Health Plus.
What does a check cost with Valian?
$2.50 per verification. Sign in and run each check in one click before the visit. Your first month is free. On day 30 your card on file is charged $500 unless you cancel. No contract and no seat fees.
Does Sutter Health Plan require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Can I get Sutter Health Plan remittances electronically?
Yes. Sutter Health Plan sends electronic remittance advice (835) after a multi-step enrollment, typically within hours.
What if the patient's card shows a different Sutter name?
Alternate billing names route to the same payer ID, 13287. The same check covers them.
More questions about verifying Sutter Health Plan? Schedule 15 minutes with us and bring your toughest plan.
Check any Sutter Health Plan patient in one click, before they walk in.
First month free. On day 30 your card on file is charged $500 unless you cancel. $2.50 a check after that. No seat fees, no platform fee, no contract.
Book 15 minutes, demo or onboarding
Pick a time, then tell us on the form whether it is a demo or an onboarding call.
Other California dental payers
40 other payers operating in California also verify in real time, 16 of them with Medicaid plans.
- Aetna Better Health California128CA
- Alignment Health PlanCCHPC
- Allegiance Benefit Plan Management Incorporated81040
- AltaMedALTAM
- Anthem Blue Cross Blue Shield of California040
- Blue Shield of California100935
- Blue Shield of California Promise Health PlanC1SCA
- Blue Shield of California Promise Health Plan57115
- CalOptimaCALOP
Medicaid plans in California: Aetna Better Health California, AltaMed, Blue Shield of California, Blue Shield of California Promise Health Plan, Blue Shield of California Promise Health Plan, Commonwealth Care Alliance (CCA), and 10 more.
The Sutter family in the network
3 Sutter plans verify in real time through Valian.
Payer names and marks belong to their owners and identify the insurance company a practice can verify. Sample result shown for illustration; real results reflect the patient's actual plan. Payer capabilities can change between network updates.