Medical Billing & Credentialing for NEMT Providers
Non Emergency Medical Transportation (NEMT) providers face unique challenges in credentialing, billing, and revenue cycle management. Fortify RCM helps you get credentialed, submit claims accurately, and receive faster reimbursements.
Who We Help
Fortify RCM supports a wide range of Non Emergency Medical Transportation (NEMT) providers with customized billing and credentialing solutions
Independent NEMT Operators
One-vehicle companies or owner-operators needing payer setup and claims support.
Small to Mid-Sized NEMT Companies
Scalable solutions for teams with 2–50 vehicles, covering Medicaid, commercial, and non-emergency contracts.
Facilities Providing Transport
Clinics, SNFs, or hospitals that bill insurance for patient transport services.
NEMT Telephonic Dispatch Models
Integrated workflows for providers managing trips via call centers or scheduling software.
What We Do for Non Emergency Medical Transportation Providers?
Credentialing
Commercial, Medicare, Medicaid — from CAQH to contracting to revalidation.
Revenue Cycle Management
Complete back-office support from eligibility to AR follow-up.
Denial Management
We fix broken claims — fast resubmissions & appeal handling.
EDI/ERA/EFT Setup
Payer connections made easy — fast & paperless.
Eligibility & Benefits Verification
Avoid denials by checking before you submit.
Claims Submission & Payment Posting
Clean claims + accurate payments = healthy revenue
Why Fortify RCM for NEMT Providers
Non Emergency Medical Transportation (NEMT) billing is complex — from eligibility and mileage modifiers to trip logs and payer requirements. Fortify RCM brings clarity, compliance, and cash flow to your NEMT operations. Learn more on CMS site.
☑ Expertise in Medicaid and managed care billing
☑ Familiarity with trip verification and log documentation
☑ Dedicated denial management team
☑ Integration with dispatch software
☑ Transparent reporting and support for solo or fleet operators
Results from Our Work
100%
Claim Acceptance Rate
100%
Timely Filing Compliance
6–8 Weeks
Credentialing Turnaround Time
30%
Avg. Monthly Revenue Growth
Non Emergency Medical Transportation FAQ
How long does it take to get credentialed with NEMT payers?
Credentialing can take 30–90 days depending on the plan. We follow up regularly and assist with any missing info or corrections.
Do you bill for both wheelchair and ambulatory rides?
Yes. We handle HCPCS codes like A0100, A0130, and apply appropriate modifiers and units.
Can you help with Medicaid credentialing for NEMT?
Yes, we help with Medicaid enrollment, state-specific MCOs, and transportation networks like LogistiCare or MTM.
Do you work with small NEMT operators?
Absolutely. We support solo drivers, new providers, and growing fleets — scaling as your business grows.
How quickly can I start receiving payments for NEMT trips?
Once credentialed, payments typically begin within 30–60 days, depending on payer processing times and claim submission speed.
Can you help with EDI/ERA setup for NEMT billing?
Yes. We set up electronic data interchange (EDI), electronic remittance advice (ERA), and electronic funds transfer (EFT) for faster, paperless payments.
Can you help me expand my NEMT service to new states?
Absolutely. We handle credentialing and licensing in multiple states to grow your transportation business.
What documents are required to get credentialed as a NEMT provider?
Most payers require proof of business license, insurance, driver records, vehicle inspection reports, and compliance documents.
Let’s Get Your NEMT Billing Rolling
From Medicaid credentialing to compliant trip billing — Fortify RCM is here to help your Non Emergency Medical Transportation business grow.