Skip to main content
CredNet

SOMOS Innovation (Emblem Health)

medical

Summary

SOMOS Innovation (Emblem Health) is a medical payer. Claims route under payer ID 81336, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID
81336Also seen as 4072, 8816
Also known as
SOMOS Independent Practice Association (Emblem Health), Somos Independent Practice Association (Emblem Health)

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSame day

Common questions

What is the payer ID for SOMOS Innovation (Emblem Health)?
The payer ID for SOMOS Innovation (Emblem Health) is 81336. Alternate IDs seen across clearinghouses include 4072, 8816.
Does SOMOS Innovation (Emblem Health) require ERA enrollment?
Yes. SOMOS Innovation (Emblem Health) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
What types of coverage does SOMOS Innovation (Emblem Health) offer?
SOMOS Innovation (Emblem Health) covers medical.
Can I submit claims to SOMOS Innovation (Emblem Health) electronically?
Yes. SOMOS Innovation (Emblem Health) is reachable through clearinghouses for professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.