Providers & ACOs

Extend Access Without Changing Your EHR

• MDDPC: physician-led DPC memberships billed to MDHIN via standard 837/835 using the MDHIN payer code.
• RxDirectCare: pharmacy-delivered concierge services your organization can sponsor for your population; pharmacies bill MDHIN via BIN/PCN.
• Hybrid models (incident-to, value-based support) via IPPN + ConnectHIN.

Billing Options & Rules

• Use approved codes and modifiers (e.g., 99202–99215, 99423; 99000 for POCT when applicable).
• Include a unique Visit ID on each claim; use Modifier 25 when multiple services occur in one encounter.
• BIN/PCN for pharmacy services (RxDirectCare); 837/835 for professional services (MDDPC).

Program Benefits

• Bulk member onboarding & real-time eligibility sync
• Offset care coordination costs using pharmacy-based delivery
• No new EHR required; use familiar claim flows