Pharmacies — MDHIN

Bill MDHIN Today with RxDirectCare

A New Payer in Your Existing Workflow

  • BIN/PCN billing: submit eligible clinical encounters directly to MDHIN using MDHIN groups/tier codes.
  • NDC / service codes: standardize visit types and POCT (A1c, lipid, strep, flu, COVID-19, etc.).
  • Electronic reimbursement: paid per your participation agreement.

Quick Start

  1. Enroll your location as MDHIN-participating (via IPPN/ConnectHIN).
  2. Display RxDirectCare signage; invite members to join.
  3. Submit claims with the MDHIN fee schedule and codes; include a unique Visit ID.
  4. Track eligibility and payments in your portal.

Documentation & Compliance

Use IPPN tools for documentation and compliance; collaborate with ConnectHIN providers when needed. Use Modifier 25 when multiple services occur in one encounter.

Eligibility resets annually; unused benefits do not carry over. Coverage varies by tier and location.