Payer-specific billing rules
Configure a payer directory with service types, HCPCS mappings, base and mileage rates, modifiers, rounding, and minimums once, then reuse it on every claim.
NEMT claims management
A NEMT claims management software provider built around your billing rules.
NEMT OS connects completed trips to payer-specific billing rules, claim generation, and payment posting, so Arizona AHCCCS providers spend less time rebuilding claims and more time getting paid.
Claim validation and scrubbing
Catch missing data and rule mismatches before submission, so claims go out clean the first time instead of bouncing back.
837P claim generation and EDI
Generate 837P professional claim EDI files directly from validated trip and billing data, ready for submission.
835 ERA payment posting
Upload 835 ERA files to post payments automatically, update claim status, and keep revenue reporting current without manual reconciliation.
From trip to payment
Claims that start with the trip, not a spreadsheet.
A completed trip from dispatch, GPS-verified mileage, and an auto-filled AHCCCS Daily Trip Report all feed directly into the claim, so your NEMT claims management software provider is working from the same data your drivers already captured, not a second round of paperwork.
See your billing rules built into a real claim.
Tell us about your payer mix and current claims process. We'll walk through claim generation, EDI, and ERA posting for your operation.
Book a claims demo