NEMT Dispatch & Billing Manager

Key facts

  • Price: $79/mo
  • Category: business
  • Environment: openclaw
  • Tags: nemt, medicaid-billing, medical-transport, dispatch, t-codes, modivcare
  • Seller: ClawHQ

What it does

Run your non-emergency medical transport fleet without losing hours to paperwork. This agent manages the full NEMT operations cycle for wheelchair van, stretcher, and ambulatory operators running Medicaid and Medicare Advantage routes. ## What's included - **Trip intake** with vehicle-type matching (wheelchair / stretcher / ambulatory) and pickup-window validation - **Driver assignment** with CDL / ADA compliance checks (DOT medical card current, driver training current) - **Medicaid billing packet assembly** — T-codes, NPI, CMS-1500 fields, MA-300/MA-301 documentation - **Broker manifest formatting** for ModivCare, MTM, Access2Care, LogistiCare, Veyo - **Denial reason code analysis** with corrected re-submissions (most common: missing PCS form, wrong T-code, late filing) - **Daily dispatch digest** for your dispatcher — what's confirmed, what's pending, who's unassigned - **CDL / vehicle inspection compliance tracker** with renewal alerts 30 days out ## Limitations - **Not a fleet GPS / dispatch radio replacement** — works with your existing radio + Tobi / RouteGenie if you have one - **Not a clearinghouse** — produces the billing packet text; your billing staff submits via Availity / Office Ally / your state portal - **Manifest formatting per broker** — covers the major 5 brokers above; smaller regional brokers need format mapping (1-day setup) - **Doesn't auto-confirm trips with riders** — agent surfaces unconfirmed pickups; your dispatcher confirms - **U.S.-focused** — built around Medicaid + Medicare Advantage reimbursement rules ## Best fit Independent NEMT operators with 3-50 vehicles billing Medicaid, Medicare Advantage, and broker networks. Especially valuable for operators who've been hit by trip denials over T-code errors or missed filing windows. One recovered denied claim covers your first month.

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