Billing: Share of Cost

It is important that we apply the payment that was received by our office so it can be allocated towards the patients' share of cost obligations.

Our office collects towards share of cost on the date of service.

Please do NOT collect towards NO/ SOC -SPEND DOWN if the Medi-cal reflects this image.

If a patient is eligible without a start of care (SOC), please refrain from collecting towards the family SOC. Collection should only occur if the patient has a start of care, and it is essential to document this in the billing/appointment notes to ensure accurate reporting of SOC collection.

Steps to apply Share of Cost

1. Share of cost superbill will be either titled. SOC or Share of Cost

2. Please confirmed that the total amount is paid for for by referencing the P-Drive for the DOS receipt.
3. Once confirmed log on to the Medi-cal portal.
4. Click on "Share of Cost (SOC)/Spend down clearence.

5. Fill in all highlighted fields per PROCEDURE CODE.

6. Please save all share of cost Spend down per procedure code for proof that it was applied towards the account after you submited for our records in the P-Drive.

Reversing SOC TransactionTo reverse SOC transactions,

Please enter the same information as for a clearance but specify that the entry is a reversal transaction. After the SOC file is updated, providers receive confirmation that the reversal is completed. Once a subscriber has been certified as having met the Share of Cost, reversal transactions can no longer be performed. Reversals may only be performed for partial clearance prior to the time the subscriber is certified as eligible.

For more information Please reference this Articles

Last updated on 8/3/2024 DP