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NEMT billing

Kinetik billing services

Kinetik billing services from Remitwright mean a dedicated biller working your Kinetik Pulse account as part of your team, the self-service route Kinetik offers beside its own full-service billing.

Tell us your trips per month and brokers.

Pulse builds claims from completed trip data and submits them through its payer connections. The biller checks each one before it goes, reads the rejection codes and logs on anything returned, matches ERAs to trips and resubmits what can be fixed. Trips accepted from health plans that run their programs on Kinetik are billed the same way. Kinetik billing is one part of our NEMT billing services.

Independent: Remitwright is not affiliated with or endorsed by Kinetik. Kinetik is a trademark of its owner, named here to describe the system we work in.

Last reviewed by the Remitwright billing team. Editorial policy

  • NEMT dispatch and billing

Every day

What your biller does in Kinetik every day

  • Review each claim Pulse builds from a completed trip, including the rate, modifiers and eligibility it filled in, before it is submitted
  • Confirm that trips accepted in Kinetik and run through your connected dispatch system carry the completion data the claim is built from
  • Check that the trip record holds the GPS data, driver attestation and member confirmation the program asks for, the proof Kinetik's own guidance treats as showing a trip happened
  • Compare billed miles with the route the vehicle actually drove, the test Kinetik's payment integrity guidance applies to mileage
  • Follow every claim from submission to payment in Pulse and work the ones marked pending or needing attention
  • Read the detailed logs and rejection codes on each returned claim, decide whether it needs a claim edit, a trip correction or an eligibility check, and resubmit
  • Post payments from the 835 ERAs Pulse receives, match each line to its trip and list every trip paid short of the contract rate
  • Keep each payer's rules in the biller's notes beside the rules Pulse applies, and recheck open claims when a payer changes one
  • Report by payer: claims submitted, paid, rejected and still open, with the oldest open claims at the top

Access

Access and security

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

In Kinetik

  • Your Kinetik account and its trip and claim data stay yours; the biller works in Pulse on a user you add
  • Multi-factor authentication on the biller's login where Kinetik offers it, and you can remove the user at any time
  • Remitwright signs a BAA with you before any login is created
  • Claims leave through Pulse's own payer connections; no trip data is copied into systems of ours

Where the biller steps in

What Kinetik does not do, and the biller does

  • Pulse submits what the trip data supports; when the data is wrong, the trip record is corrected first, and the biller sends it back with the field named

  • A rejection code says what failed, not who should fix it; the biller sorts each one into a claim edit, a trip correction or an eligibility question and routes it

  • An ERA shows what a payer paid; whether that matches your contract takes a trip-by-trip comparison, which the biller does

  • Claims for brokers or payers that Pulse does not reach, and disputes in their portals, are worked in those portals outside Kinetik

Worked example · hypothetical

Worked example: a rejection that was really an eligibility question

A hypothetical provider sees a claim come back in Pulse with a rejection code pointing at the member's coverage. Resubmitting it unchanged would bring the same answer. The biller reads the log, checks eligibility for the trip date, finds the member changed plans at the start of the month, and asks operations which plan authorized the trip. The claim is corrected and sent to the right payer, and the mismatch goes on the report so coverage is checked against the current plan when trips are accepted.

Questions

Questions about billing in Kinetik

Kinetik sells its own billing service. How is this different?

Kinetik offers two routes. Pulse is its self-service billing platform; Pulse Pro adds Kinetik's own team to run claim submission, resubmissions, denials and reconciliation for you. Remitwright fits the first route: a dedicated biller works in Pulse as part of your team, so the claims stay under your control without the work landing on your staff. If you choose Pulse Pro, you would not need a second biller for the same claims.

Do we have to change our dispatch or billing software?

No. Kinetik says it integrates with more than 18 major dispatch systems, and the biller works from the trip data that reaches Pulse. Pulse is already your billing system, so there is nothing new to buy before the biller starts.

Which payers can claims reach through Pulse?

Kinetik lists more than 3,100 payer integrations for Pulse, with claims sent as 837 files and remittances returned as 835 files. Trips you run for brokers such as MTM or Modivcare through their own portals are billed in those portals, and the biller carries them on the same report by payer.

How are codes and modifiers checked?

Pulse fills in rates and modifiers from its rules. The biller checks them against the payer's code list for the level of service and each trip leg; our NEMT billing codes page lists the transportation codes and the origin and destination modifiers.

What access do you need?

A Pulse user with rights to build, submit and track claims, logins for any payer or broker portal outside Kinetik that you bill, and your rate schedules. The BAA is signed before any account is created. Our NEMT billing services page shows how the rest of the work is set up.

Next step

Tell us your trips per month and brokers.

Three quick questions. No patient data. A billing specialist reads every request and replies in writing, with notes on how the work would run inside Kinetik.

  • Three questions, about two minutes
  • No patient data, no software to buy
  • A written reply from a biller, not a sales deck

What happens next

  1. You answer three questions

  2. A billing specialist reads them

  3. A written reply by email

Prefer email? sales@remitwright.com

Review my NEMT billing

Tell us your trips per month and brokers.

Step 2 of 3

What do you bill for?

A little about your volume
How many providers? (Medical practice)

Trips per month? (NEMT)

Active clients? (Home care / home health)

Orders per month? (DME)

How many clinicians? (Behavioral health / therapy)

Claims per month, roughly? (Something else)

What's the biggest problem right now?

Where should we send the review?

Add details (optional)

We work inside your system; this tells us which login to ask for.

Please don't include patient information in this form.

  • No patient data requested
  • No obligation
  • Reply in writing
Get a billing review
Billing review

Get a billing review

See where claims are getting stuck. No patient data needed.

Step 1 of 3

What do you bill for?

A little about your volume
How many providers? (Medical practice)

Trips per month? (NEMT)

Active clients? (Home care / home health)

Orders per month? (DME)

How many clinicians? (Behavioral health / therapy)

Claims per month, roughly? (Something else)

What's the biggest problem right now?

Where should we send the review?

Add details (optional)

We work inside your system; this tells us which login to ask for.

Please don't include patient information in this form.

  • No patient data requested
  • No obligation
  • Reply in writing

BAA signed before any access, a user you create, MFA on. Patient data stays in your systems. How access works