NEMT & Medical Transportation Insurance Billing Services
Stop losing thousands of dollars to billing denials, missing prior authorizations, and sluggish broker reconciliations. Our dedicated medical transit billing team manages CMS-1500 claims, EDI 837/835 electronic submissions, and appeals.
What Our Insurance Billing Operators Deliver
Standard Daily Operating Protocol
Cross-checking driver GPS logs, timestamps, passenger signatures, and odometer readings against broker authorization codes.
Applying appropriate HCPCS codes (A0130, T2003, A0428, A0425 mileage), origin/destination modifiers (RH, SH, HH), and ICD-10 diagnosis links.
Batch transmitting claims daily to state Medicaid portals, Medicare intermediaries, and broker EDI clearinghouses.
Actively working uncollected AR over 30/60/90 days, curing documentation gaps, and recovering unbilled revenue.
Portals & Software We Operate for Insurance Billing
Related Insurance Billing Guides & Resources
Insurance Billing Questions, Answered
What is your clean-claim pass rate for Medicaid and NEMT broker billing?+
Our insurance and broker billing team maintains a 99.4% first-pass clean claim acceptance rate. We scrub trip signatures, GPS timestamps, and HCPCS modifiers (A0130, T2003, A0428) before batch EDI 837 generation to ensure rapid payment posting and under 14-day average DSO.
Can you run patient reminder calls and prior authorization checks before the trip?+
Yes. Reminder calls are one of the cheapest ways to cut missed trips and broker penalties. We place scheduled day-before and morning-of reminder calls, confirm mobility needs (WAV, stretcher, ambulatory), verify passenger eligibility and prior authorization status, and log every outcome in your system so proof of service is billing-ready before the driver ever arrives.
