4.0 out of 5 stars
(442 Ratings)
MediRoutes is a cloud-based fleet management software designed for managing Non-Emergency Medical Transportation (NEMT) fleets. The software features real-time dispatch, automated scheduling, billing, reporting, and API integrations. Created for transportation providers, it ensures efficient route planning, real-time fleet visibility, and payer integration. MediRoutes reduces wait times for passengers and increases operational efficiency for NEMT transportation providers while providing on-time performance with advanced scheduling algorithms. It facilitates smooth patient transportation coordination and partners with all major US brokers, maintaining its leadership in the NEMT software industry since 2008.
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4.6 out of 5 stars
(49 Ratings)
RouteGenie is non-emergency medical transportation software for operations running 25 to 500+ vehicles. It combines NEMT scheduling software and route optimization with native multiload, real-time NEMT dispatch software, Medicaid and broker billing with CMS 1500 and claim scrubbing, and fleet compliance in one single-tenant platform. Multi-site operators run every location in one instance with role-based access and a full audit trail on every trip change. ImportGenie automates trip intake and status return across 28 live broker and payer integrations, including ModivCare, MTM, Veyo, Verida, SafeRide Health, Alivi, New York MAS, Uber Health and transit authorities. Subcontractor vehicles are visible on the same live map as owned fleet. SAML2 SSO (Entra ID, Okta, OneLogin, Google Workspace), SOC 2 Type 1, open REST API, iOS and Android driver apps, passenger app, and a payer and facility portal. Flat per-vehicle pricing with unlimited trips and unlimited users. 600+ fleets, 20,000+ vehicles, ~50,000 trips daily.
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BillingBench
Medical billers use BillingBench to take a denial from first notice to filed appeal. A denial can arrive as a photo taken in the iPhone or iPad app, which reads the payer, codes, and amount on the device; as a page on Availity, Waystar, or another supported portal, where the browser extension reads it; or as a line in an 835 remittance file. Each one goes into a recovery queue ordered by expected recovery and the days left to file.
From there the platform decodes the CARC code, estimates the odds an appeal reverses it, and drafts a letter whose regulatory basis and argument cite primary sources. Supporting tools cover modifier rulings, prior authorization requirements, prompt-pay interest, and timely filing. The reference tools are free without an account, the queue is free with one, and the Pro Workbench for billing teams starts at $49 per month. No patient identifiers are stored at any step.
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Paradigm
Paradigm Senior Services provides a comprehensive, AI-driven revenue cycle management solution designed specifically for home-care agencies that handle billing for various third-party payers, including the U.S. Department of Veterans Affairs (VA), Medicaid, and several managed-care organizations. The platform automates and enhances each phase of the billing and claims workflow, encompassing tasks such as verifying eligibility and authorizations, managing state- or payer-specific enrollment and credentialing, submitting accurate claims, addressing denials, and reconciling payments. It seamlessly integrates with widely used agency management software and electronic visit verification systems, enabling the scrubbing of shifts, weekly authorization verifications, and efficient payment reconciliations, all of which contribute to a reduction in denials and a lighter administrative load. Additionally, Paradigm offers "back-office as a service" for healthcare providers; this means that even if agencies have their own billing personnel or scheduling applications, Paradigm is equipped to manage claims processing, functioning as a dedicated, expert billing department. This flexibility allows agencies to focus more on patient care while leaving the complexities of billing in the hands of specialists.
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