WHAT THE PROOF GAP COSTS - MEDICAL TRANSPORT
You completed the trip. Proving it is a separate job.
Put in what you know: 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. Everything updates as you type. Nothing you enter leaves your browser unless you choose to email yourself the result.
Completed, not booked.
The payer's rate for the trip, whoever the payer is.
Anything that came back for want of proof, in the form the payer wanted it.
Not all of them. A claim refused on authorisation stays refused.
Including late cancellations you could not refill.
Be conservative. A patient too unwell to travel is not a communication problem.
Anyone whose day includes matching trips to payers or confirming authorisations.
Not their whole job — just the confirming, matching and chasing paperwork.
Wage plus benefits and payroll costs.
Be conservative. Some of it will always need a person.
RECOVERABLE A YEAR
$127,217
The claims and no-show trips you said you could recover, and the scheduling hours you said a system could take back, added up from the numbers you entered. It prices no clinical outcome of any kind, because that is not ours to price.
CLAIMS RECOVERED A YEAR
454
Out of 1,008 that came back, worth $28,123.
TRIPS RECOVERED FROM NO-SHOWS
353
Out of 1,176 lost, worth $21,874.
SCHEDULING HOURS RETURNED A YEAR
2,340
Worth $77,220 at the hourly cost you entered, over a 260-day working year.
WHAT THE YEAR IS MADE OF
$28,123
Claims recovered · 22%
$21,874
No-show trips recovered · 17%
$77,220
Scheduling hours taken back · 61%
YOUR NUMBERS, NOT OUR CLAIM. UNTIL YOU CHANGE AN INPUT THE FIGURES ARE AN EXAMPLE; AFTER THAT THEY ARE YOUR OWN INPUTS MULTIPLIED OUT. NOTHING HERE IS A GUARANTEE OF A RETURN. CHECK IT AGAINST YOUR OWN RECORDS BEFORE YOU BELIEVE IT.
WHERE THE STARTING NUMBERS COME FROM
They describe a small operator: 1,400 trips a month at $62, a 6% claim rejection rate of which under half is treated as recoverable, and a 7% no-show rate of which under a third is, plus four people on scheduling and authorisations who each lose about three hours a day to it, with a system taking back 75% of that. Both recoverable shares are set below fifty percent on purpose - a claim refused on authorisation stays refused, and a patient too unwell to travel is not a communication problem.
This model prices no clinical outcome, and it never will. It covers scheduling, proof and billing for a transport business. It does not assess a patient, judge fitness to travel, or triage, and nothing on this site suggests otherwise. Those judgements belong to clinicians and to your own trained staff. In this sector that is not a marketing nicety - a vendor who blurs it is inviting an operator to lean on software where a person is required.
The recurring nature of this work is why no-shows are modelled at all. A one-off no-show is a lost trip; a standing dialysis or treatment booking that nobody has revisited empties the same slot again next week, and the week after.
The industry page sets out the five problems these numbers come from, and what replaces each one.
THE PAGE THIS WAS BUILT FOR
INDUSTRY
Medical Transport
Insurers and agencies reject completed trips that lack the right proof.
Read the page →WHERE WE WOULD START
- Build & Run →
Put the systems in, and keep them running.
- Owner’s View →
Your whole business on one screen, and an agent you can ask.
- Agent-Run Back Office →
We run the desk. You clear the exceptions.
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.
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