MDHIN Eligibility

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

API: unknown Auth: signed out

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

Insurance Payer

Insurance Member ID

Diagnosis Code

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.

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.

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

Hold history

include expired

ID	Type	Status	Created	Expires	Actions

Debug

Document Encounter / Procedure / Medication

Reference ID: • Service:

Date of service

Patient name

Payer

Provider ID (free text)

Rendering provider

Rendering (free text)

Service Code / Medication Category / NDC (MDHIN)

Select a clinical service pseudo-NDC or an MDHIN formulary medication NDC.

Diagnosis (default Z00.00)

Units

POS

Unit charge

Total charge (calculated)

Care plan

If the member has care plans, you can optionally attach one to this encounter.

Use this if there is no selectable care plan or you need extra detail.

Medication Description