--- title: "Broker claims reconciled, recoupments defended" description: "Modivcare, MTM and Veyo claim submission, trip reconciliation and recoupment defence for NEMT providers. Dedicated accountant, your software." url: https://ledgerbpo.com/services/nemt-billing/ updated: 2026-09-11 publisher: LedgerBPO (SS Support Network LLC) language: en-US --- # Broker claims reconciled, recoupments defended LedgerBPO's NEMT billing services give your transportation company a named biller who reconciles completed trips against broker manifests, submits claims to Modivcare, MTM, Veyo and state Medicaid portals, posts remittances, works denials and answers recoupment requests with trip-level documentation. The same team reconciles broker payments to your books, so paid trips and bank deposits agree every month. - Since 2020 - US · UK · CA · AU - Named accountant plus backup - Your software, no lock-in [Book a billing audit](https://ledgerbpo.com/book-a-call/?topic=billing-audit) [Book a 20-minute call](https://ledgerbpo.com/book-a-call/) In short - Every completed trip matched to its manifest, rate and signature before billing - Broker and Medicaid claims submitted daily, denials reworked within timely filing - Recoupment notices answered with a trip packet before the deadline Updated September 2026 · Reviewed by [Nimra Khalid](https://ledgerbpo.com/team/nimra-khalid/) ## What is NEMT billing outsourcing? NEMT billing outsourcing means a remote team turns your completed non-emergency medical transportation trips into paid claims. It covers reconciling dispatch records against broker manifests, submitting claims through broker portals or state Medicaid systems, posting remittances, correcting rejected trips and defending recoupment or audit requests. Your dispatch software and broker accounts stay yours; the provider works inside them. ## Who it is for ### Owner-operators You run five to fifty vehicles, dispatch by day and bill by night. Rejected trips pile up in the broker portal and nobody has time to fix them. ### Office managers One person handles driver questions, broker calls and claims. A dedicated remote biller takes the claims and the reconciliation so the office can focus on dispatch. ### Multi-state operators Different brokers, rate schedules and Medicaid rules in each state need one billing process, one exception log and one reconciled set of books. ## What's included - Daily reconciliation of completed trips against broker manifests and dispatch records - Driver log, signature and mileage checks before a trip is billed - Claim submission through Modivcare, MTM, Veyo and other broker portals - State Medicaid fee-for-service claims where you bill directly - Rate table maintenance for base, mileage, wait time, wheelchair and stretcher levels - Rejected trip correction and resubmission within each broker's filing window - Remittance posting with short-pays and adjustments coded by reason - Recoupment and audit responses with a trip packet for every disputed trip - AR aging by broker with weekly follow-up on unpaid batches - Private-pay, facility contract and hospital discharge invoicing - Monthly reconciliation of broker payments to bank deposits and the ledger - Weekly unbilled and rejected trips report with an owner for each item ## Deliverables and KPIs | Deliverable | KPI we report | Cadence | | --- | --- | --- | | Trips billed | Completed trips submitted within 2 business days | Daily | | Rejected trips cleared | Every rejected trip corrected and resubmitted within 5 business days | Weekly | | Paid-trip tracking | Paid, short-paid and denied trips reported per broker with reasons | Monthly | | Recoupment responses | Every recoupment notice answered before the broker's deadline | Per notice | | Broker payment reconciliation | Remittances tied to deposits and the ledger with variances explained | Monthly | KPIs are what we measure and report, agreed per engagement. Service-level commitments are set in your agreement. ## How it works 1. ### Billing audit call A 30-minute call to map your brokers, states, dispatch software, trip volume and vehicle levels of service. We review a sample of recent rejections, short-pays and any open recoupment notices. 2. ### Access and rate setup You grant role-based access to your dispatch system, broker portals and Medicaid accounts. We load each broker's rate schedule, filing windows and documentation rules, and sign a BAA because trip records contain member information. 3. ### Dedicated biller assigned A named biller, a trained backup and a team lead take over trip reconciliation and claim submission. The first billing cycle runs in parallel with your current process so nothing is missed. 4. ### Daily cycle, monthly reconciliation Trips are reconciled and billed every business day, remittances posted as they arrive and rejections reworked weekly. At month-end broker payments are tied to bank deposits and your ledger, with a short report on paid-trip trends by broker. Our ReconBot process Trip matching runs on our ReconBot workflow: dispatch records, broker manifests and remittances are matched trip by trip, and every mismatch goes into an exception log with a reason, an owner and a due date. The same log becomes the evidence file when a broker questions a trip months later. ## Software we work in - [QuickBooks Online](https://ledgerbpo.com/software/quickbooks-online/) - [Xero](https://ledgerbpo.com/software/xero/) - [All 50 platforms](https://ledgerbpo.com/software/) ## How much does nemt billing cost? NEMT billing is commonly priced per trip, as a percentage of collections, or per dedicated biller, depending on trip volume and how many brokers you work with. We quote the model that fits your operation, and engagements run month-to-month. Pricing depends on volume and scope, so we send a custom quote within 1 business day. ### What moves the quote - Monthly completed trip volume and levels of service - Number of brokers, states and direct Medicaid programs - Whether trip documentation checks are included before submission - Volume of open rejections and recoupment notices at the start ### Market benchmarks | Market | Typical range | Source | | --- | --- | --- | | US | Dedicated offshore billing staff typically run $8 to $35 per hour all-inclusive, against $40 to $75 per hour for US-based staff | Madras, Acculink, Rose Talent (2026) | Third-party ranges for orientation, not our prices. [Book a billing audit](https://ledgerbpo.com/book-a-call/?topic=billing-audit) No setup fee. Month-to-month. ## NEMT billing for your industry - [NEMT & medical transportation companies](https://ledgerbpo.com/industries/nemt/) - [Limo, taxi & rideshare fleets](https://ledgerbpo.com/industries/limo-taxi/) - [Home care & home health agencies](https://ledgerbpo.com/industries/home-care/) - [All 26 industries](https://ledgerbpo.com/industries/) ## Case study 1 state to 5 states Case study ### [How a NEMT provider scaled from 1 state to 5 with an outsourced back office](https://ledgerbpo.com/case-studies/multi-state-nemt-back-office/) A non-emergency medical transportation provider in the southern US ran a single-state operation with one office manager handling trip billing, broker portals and the books. Each new state meant a new Medicaid broker, new claim formats and new timely-filing rules, and the office could not absorb the volume. The owner engaged LedgerBPO for NEMT billing, insurance follow-up calls and accounts receivable, with a named billing agent, a backup and a team lead working inside the provider's own dispatch software and QuickBooks Online. Over the engagement the provider expanded from 1 state to 5 states without building an in-house billing department. The same back-office playbook was repeated for each state contract, so growth did not depend on hiring and training local staff every time a contract was won. - States served 1 5 NEMT & medical transportation ## Security and compliance - HIPAA-trained staff, a signed BAA, and minimum-necessary access to member trip records - MFA on every login, per-client access logs, no trip data on local devices or paper - We never move money; broker payments land in your bank, never ours Full control list on the [security page](https://ledgerbpo.com/security/) and country rules on the [compliance page](https://ledgerbpo.com/compliance/). Certifications are listed only when held. ## Frequently asked questions ### How much do NEMT billing services cost? Pricing depends on volume and scope, and we send a custom quote within 1 business day. NEMT billing is commonly priced per trip, as a percentage of collections, or per dedicated biller, and we recommend the model that fits your trip volume and broker mix. As a market reference, dedicated offshore billing staff typically cost $8 to $35 per hour all-inclusive (Madras, Acculink, Rose Talent, 2026). ### Which brokers and systems do you work with? We bill through Modivcare, MTM, Veyo and other regional broker portals, and directly to state Medicaid programs where you hold a provider number. On the dispatch side we work inside TripMaster, RouteGenie and similar platforms, plus broker-supplied apps. You keep every login and every contract; we work inside them. ### How do you reconcile trips before billing? Each business day the biller compares completed trips in your dispatch system with the broker manifest, checking pickup and drop-off times, mileage, level of service, member signature and driver log. Trips that do not match go into an exception log for your dispatcher to resolve. Only clean trips are submitted, which is what keeps rejections low. ### What is recoupment defense and how do you handle it? Recoupment is when a broker or Medicaid program claws back money for trips it decides were not supported. We answer every notice before the deadline with a trip packet: manifest line, dispatch record, GPS or odometer data, signature and driver log. Because our ReconBot exception log stores this at billing time, the evidence is ready rather than rebuilt months later. ### Can you fix the rejected trips sitting in our broker portals now? Yes. We start with a backlog sprint that sorts rejections by broker, age and filing window, corrects what can be resubmitted and lists what cannot with a reason. You receive a written summary before anything is written off, and you approve every adjustment. ### Do you handle the books as well as the claims? Yes, and that is the point of one team. The biller who posts broker remittances also reconciles them to bank deposits and your QuickBooks Online or Xero ledger each month, so revenue by broker, factoring advances if you use them, and cash all agree. Our factoring reconciliation service covers the factor side in detail. ### Do you also handle dispatch or driver calls? Not under LedgerBPO. Dispatch support, driver coordination and broker communication are handled by our sister brand TransportBPO (transportbpo.com), which serves ground-transportation companies. LedgerBPO handles the claims and the books, and the two teams share one exception log when you use both. ### How quickly can you start? Most operators are live within two weeks of the billing audit call. Access, rate schedules and broker rules are set up in the first week, and the biller runs alongside your current process in the second week before taking over fully. Talk to a person A 20-minute call with someone who runs nemt billing every day. No sales script. [Book a 20-minute call](https://ledgerbpo.com/book-a-call/) [Book a billing audit](https://ledgerbpo.com/book-a-call/?topic=billing-audit) Compliance note You approve and release every payment. We never move money, sign returns or give audit opinions. [Country rules](https://ledgerbpo.com/compliance/). Next step ## Books closed. Invoices paid. Every month. Tell us what is going on with your books or billing. You will hear from a named person within 1 business day, with a custom quote and a plan for the first close. - Reply from a named person within 1 business day - No setup fee, month-to-month - Your software, your data, no lock-in Start with a custom quote [Book a billing audit](https://ledgerbpo.com/book-a-call/?topic=billing-audit) [Book a 20-minute call](https://ledgerbpo.com/book-a-call/) Or call [+1-657-777-0006](tel:+16577770006) during US, UK or Australian business hours. --- Source: https://ledgerbpo.com/services/nemt-billing/ · Contact: https://ledgerbpo.com/contact/ · Full site map for agents: https://ledgerbpo.com/llms.txt