Every ride is someone's lifeline
3.6 million Americans miss medical appointments every year because of transportation. For dialysis patients, cancer patients, and those managing chronic conditions - a missed ride isn't an inconvenience. It's a health crisis.
weekly dialysis trips per patient. Miss one, and they're in the ER.
appointment windows for chemo. Late arrival means rescheduling - and waiting weeks.
cost of a missed dialysis session to the healthcare system. Times millions of rides.
The challenge
NEMT operations are uniquely complex
- -Mobility requirements vary - wheelchair, stretcher, ambulatory - each needs specific vehicles
- -Wait-and-return vs will-call trips need different optimization strategies
- -Multiple stakeholders need updates: patients, caregivers, family, care managers
- -Medicaid documentation requires signatures, timestamps, mileage for every trip
- -No-shows discovered when the driver arrives - wasted trips and frustrated drivers
- -Brokers manage hundreds of TPs with different capabilities and coverage areas
The solution
Optimization that handles the chaos
- ✓Routes optimized overnight, ready when dispatchers log in
- ✓Wheelchair and stretcher matching happens automatically
- ✓Will-calls and wait-and-returns handled intelligently by the system
- ✓Patients, caregivers, and care managers track in real-time
- ✓Proactive confirmations catch no-shows before drivers leave
- ✓Documentation captured digitally - signatures, timestamps, mileage
How it works
Optimization that never stops
Trips flow in
From brokers, MCOs, or direct bookings. Constraints captured, eligibility validated.
Routes build themselves
Overnight optimization. Wheelchair matching. Wait-and-returns and will-calls handled.
Reality unfolds
Live re-optimization. Drivers updated. Care ecosystem tracks ETAs in real-time.
Loop closes
Signatures captured. Mileage logged. Records ready for Medicaid billing.
Trips flow in
From brokers, MCOs, or direct bookings. Constraints captured, eligibility validated.
Routes build themselves
Overnight optimization. Wheelchair matching. Wait-and-returns and will-calls handled.
Reality unfolds
Live re-optimization. Drivers updated. Care ecosystem tracks ETAs in real-time.
Loop closes
Signatures captured. Mileage logged. Records ready for Medicaid billing.
Built for NEMT constraints
Not adapted from delivery logistics. Designed from the ground up for medical transport.
Mobility matching
Wheelchair, stretcher, ambulatory - auto-matched to equipped vehicles
Appointment windows
Hard time constraints for dialysis, chemo, surgery
Wait-and-return & will-call
Driver waits or leaves and returns on call - both handled intelligently
Care ecosystem updates
Patients, caregivers, family, care managers - everyone stays informed
Live tracking links
Real-time ETAs for pickup and drop-off, shared via SMS or email
No-show reduction
Proactive confirmations let patients cancel ahead - not when driver arrives
Medicaid-ready docs
Signatures, timestamps, mileage - captured digitally
Broker networks
Distribute trips across TP networks at scale
Powered by
Products that power NEMT
Purpose-built tools for every part of your operation
Fleet Orchestrator
Pre-plan routes overnight, re-optimize in real-time, and execute with full visibility.
Learn more →Commute App
White-label app for patients and caregivers to book trips, track rides, and receive updates.
Learn more →Fleet Networks
Distribute trips across your provider network with intelligent ranking and assignment.
Learn more →For every player in NEMT
Transportation Providers
Fleet operators running NEMT services. Optimize routes, manage drivers, document trips - all in one platform.
Learn more →NEMT Brokers
Managing networks of hundreds of TPs. Distribute trips, rank providers, track performance across your entire network.
Learn more →MCOs & Health Plans
Managing member transportation benefits. Visibility into trip outcomes, cost control, compliance reporting.
Learn more →Ready to see it work withyour trips?
We'll run your actual trip data through our optimizer - simulate thousands of scenarios, show you the optimal fleet configuration. No slides, no promises - just results you can see.