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NON-EMERGENCY MEDICAL TRANSPORT & PATIENT TRANSFER

The trip happened. The proof of it did not.

An insurer, an agency or a facility pays, and each has its own idea of what counts as evidence. A completed trip is rejected because a signature, a time or an authorisation number was not captured at the door. A recurring patient is not there, and the same slot goes empty again next week. We gather the proof at the moment of service, by the driver, so you are paid for work you have already done.

Book a pilot call

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The person in the vehicle is not the person who pays.

Three kinds of payer, three definitions of proof, and the one person who has all of it is the driver at the door — not the office, weeks later, working from what came back on paper. A completed trip is half the job. The other half is the evidence that makes it billable, and it is either captured at the door or it is gone.

Paid for the work you already did.

Where the money goes on work already done.

These are mechanisms, not measurements — we have not audited your operation. Each is a place a medical transport business loses money on work it has already done, and all of them come back to the same fact: the person in the vehicle is not the person who decides whether you get paid.

Not the rider
is who decides whether your completed trip gets paid
Insurer, agency and facility billing
Every week
is how often dialysis and treatment runs repeat, for months
Recurring schedules, unlike a hailed fare
Written off
is what a small rejected claim becomes, because chasing it costs more
The behaviour the evidence rules produce
At the door
is where proof has to be captured, by the person who was there
Not rebuilt afterwards by somebody who was not
A separate class
is what patient transfer is in law — not an ambulance, not a taxi
O. Reg. 418/21

Five problems, and what replaces the person chasing them.

Each of these was handled by adding one more check by phone, and each check costs more than the trip it protects.

  1. 01

    A trip is completed and billed, then rejected or short-paid because the proof the payer wanted was not attached in the form they wanted it.

    Rebuilding proof afterwards

    Each payer has its own evidence rules, and the driver who completed the trip is not the person who has to satisfy them. Rebuilding proof afterwards costs more than a small claim earns, so small claims get written off — which is precisely the behaviour the rules are designed to produce.

    See the station that closes it →
  2. 02

    Trips are booked against an authorisation somebody has to confirm separately, and the confirmation and the booking live in different places.

    Checking once, noting anywhere

    Authorisation is checked once, by phone or portal, and recorded wherever the person checking happened to note it. Two weeks later nobody can tell whether the trip that just ran was covered, so it is billed hopefully and sometimes refused.

    See the station that closes it →
  3. 03

    A patient is not there, and because the booking recurs, the same slot will be empty again next week.

    Confirming each trip by phone

    The recurrence that makes this work efficient also makes a problem repeat. A one-off no-show is a lost trip; a recurring one is a standing appointment nobody has revisited, and confirming each occurrence by phone costs more than the trip earns.

    See the station that closes it →
  4. 04

    A rider waiting for a medical trip phones to ask where the vehicle is, often more than once, often from outside.

    A person as the only route

    The only route to information the dispatch system already holds runs through a person. On a medical trip the caller is frequently unwell or anxious, which is exactly when not knowing is hardest and exactly when the call is most likely to be repeated.

    See the station that closes it →
  5. 05

    Building next week's schedule means matching trips to payers, checking authorisations and chasing paperwork, by hand.

    Leaving it as small tasks

    Each of those is a small task, none is hard, and together they consume a person. It is the kind of work that never gets prioritised for improvement because no single instance is worth automating — only the total is.

    See the station that closes it →

WHAT IT LOOKS LIKE

Owner’s View

EXAMPLE FIGURES

Tuesday, 10:00 at dispatch

YOUR SERVICE · 22 VEHICLES · UPDATED 10:00 · SHOWN WITH LIVE REFRESH, A SEPARATELY QUOTED UPGRADE

  • Trips today

    164

    58 standing trips

    Every standing dialysis trip was confirmed yesterday.

  • Trips missing an authorization

    4

    Need a person today· Needs you

    Without them, those claims will be rejected.

  • Claims rejected · month

    6

    ▼ 3 on last month· On track

    Two were resubmitted with the missing field.

  • Staff credentials expiring

    3

    Within 30 days· Needs you

    First aid for two, an abstract for one.

Needs you today

  • Authorization matching

    Needs a person today · Operations

    Missing
  • Scheduling

    Alert sent to the scheduler · Operations

    Needs you
  • Staff credentials

    First aid ×2, abstract ×1 · People & HR

    Due soon
  • Payer billing

    2 resubmitted · Finance

    Needs you
Medical Transport: the owner’s week on one screen, with the four numbers that matter in this trade and what needs the owner today. The same example business as the Owner’s View demo.

Open this dashboard in the demo →

MEDICAL TRANSPORT · OPERATIONS BLUEPRINT

Every process in the service. Lit where a system carries it.

Each floor is a department and each station a process. The bright line is the path one job takes, and the light travelling it is that job. Select any station to see what starts it, what the system does, and what stays with a person.

run on the system
6run on the system
keep a person at the gate
3keep a person at the gate
built only for a pilot
1built only for a pilot
added by you
0added by you
01Work arrives02Somebody promises it03Somebody does it04The customer is told05The money is collectedCUSTOMER SERVICEOPERATIONSQUALITY & COMPLIANCEFINANCEBACK OFFICE & REPORTINGBooking intakeAuthorization matchingStanding-trip confirmationsSchedulingProof of servicePHIPA privacyStaff credentialsRider & facility alertsPayer billingWeekly page
All 10 stations as a list

YOUR ADDITIONS · THE MAP IS YOURS TO EXTEND

Missing a process? Put it on the map.

Anything you run, or wish you ran, that is not drawn above. Name it, say where it sits, and it appears on the model with a blueprint sheet of its own. It travels with your pilot-call booking, so the call starts from your map, not ours. No price is attached; it is scoped on the call.

Start from

Who decides

Kept in this browser. Sent only if you book a call, or ask for its plan.

Blueprint sheet · live preview

APPROVESCHEDULEDPOSTED · EACH CHANNEL

Marketing · Work arrives · A person approves each one

Social media automation

A poster is drafted from the week's work, a person approves it, and it is scheduled and posted to each channel on a calendar.

Starts when
A week's work is done, or a date on the calendar arrives.
The system
The poster and caption are drafted from it and queued.
A person
A person approves each one before it goes out.
On record
Every post, its channel, and when it went out.
Book a pilot call

Twenty minutes. No deck.

What this does not do

  • It makes no clinical judgement of any kind. It does not assess a patient, does not judge fitness to travel, and does not triage. Those belong to clinicians and to your trained staff, and nothing here changes that.
  • It is not an ambulance service or a medical device, and it is not a substitute for either.
  • It does not decide entitlement. Whether a trip is covered is the payer's rule, and it stays there.
  • It will not win a claim your authorisation does not support. It captures the proof for the ones it does.
  • It does not recover a patient who was too unwell to travel. That is not a communication problem.
  • A Diagnostic is measured against your numbers — your rejected claims, your no-show rate, your scheduling hours.

This page is written from work we run and from the published regulatory structure, not from a client interview. The board above describes mechanisms, not measurements, and every figure in the calculator is your own.

WHY US

We run this on our own vehicles.

We are not a consultancy that read about AI and wrote a deck. We build and operate the automation behind our own Ontario transport operation — built inside our own business first — and it runs every day whether or not anybody is watching it.

  • Vehicles tracked by geofence on the 401 corridor.
  • Arrival and departure times recorded without anyone typing them.
  • Delay alerts that hold their tongue until they are certain.
  • An AI voice agent that calls drivers before an early start.
  • A dispatch desk that runs on all of it.

That operation carries passengers on booked trips, which is the shape of non-emergency medical transport. What it does not carry is your claims process, and that is the part a Diagnostic would look at hardest. It runs one corridor, London to Toronto Pearson. If your routes cross it, we say so before the Diagnostic starts, and the engagement agreement keeps what we see inside it.

What transfers is the machinery, and the expensive mistakes that come with it. The vehicle that clipped a geofence while driving past and marked a stop it never made. The stale data feed that hid whole trips. The alert that fired on one bad GPS reading. Every one of those is a way an automated system embarrasses you in front of a customer, and every one was found and fixed on our vehicles, not yours.

If this is your week, twenty minutes settles whether a Diagnostic would find anything worth fixing.

Book a pilot call

Run it against your own book.

How many trips you complete, what one pays, how many claims come back short, and how much of your people's day goes on scheduling and authorisations. The calculator works from those and nothing else — and it prices no clinical outcome of any kind, because that is not ours to price.

OPEN THE MEDICAL TRANSPORT LEAK CALCULATOR →

QUESTIONS WE GET ASKED

Why do completed trips get short-paid, and can this fix it?

Because the proof the payer wanted was not attached in the form they wanted it, and the driver who did the trip is not the person who has to satisfy them. The proof each payer requires is captured at the point of service, in the form that payer accepts, so the claim goes out complete instead of being rebuilt or written off.

Does it check the authorisation before the trip runs?

It attaches the authorisation to the booking it belongs to, so the trip that runs and the entitlement that covers it are one record, not two to match later. Whether a trip is covered stays the payer's rule; it will not win a claim your authorisation does not support.

What does it do about a recurring no-show?

Confirmation goes out ahead of every occurrence, not only at booking, and a pattern of unconfirmed trips reaches a scheduler as a pattern instead of a series of unrelated gaps. It cannot recover a patient who was too unwell to travel — that is not a communication problem.

Does it make any clinical judgement?

None. It does not assess a patient, judge fitness to travel or triage — those belong to clinicians and your trained staff. It is not an ambulance service or a medical device, and the calculator prices no clinical outcome of any kind.

What is the first step, and what is it measured against?

The first engagement is an Operations Diagnostic of the whole business, with one number taken from the part that costs most — claims, scheduling or rider communication — measured against your own numbers: your rejected claims, your no-show rate, your scheduling hours. The rider is told when the vehicle is assigned, close and arrived, so being informed no longer depends on somebody being free to answer.

Bring us one bad week.

Book a pilot call. Tell us where the week goes wrong, and we’ll tell you what an Operations Diagnostic would map and measure.

The first paid step has a clear scope and an end date, and the pilot after it is one workflow — not a platform, and not an open-ended retainer.

Free · 20 minutes · no commitment