Updated September 1, 2026
Verify The Health Plan of West Virginia eligibility in real time.
The Health Plan of West Virginia supports electronic real-time eligibility. Send the check to payer ID 34150 and the full benefits picture comes back in seconds, before the patient sits down.
Also billed as: Hometown Health Network · The Health Plan
Seconds
The same The Health Plan of West Virginia check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
3 billing names
The Health Plan of West Virginia shows up on cards under 3 names. Every one routes to payer ID 34150, and so do 1 older payer ID still printed on cards. No guessing which card this is.
4 The plans
verify in real time through Valian. One setup covers the whole The family, The Health Plan of West Virginia included.
From $39/mo
Per location, billed yearly. Found checks are billed once a month, $2.50 each and less as you run more. No seat fees, no processing fees.
The phone way
Call, hold, transcribe, repeat.
Verifying The Health Plan of West Virginia 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 34150, in seconds.
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 | Seconds |
| 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 The Health Plan of West Virginia 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 The Health Plan of West Virginia 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 seconds · payer ID 34150
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
Book a discovery call
A 15-minute call with our team: we show you a check and size your plan. Then you sign up from the link we send you: create the account, sign the agreement, and put a card on file.
Save your carriers and codes
Pick the insurance carriers you take and the codes you check.
Run a check in one click
Sign in, pick a patient and see their coverage in seconds before the visit, The Health Plan of West Virginia included. No hold music, no portal logins.
Under half an hour of your time all in. See how the software compares, how a real-time check works, or what outsourcing costs.
What Health Plan WV supports through our network
- Real-time eligibility (270/271)
- Yes, in seconds
- Enrollment for eligibility
- None, checks work day one
- Dental claims (837D)
- Not through our network
- Claim status (276/277)
- Not through our network
- Electronic remittance (835)
- Yes, after a one-click enrollment, typically a few weeks
- Electronic funds transfer
- Not through our network
- Claim attachments
- Not through our network
Names and IDs this payer goes by
The Health Plan of West Virginia · Hometown Health Network · The Health Plan. Older cards may show payer ID 14403. All of them route to payer ID 34150.
Payer site: www.healthplan.org
How to verify The Health Plan of West Virginia, 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 34150.
Read the response (the 271): status, deductible, max, percentages, frequencies.
Save the breakdown to the patient. With Valian, all four take one click and a few seconds.
The Health Plan of West Virginia runs Commercial, Medicare and Medicaid plans across West Virginia. Medicaid dental benefits change by state and by age, which is exactly what the check reads off the plan. Medicare dental benefits live in the specific Advantage plan, not in Medicare itself, so the plan on the card decides.
The Health Plan of West Virginia, for your front desk
Phone numbers and portal, from The Health Plan of West Virginia's own provider pages.
- Provider customer service
- 888-816-3096
- Provider email
- pdq@healthplan.org
- Provider portal
- MyPlan
Source: The Health Plan of West Virginia, self funded network providers page and claims page. Checked September 19, 2026.
The Health Plan of West Virginia, quick answers
Does The Health Plan of West Virginia support real-time eligibility?
Yes. Eligibility checks to The Health Plan of West Virginia clear electronically in seconds through payer ID 34150.
What payer ID do I use for The Health Plan of West Virginia?
34150 for eligibility transactions. The same payer also appears on cards as Hometown Health Network, The Health Plan.
What does a check cost with Valian?
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. Sign in and run each check in one click before the visit.
Does The Health Plan of West Virginia require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Which The Health Plan of West Virginia plans does this cover?
The Health Plan of West Virginia runs Commercial, Medicare and Medicaid plans in West Virginia. The eligibility check reads the specific plan on the patient's card, whichever program it belongs to.
Can I get The Health Plan of West Virginia remittances electronically?
Yes. The Health Plan of West Virginia sends electronic remittance advice (835) after a one-click enrollment, typically a few weeks.
What if the patient's card shows a different The name?
Alternate billing names route to the same payer ID, 34150. The same check covers them.
More questions about verifying The Health Plan of West Virginia? Schedule 15 minutes with us and bring your toughest plan.
Check any The Health Plan of 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.
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 West Virginia dental payers
12 other payers operating in West Virginia also verify in real time, 7 of them with Medicaid plans.
- Aetna Better Health of West Virginia128WV
- CareFirst Blue Cross Blue Shield MarylandSB690
- CareFirst Blue Cross Blue Shield Maryland - Dental00580
- CareSourceCRSCK
- Delta Dental of Maryland23166
- Delta Dental of West Virginia31096
- Health Plan of Upper Ohio Valley95677
- Highmark Health Options West VirginiaRP118
- TRICARE East99727
Medicaid plans in West Virginia: Aetna Better Health of West Virginia, CareFirst Blue Cross Blue Shield Maryland, CareSource, Health Plan of Upper Ohio Valley, Highmark Health Options West Virginia, Wellpoint West Virginia, and 1 more.
The The family in the network
4 The 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.