MDHIN is a Membership Payer
The Medical Health Inclusive Network (MDHIN) is a payer that manages membership-based access to routine and preventive care through two delivery tracks: RxDirectCare (pharmacy concierge) and MDDPC (physician direct primary care). We are not insurance.
Why “Inclusive”?
- Start care where people live and shop—community pharmacies and virtual options.
- Serve individuals, families, employers, unions, ACOs, and provider groups.
- Works alongside existing insurance without disrupting attribution.
What Members Get
- Concierge access & navigation via RxDirectCare or MDDPC
- Same-day pharmacy care via ConnectRxCare
- Transparent monthly pricing (no copays or deductibles)
- Options for POCT and chronic care support by tier
Claims & Eligibility
- Pharmacies: submit encounters to MDHIN via BIN/PCN using MDHIN groups/tier codes and pseudo-NDC/service codes.
- Providers: submit via 837/835 using the MDHIN payer code (or collaborate through ConnectHIN).
- Each claim includes a unique Visit ID and standard coding (e.g., 99202–99215, 99423; 99000 for POCT when applicable). Use Modifier 25 when multiple services occur in one encounter.
- Eligibility is real-time; membership resets annually. PGx benefit is once per member lifetime.
Ready to join? Enroll via RxDirectCare or via MDDPC.