Updated September 1, 2026
Verify Vaya Health eligibility in real time.
Vaya Health supports electronic real-time eligibility. Send the check to payer ID 13010 and the full benefits picture comes back in seconds, before the patient sits down.
Also billed as: Smoky Mountain Center · Smoky Mountain Local Management Entity Managed Care Organization
Seconds
The same Vaya Health check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
3 billing names
Vaya Health shows up on cards under 3 names. Every one routes to payer ID 13010, and so do 2 older payer IDs still printed on cards. No guessing which card this is.
Medicaid plans
Vaya Health runs Medicaid plans in North Carolina. Sign in and check any patient in one click before they arrive.
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 Vaya Health 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 13010, 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 Vaya Health 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 Vaya Health 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 13010
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, Vaya Health 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 Vaya Health 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 multi-step 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
Vaya Health · Smoky Mountain Center · Smoky Mountain Local Management Entity Managed Care Organization. Older cards may show payer ID 6233 and VAYAH. All of them route to payer ID 13010.
Payer site: providers.vayahealth.com
How to verify Vaya Health, 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 13010.
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.
Vaya Health runs Medicaid plans across North Carolina. Medicaid dental benefits change by state and by age, which is exactly what the check reads off the plan.
Vaya Health, for your front desk
Phone numbers, from Vaya Health's own provider pages.
- Provider customer service
- 866-990-9712
- Provider email
- provider.info@vayahealth.com
Source: Vaya Health, contact page. Checked September 19, 2026.
Vaya Health, quick answers
Does Vaya Health support real-time eligibility?
Yes. Eligibility checks to Vaya Health clear electronically in seconds through payer ID 13010.
What payer ID do I use for Vaya Health?
13010 for eligibility transactions. The same payer also appears on cards as Smoky Mountain Center, Smoky Mountain Local Management Entity Managed Care Organization.
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 Vaya Health require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Which Vaya Health plans does this cover?
Vaya Health runs Medicaid plans in North Carolina. The eligibility check reads the specific plan on the patient's card, whichever program it belongs to.
Can I get Vaya Health remittances electronically?
Yes. Vaya Health sends electronic remittance advice (835) after a multi-step enrollment, typically a few weeks.
What if the patient's card shows a different Vaya name?
Alternate billing names route to the same payer ID, 13010. The same check covers them.
More questions about verifying Vaya Health? Schedule 15 minutes with us and bring your toughest plan.
Check any Vaya Health 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 North Carolina dental payers
19 other payers operating in North Carolina also verify in real time, 4 of them with Medicaid plans.
- ACS Benefit Services72467
- Alignment Health PlanCCHPC
- Alliance Health23071
- AmeriHealth Caritas North Carolina81671
- Blue Cross NCBCSNC
- Blue Medicare PPO/HMO of North Carolina56152
- CareFirst Blue Cross Blue Shield MarylandSB690
- CareFirst Blue Cross Blue Shield Maryland - Dental00580
- CareSourceCRSCK
Medicaid plans in North Carolina: Alliance Health, CareFirst Blue Cross Blue Shield Maryland, CareSource, North Carolina Medicaid.
All 20 North Carolina payers, with plan types and enrollment
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.