Posted in Insurance, Training, Updates

EmblemHealth & SOMOS IPA LLC. (NY Providers)-Managing Entity, effective 10/01/2020

As of October 1,2020 Somos IPA partnered up with EmblemHealth, to become a managing entity for some Medicaid, ChildHealth Plus, HARP. And Essential Plan members.

Below are the examples of SOMOS Emblem Health Cards: Notice SOMOS.

SOMOS IPA LLC-will conduct utilization management and will process claims for their assigned memberships. Providers that belong to SOMOS IPA and EmblemHealth, that provide services for SOMOS members, will need to contact SOMOS for prior authorizations and send their claims to SOMOS address. (see below)

Contact Information:

  1. Member eligibility – please call EmblemHealth provider number 866-447-9717
  2. Provider Contact Information for SOMOS IPA, LLC:
  3. Claims Submission: PO Box 211473, Eagan, MN 55121
  4. Claim Inquires: P: 844-990-0255
  5. Preauthorizations: Online P: 844-990-0255/F: 877-590-8003

Note: providers should check to see if they are in-network and are able to see SOMOS patients.

For a complete announcement from SOMOS Community, please click here .

For an EmblemHealth announcement, please click here.

#EmblemHealth, #SOMOS,#IPA



My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

2 thoughts on “EmblemHealth & SOMOS IPA LLC. (NY Providers)-Managing Entity, effective 10/01/2020

  1. Normally I do not learn post on blogs, however I wish to say that this write-up very forced me to take a look at and do so! Your writing style has been amazed me. Thanks, quite great article.

  2. Hello! I’m at work browsing your blog from my new iphone 3gs! Just wanted to say I love reading your blog and look forward to all your posts! Carry on the outstanding work!

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s