Compliance
If you become aware of potential fraud, waste or abuse that relates to a Health Plan that SOMOS is contracted with (for example, you become aware of a medical provider submitting a claim where services were not rendered), contact the Health Plan Special Investigations Unit (SIU):
If you have Compliance questions or become aware of a potential failure to be complaint with the laws, regulation, or SOMOS contracts, contact Dean Carilli, SOMOS Chief Compliance Officer, at (646) 306-0935 or send her an email at dcarilli@somosipa.com. If you are not certain if it is fraud, waste, and abuse or compliance, contact Dean Carilli, and she will make certain the issue reaches the correct location or correct Health Plan. If you would prefer, you can submit your question anonymously through the EthicsPoint website or call the Hotline at (855) 233-3135.
If you have a specific question about Privacy and Security questions under HIPAA, you can contact SOMOS Privacy Officer Steven Plaxsun at splaxsun@somosipa.com, Dean Carilli, or if you are aware of a privacy breach or an information security incident, then contact SOMOS Chief Information Officer, Charlie Ottomanelli at cottomanelli@somosipa.com, or you can submit your question anonymously through the EthicsPoint website or call the Hotline at (855) 233-3135.
