NEMT billing

NEMT billing services

NEMT billing services get non-emergency medical transportation providers paid for every completed trip: broker portal submissions, Medicaid 837P and CMS-1500 claims, trip-to-claim reconciliation, attestation checks, denial rework, payment posting and a reconciliation report.

Review my NEMT billing See how it works

Tell us your trips per month and your brokers.

Remitwright does it with a dedicated biller inside your dispatch software and the broker portals you already use.

Last reviewed November 3, 2026 by the Remitwright billing team. Editorial policy

Where the money goes

Where NEMT revenue goes missing

The NEMT billing guide follows one trip from the ride request to the remittance. These are the six places along that path where a completed trip stops turning into money.

Completed trips that were never billed
The trip ran, the driver logged it, the dispatch system shows it complete, and no claim was ever created. Reconciling trips against claims is the only way to find them.
Signature and GPS gaps
A trip without the member signature, the pickup and drop-off timestamps or the GPS trail the broker or state requires is denied, or paid and later recouped. The gap is in the vehicle, but the loss shows up in billing.
Mileage disputes
The broker pays on its own calculated distance, the provider billed the odometer, and nobody reconciles the difference. How a run is routed sets the loaded miles each rider's claim can carry.
Missed filing windows
Brokers and state programs have their own deadlines, and some are short. Trips that sit in a queue past the window are gone. The NEMT unbilled trip estimator puts a monthly figure on them, with the arithmetic shown.
Underpayments nobody checks
Paid at the wrong level of service, wrong mileage band, or missing the wait time, no-load or extra passenger the trip earned. Posting without comparing to the rate sheet hides it.
Level-of-service mismatches
A wheelchair trip authorized as ambulatory, or the reverse. The claim is denied or paid short, and the fix needs the authorization changed, not just the claim.

Your data, your systems

Patient data stays in your systems. Your biller works inside your own software, clearinghouse and payer portals and never exports, downloads or stores claim files, remittances or patient lists on Remitwright devices or systems.

BAA signed before any access
A user you create and can remove
MFA on every login that supports it
No claim files or patient lists exported

How access works

What we do

Every trip, from dispatch to paid

Trip-to-claim reconciliation: every completed trip in your dispatch software matched to a claim or a documented reason there is none
Broker portal submissions for every broker you run trips for, in the format and the window each one requires
Medicaid fee-for-service claims as 837P or CMS-1500 where you bill the state directly, with the HCPCS codes and origin and destination modifiers the program expects
Attestation and documentation checks before submission: signatures, timestamps, GPS, authorization numbers, level of service
Denial rework and resubmission, with the cause traced to dispatch, driver documentation or authorization so it stops recurring
Payment posting against the broker or state rate sheet, with short payments and mileage differences logged and disputed
Authorization tracking for standing orders and recurring trips, so renewals go in before the trips stop
A reconciliation report: trips completed, trips billed, trips paid, trips disputed, and what is stuck by broker

Enrollment and broker credentialing

Before a trip can be billed, the provider has to be enrolled with the state Medicaid program and credentialed with each broker: vehicle inspections, driver records, insurance certificates, background checks and the broker's own application. The paperwork is remote and we do it with you: gathering the documents, submitting the applications, chasing them to approval and tracking the renewal dates. Inspections are done by the state or the broker; the vehicles and the driving are yours.

NEMT credentialing sets out the steps, the driver and vehicle file and what each broker asks for. See credentialing for how the tracker works, and prior authorization for standing orders and recurring trip authorizations.

Outsourced NEMT billing, explained sets out what a third-party biller takes on, what stays with dispatch and when billing in-house is fine.

Scope

Choose the scope that fits

Scope is set per broker and per program. Start with the part that is costing you trips; dispatch, scheduling and the phones stay with you in every one.

One lane
Broker claims only
Completed broker trips submitted in each broker's format and inside its window, rejections traced to their cause, and every remittance checked against the rate sheet. Dispatch and any state claims stay with your team.
Review my broker claims
Billing and set-up
Billing plus broker credentialing
Broker and Medicaid claims, plus the enrollment and credentialing paperwork behind them: applications prepared for your signature, submitted, chased to a decision and tracked to each renewal date. Remote paperwork only; inspections stay with the state and the broker.
Check my broker credentialing
Every payer
Trip to paid, every broker
Every completed trip matched to a claim, submitted to each broker and the state program, denials worked to their cause and payments posted against the rate sheet, with one reconciliation report across all of them.
Review my NEMT billing

Brokers

Brokers we bill

Each broker has its own portal, trip format, filing window and rate sheet. Broker pages cover the submission method, the documentation required and the common rejection reasons, with sources and a verification date.

NEMT brokers by state

Software

Dispatch software we work in

Your biller works inside your dispatch and billing system as a user you create. Trip data stays where it is.

Codes

The codes NEMT claims are built on

Where you bill a state program directly, claims use HCPCS Level II transportation codes with origin and destination modifiers. Which codes a program accepts, and at what rate, is set by each state.

HCPCS Level II transportation codes used on NEMT claims, what each covers in plain language and its unit.
Code	What it covers	Unit
A0130	A single trip in a wheelchair-accessible van	Per trip
T2003	A flat rate for a single trip or encounter	Per trip
S0215	Miles driven on a general non-emergency trip	Per mile
A0425	Miles driven on a ground trip, counted one mile at a time	Per mile
T2001	An attendant or escort who rides along with the member	Per trip or per unit as defined

The NEMT code reference, with modifiers

States

State by state

Every state runs NEMT differently: a statewide broker, regional brokers, managed care plans with their own brokers, or direct fee-for-service billing. Each state page sets out the model, the broker, the enrollment path and the sources.

NEMT billing by state

Questions

What NEMT operators ask

Fit and scope

Do you dispatch or answer phones?

No. Remitwright bills trips. Dispatch, scheduling, ride requests and the phone lines stay with your team and your brokers. Your biller starts from the trips your dispatch software records as completed and takes them from there to paid.

Should we use a billing company for NEMT or keep billing with dispatch?

Keep it with dispatch if someone reconciles every completed trip to a claim each day and works the broker rejections inside the window. Use a billing company when trips go unbilled, when each broker portal and rate sheet has become a separate job, or when the person who knew the portals has left. Outsourced NEMT billing sets the two side by side.

Brokers and claims

How do NEMT providers bill Medicaid?

NEMT providers bill Medicaid in one of two ways, depending on the state. Where the state uses a broker, the provider is credentialed with the broker, accepts assigned trips, and submits completed trips through the broker's portal for payment. Where the state pays providers directly, the provider enrolls with the Medicaid program and submits claims, usually as an 837P with HCPCS transportation codes, mileage and origin and destination modifiers. Many providers do both.

What is trip attestation?

Attestation is the provider's certification that a trip happened as billed: the member was transported on the date, at the level of service, between the origin and destination claimed. Brokers and states require it in different forms, from a signature on a trip log to timestamped GPS data from the dispatch app. Missing or inconsistent attestation is a frequent reason an NEMT payment is denied or recouped.

Why are NEMT claims denied?

The usual reasons are documentation (no signature, missing timestamps, no GPS), authorization (trip not authorized, authorization expired, wrong level of service), eligibility (member not covered on the date), duplicates (the same trip submitted twice or by two providers), and timing (submitted after the broker's or state's window). Each has a different fix, which is why every denial gets a cause before it gets a resubmission.

Can you bill for several brokers at once?

Yes. Each broker has its own portal, its own trip format, its own filing window and its own rate sheet. Your biller works all of them and the reconciliation report shows each broker on its own line.

Getting started

Do you work inside our dispatch software?

Yes. Trip data comes from your dispatch system and your biller works in it as a user you create. We do not take exports into a system of our own, and we do not ask you to change software.

What do you need to start?

A signed BAA, a user for your biller in your dispatch software and each broker portal, your Medicaid provider enrollment details where you bill the state directly, and your broker rate sheets. Bring your trips per month and your brokers to the review; that is enough to start.

NEMT billing services

Where NEMT revenue goes missing

Completed trips that were never billed

Signature and GPS gaps

Mileage disputes

Missed filing windows

Underpayments nobody checks

Level-of-service mismatches