SOC: What is a Eligibility Verification Confirmation (EVC) number for Share of Cost

Thursday, Oct. 27th 2011 6:59 AM

Once SOC has been certified, an Eligibility Verification Confirmation (EVC) number is displayed in the message returned by the Medi-Cal eligibility verification system.  Return of an EVC number does not guarantee that a subscriber qualifies for full-scope Medi-Cal or CMSP benefits.  It does, however, indicate that the subscriber qualifies for at least partial services.  Providers should carefully read the eligibility message to determine what Medi-Cal service limitations, if any, apply to the subscriber. Providers are not required to include the EVC number on the claim, but may choose to do so for their own record keeping purposes.  When included, the EVC number should be entered in the remarks area of the claim.

Posted on Thursday, Oct. 27th 2011 6:59 AM | by Share of Cost | in Share of Cost | Comments Off on SOC: What is a Eligibility Verification Confirmation (EVC) number for Share of Cost