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.
Ping
Login
Login only required for a Provider or Pharmacist to manage encounters and holds.
Sign out
Username
Password
Sign in
Forgot / reset password
Need help?
contact@mdhin.com
Set your password
Create a password for your MDHIN Eligibility account.
Set password
Pharmacy / Provider Patients
v71 Non-Member Reprocess Queue
After login, view patients associated with this pharmacy/provider account. Non-members saved here are attributed to the logged-in account.
Additive
View Members
View Non-Members
Refresh
Search patients
Page size
10
25
50
100
Prev
Next
Choose a list to view.
Use the View button in the Actions column to open patient detail. Non-member rows also load into the form below for editing.
Non-Member Claims Summary
v82
Saved non-member claim documentation with pharmacy-facing MDHIN Claims review/export status.
0 claims
View Non-Member Claims
Status
All
PENDING_REPROCESS
SENT_TO_MDHINCLAIMS
UNDER_REVIEW
EXPORTED_837P
EXPORTED_HL7_DFT
EXPORTED_CSV
Search
Sign in, then click View Non-Member Claims.
Sign in as a pharmacy/provider to add or update non-member patients.
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
Select
Female
Male
Phone
Email
Insurance Payer
Insurance Member ID
Diagnosis Code
Care Plan Reference / Code
Select care plan
Loaded from the MDHIN care plan list.
Care Plan Name
Assigned Pharmacy NPI
Assigned Pharmacy Name
Assigned Provider NPI
Assigned Provider Name
Notes
Non-members must have diagnosis + care plan before billing/routing.
Save Non-Member Patient
Eligibility
Member ID
Check
Clear
RxEnhanced Medication Program
Subscription-based medication programs (if enrolled)
None
—
Benefit year:
—
Benefits
Care plan(s)
None
Place hold:
Visit ($40)
Lab/POCT ($15)
PGx ($0)
Hearing ($0)
Acute Med ($20)
Preventive Medications ($20)
No encounter can be documented without a hold.
Hold history
include expired
Refresh
ID
Type
Status
Created
Expires
Actions
Paid / committed encounters (from holds)
Refresh
0
Shows
USED
holds (often created/committed via BIN flow). Click
View
to load details via
/encounter
.
—
ID
Service
Status
Created
Actions
Billed encounters (This list only includes encounters documented on the browser and NOT through the BIN Process)
Refresh
Debug
Copy debug
Clear
Document Encounter / Procedure / Medication
Reference ID:
• Service:
✕
Date of service
Patient name
Payer
Provider ID (free text)
Rendering provider
Same as provider
Enter free text
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
Cancel
Commit & Save