SOMOS Independent Practice Association (Emblem Health)
This page contains information you can use to exchange healthcare transactions with SOMOS Independent Practice Association (Emblem Health) using Stedi.
Use any of the following payer IDs to send transactions to SOMOS Independent Practice Association (Emblem Health) using Stedi APIs or SFTP. Read the docs
Primary Payer ID
81336
Stedi Payer ID
DGCRM
Payer ID aliases
4072, 81336, 8816
Coverage types
Medical
Supported transactions
Use Stedi to exchange the following transactions with SOMOS Independent Practice Association (Emblem Health) using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Not supported
Eligibility checks
(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to SOMOS Independent Practice Association (Emblem Health).
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to SOMOS Independent Practice Association (Emblem Health) to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported
Real-time claim status
(276/277)
Check on the status of a claim previously submitted to SOMOS Independent Practice Association (Emblem Health) in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to SOMOS Independent Practice Association (Emblem Health) and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to SOMOS Independent Practice Association (Emblem Health) and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from SOMOS Independent Practice Association (Emblem Health) to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to SOMOS Independent Practice Association (Emblem Health) and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to SOMOS Independent Practice Association (Emblem Health).
Get started
Use Stedi's APIs to get fast and reliable connectivity to SOMOS Independent Practice Association (Emblem Health) and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and SOMOS Independent Practice Association (Emblem Health) today.