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  • Who We Are
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      Learn more about the value add services we offer to our SOMOS affiliated providers and practices.

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      News & Education

      Stay up-to-date on the latest policies and educational materials.

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      Provider Resources

      All of the reference materials you need to operate within the value-based programs supported by SOMOS Innovation.

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      Provider Directory

      Search the SOMOS Innovation provider directory by name, specialty, or zip code.

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Provider Resources

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Find the tools, information, and resources you need to support the day-to-day needs of your practice. 

SOMOS Portal

Policy & Procedure

  • SOMOS Provider Manual
  • Emblem-SOMOS Referral Policy Effective 12/01/2020
  • Emblem VFCA Information

Partner Organization FAQs

  • Emblem Health Fact Sheet
  • HealthPlus Fact Sheet
  • SOMOS Innovation Program FAQs
  • InstaMed FAQs
  • Care Management Program FAQs

Key Contacts

  • Listing of Key Contacts

Prior Authorization Information and Tools

  • Identifi Practice- Prior Authorization Tool Guide
  • SOMOS Prior Authorization Form
    (Behavioral Health)
  • SOMOS Prior Authorization Form (Medical)

Claim Information

  • EDI Payor ID Notification
  • SOMOS CMS-1500 Claim Form
  • SOMOS UB-04 Claim Form

Quality Education

  • Quality Best Practice Tips for Adults
  • Quality Best Practice Tips for Care Management
  • Quality Best Practice Tips for Peds

Pharmacy Education

  • MC RX's Educational Program
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SOMOS Innovation strengthens the relationship between physicians and patients by removing administrative burdens and facilitating value-based care.
SOMOS Innovation Affiliates
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Contact Information
  • Phone: (844) 990-0255
  • Email: providerrelations@somosipa.com
  • Fax: (844) 990-0255
  • Hours: M-F, 8am-5pm EST
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