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NEMT Trip Coding
Accurate HCPCS coding for base trips, loaded mileage, and wait time, matched to vehicle type and level of service.
NEMT Billing Services
NEMT Billing Services by Revex Square is where you turn when you became a non-emergency medical transportation provider to get patients safely to dialysis, chemotherapy, and follow-up appointments, not to figure out why a broker rejected a trip claim over a mismatched odometer reading. Your day often ends with trip logs to reconcile, a broker portal with its own claim format, and payer rules that deny a loaded-mile charge if the base trip code doesn't match it. That's where NEMT billing services from Revex Square come in.
NEMT providers get paid faster, cleanly, and predictably by engaging a billing partner that actually understands broker-managed billing, trip-level documentation, and Medicaid transportation coding, not a generalist team applying office-visit billing logic to trip claims. No long meetings. No jargon-heavy reports. Just a partner who understands NEMT billing completely, from a single ambulatory trip to a full wheelchair-van and stretcher-van fleet operation.
Imagine finishing your week knowing that every trip log matches its claim, every broker submission follows that broker's exact format, and every claim is already moving through the payment stream instead of sitting in a rejection queue. That's the peace we bring to transportation providers every day.
Schedule Free Consultation
NEMT Billing Service Specifications
Complete billing & RCM overview for NEMT, ambulance, and EMS providers
NEMT Billing Service Specifications
Service Type
NEMT, Ambulance, and EMS Billing & Revenue Cycle Management
Provider
Revex Square, Full-Service Medical Billing Company
Providers Served
Service Areas Covered
Coding Systems
HCPCS (A0080–A0210, A0425, T2001–T2049, S0209), ICD-10
for medical necessity, with correct modifiers for mileage, attendant, and wait-time billing
Service Price
As low as 2.75% of your monthly collections
— no hidden fees
Software Compatibility
Availability
Nationwide in the United States, with state-specific Medicaid and NEMT broker billing expertise
Compliance
HIPAA-Compliant, encrypted, auditable, and secure
Key Metrics
99%
Clean Claim Rate
<25
Days in A/R
<6%
Denial Rate
48hr
Claim Turnaround
Contact Number
+1 737-227-1587
Business Hours
Mon – Fri: 6 AM – 9 PM (CST)
Want to increase your NEMT collections? Get a free demonstration.
Schedule a Free DemoBilling Support Built Around NEMT
We handle the billing so you can focus on your patients.
5+ Years in Billing
Focused, specialty-trained medical billing experience helping NEMT providers improve collections and protect revenue.
99% Clean Claim Rate
Our billing team focuses on accurate claim submission, catching the small errors that turn into big denials before they ever reach a payer.
Faster Payments
We follow every claim from submission through payment, so your fleet sees revenue faster and keeps a steadier cash flow.
Work With an NEMT Billing Specialist
Our team understands broker-managed billing, direct Medicaid transportation claims, trip documentation standards, and the unique challenges of transportation revenue cycle management.
Our NEMT Billing Process
We simplify every step of your revenue cycle so your fleet can focus on serving patients.
01
Trip Intake & Eligibility Verification
We confirm patient eligibility, prior authorization status, and, where applicable, broker assignment before the trip is scheduled.
02
Charge Capture & Trip-Log Reconciliation
Our team captures the base trip, loaded mileage, wait time, and attendant charges, and reconciles them against GPS and dispatch trip logs before submission.
03
Coding
Certified billers assign the correct HCPCS transportation codes and mileage modifiers based on vehicle type, including ambulatory, wheelchair, and stretcher services.
04
Claim Submission
Clean claims are submitted in the exact format required by state Medicaid brokers, direct Medicaid programs, or commercial payers.
05
Payment & A/R Follow-Up
We monitor payments, follow up on unpaid or rejected trips, and aggressively manage denials and outstanding accounts across every broker and payer your fleet works with.
Accurate Trip Billing
Every trip code, mileage figure, and supporting log is carefully reviewed to reduce coding errors, claim rejections, and lost revenue.
Faster Reimbursement
Our streamlined billing workflow helps move claims through the revenue cycle and improves your cash flow.
NEMT Billing Services We Provide
Comprehensive revenue cycle solutions designed specifically for transportation providers — including the gaps most billing companies skip.
02
Broker-Managed Billing
Most NEMT providers don't bill Medicaid directly — they bill a state-contracted transportation broker, and each broker runs its own portal, claim format, rate schedule, and dispute process. We manage submissions and appeals separately for every broker your fleet works under, instead of forcing broker claims through a generic Medicaid workflow that doesn't match how brokers actually pay.
03
Direct Medicaid & Commercial Transportation Billing
For providers billing Medicaid or commercial payers directly rather than through a broker, we manage CMS-1500 submission, prior authorization tracking, and payer-specific documentation requirements.
04
Trip-Log & GPS Documentation Matching
Just as clinical billing depends on visit documentation, NEMT billing depends on trip logs matching the claim: pickup/drop-off times, mileage, and attendant presence all need to be verifiable. We reconcile GPS and dispatch data against every claim before submission, catching mismatches before a payer or broker does.
05
No-Show & Late Cancellation Billing
Many brokers and Medicaid programs allow limited billing for no-shows and late cancellations, but under strict documentation and frequency rules that are easy to miss. We track and bill these correctly instead of leaving that revenue unclaimed.
06
Ambulance & EMS Billing
For providers who also run emergency or BLS/ALS ambulance services alongside NEMT, we handle ambulance-specific coding, origin/destination modifiers, and medical necessity documentation separately from non-emergency trip billing.
07
Multi-Broker & Multi-State Reconciliation
Fleets operating across state lines often work with several different brokers simultaneously. We consolidate reconciliation and reporting across all of them so a discrepancy in one broker relationship doesn't get lost in the noise of the others.
08
Denial Management
Our team identifies the root cause of denials and claim rejections, corrects billing issues, and follows up with brokers and payers to recover lost revenue.
09
Accounts Receivable Management
We monitor outstanding accounts, prioritize aging balances, and actively follow up to accelerate reimbursement.
10
NEMT RCM Reporting
Detailed reports and performance insights help you understand collections, denials by broker or payer, A/R, and the overall health of your revenue cycle.
Need a Complete NEMT RCM Solution?
Let Revex Square handle your billing while you focus on your fleet.
TRANSPORTATION-SPECIFIC EXPERTISE
NEMT Billing Solutions Tailored to Your Fleet
Every transportation provider is different. A wheelchair-van fleet billing through a single state broker has different needs than a multi-state stretcher-van operation working with several brokers at once, or an ambulance company billing emergency and non-emergency trips side by side.
Revex Square provides specialized NEMT billing services designed around a category of billing that runs on rules general medical billing companies don't typically encounter: broker-specific claim formats and rate schedules, trip-log documentation matching, and mileage-based coding that most other specialties never deal with.
✓
Specialty-Specific Coding
Accurate HCPCS coding for base trips, mileage, wait time, and ambulance-level-of-service billing, matched precisely to trip documentation.
✓
Payer & Broker Expertise
Experienced handling of state Medicaid transportation brokers, direct Medicaid billing, and commercial payers, each with its own submission format and documentation rules.
✓
Complete Revenue Cycle
From eligibility and trip-log reconciliation to coding, broker and payer claims, denials, and A/R follow-up, covering the full path from trip to final reimbursement.
Performance Snapshot
NEMT Revenue Growth
Clean Claims
98%
Denial Rate
<8%
Days in A/R
<25
99%
Clean Claims
Faster
Payments
<25
Days in A/R
WHY REVEX SQUARE
Talk to an NEMT Billing Specialist
→
Why Choose Revex Square Among NEMT Billing Companies?
Your fleet deserves more than a general medical billing company. You need a revenue cycle partner that understands the complexities of transportation billing.
✓
Transportation-Specific Expertise
Our billing professionals understand broker-managed billing, trip-log documentation, mileage coding, and the compliance requirements that make NEMT billing fundamentally different from standard medical billing.
✓
Transparent Pricing
Simple, transparent pricing with no unnecessary hidden fees, allowing you to understand exactly what you are paying for.
✓
Dedicated Billing Team
Work with experienced billing specialists who become an extension of your fleet and remain focused on your financial performance.
✓
Complete Revenue Cycle Management
From trip intake and eligibility verification to coding, claims, denials, and A/R follow-up, we manage the complete cycle.
Turn Your NEMT Billing Challenges Into Results
From claim rejections to broker disputes, Revex Square helps identify the problems affecting your revenue and provides practical solutions.
High Claim Rejections
Trip claims get rejected quickly when broker-specific formatting or trip-log details don't match documentation. We identify rejection patterns, correct billing errors, and follow up to recover revenue.
Solution
Denial & Rejection Management
Slow Broker or Insurance Payments
Our team actively tracks outstanding claims and follows up with brokers and payers to accelerate reimbursement.
Solution
A/R Follow-Up
Trip-Log Mismatches
A mileage figure or timestamp that doesn't match dispatch or GPS data is one of the most common — and most preventable — reasons a trip claim gets denied.
Solution
Trip-Log & GPS Documentation Matching
Unclaimed No-Show Revenue
Providers frequently leave billable no-show and late-cancellation revenue on the table because the rules for claiming it are easy to overlook.
Solution
No-Show & Cancellation Billing
Broker Rate Disputes
Underpayment against a broker's contracted rate schedule can go unnoticed without a dedicated reconciliation process.
Solution
Broker-Managed Billing & Rate Reconciliation
Growing A/R Across Multiple Brokers
Fleets working with several brokers or payers at once can lose visibility into which account is actually falling behind.
Solution
Multi-Broker A/R Management
Stop Leaving Revenue on the Table
Let our NEMT billing experts identify opportunities to improve your revenue cycle.
GOT QUESTIONS?
Frequently Asked Questions About NEMT Billing
Get answers to the most frequently asked questions about NEMT billing, coding, claims, denials, and revenue cycle management.
NEMT billing is the process of submitting claims for non-emergency medical transportation trips to Medicaid, a Medicaid transportation broker, or a commercial payer. It involves verifying eligibility, documenting the trip including pickup and drop-off, mileage and vehicle type, coding the trip correctly, submitting the claim in the correct format, and following up until it is paid.
Many states contract NEMT services out to a transportation broker, which manages trip assignment and claims on the state's behalf using its own portal, claim format, and rate schedule. Providers who bill a broker follow that broker's specific process, while providers in states or programs that allow direct billing submit claims straight to Medicaid using standard forms like the CMS-1500.
Common codes include A0080–A0210 for various levels of non-emergency transport, A0425 for ground mileage, and T2001–T2049 for state Medicaid-specific transportation services, though exact code sets vary by state and broker.
A common cause is a mismatch between the trip log, including GPS timestamps, mileage and attendant documentation, and what was billed on the claim. Brokers and payers frequently cross-check trip documentation, and any inconsistency can trigger a rejection.
In many cases, yes — but usually under strict frequency limits and documentation requirements set by the broker or state Medicaid program. Providers who don't track these rules closely often leave this revenue unclaimed.
Ambulance and EMS billing involves emergency or medically necessary ALS/BLS transport, with its own HCPCS codes, origin-destination modifiers, and medical necessity documentation requirements that differ from non-emergency trip billing, even though both fall under transportation billing broadly.
Yes. Revex Square can manage the full billing workflow, from eligibility checks and trip-log reconciliation to coding, claim submission, denial management, and A/R recovery, or support specific parts of a fleet's revenue cycle.
Yes. Our team can work directly within the dispatch and billing platforms your fleet already uses, including RouteGenie, Mediroutes, AngelTrack, and Caretap, reducing disruption to daily operations.
Yes. All billing activity is handled through HIPAA-compliant, encrypted systems with auditable access controls, so patient and trip data stays secure at every step of the billing process.
Our NEMT billing services start as low as 2.75% of monthly collections, with transparent, no-hidden-fee pricing. The exact rate depends on trip volume, number of broker relationships, and whether ambulance or EMS billing is also involved, which we walk through during a free consultation.