MDHIN Eligibility

Check eligibility, place holds, and document encounters (requires login).

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Eligibility API Base

Defaults to https://eligibility.calhin.com. Stored in this browser.

Username

Password

Need help? contact@mdhin.com

Non-Member Patients

Add/update a registered non-member patient after pharmacy/provider login. Existing member eligibility, BIN, holds, and encounters are unchanged.

Additive

Non-Member / External Patient ID

First Name *

Last Name *

DOB *

Gender

Phone

Primary Payer

Coverage Type

Benefit Type

Coverage Plan / Program

Payer / Plan ID

Address 1

Address 2

City

State

ZIP Code

Primary Member ID / MBI

Diagnosis Codes

Optional. Separate multiple codes with |.

Primary Coverage Effective Date

Primary Coverage End Date

Secondary Coverage (optional)

Secondary Payer

Secondary Member ID

Coverage Type

Benefit Type

Plan / Program

Payer / Plan ID

Effective Date

End Date

Selected Care Plans

No care plans selected.

Search and Add Care Plans

Optional at patient intake. Leave blank to save “No care plan assigned,” or select one or more real care plans and click Add.

Prescribed Medications

Optional. Separate multiple medications with |.

Medication NDCs

Optional. Enter NDCs in the same order as the medications.

Signed-In Account Pharmacy NPI

Signed-In Account Pharmacy Name

Pharmacy ownership is loaded from the signed-in account and cannot be changed on this form.

Assigned Provider Name

Assigned Provider NPI

Patient-level provider assignment. This provider is displayed in Patient Access and prefilled when documenting an encounter. Clear both fields and save to remove the assignment. Do not enter the pharmacy NPI here; direct pharmacy pathways do not require a separate provider assignment.

Notes

The patient may be saved without a care plan. A real care plan is required before an encounter or BIN billing.

Eligibility

Member ID

RxEnhanced Medication Program

Subscription-based medication programs (if enrolled)

None

BIN Transaction

E1 checks only. B1 commits billing. B2 reverses. B3 reverses and replaces. Medication and pellet program allowances use the program reservation section above.

Transaction

Clinical service pseudo-NDC

Date of service

Use the Member ID above or select a patient from Patient Access.

Hold history

full history (USED, released, and expired)

ID	Type	Status	Source	Created	Used / Released / Expires	Actions

Debug

RxEnhanced Medication Program

Velora Privé medication and pellet benefits ·

Program transaction history

Paid / committed encounters (from holds)